The present guideline paper addresses the emergency management of generalized convulsive status epilepticus (CSE) in children and infants older than one month of age. It replaces the previous statement from 1996, and includes a new treatment algorithm and table of recommended medications, reflecting new evidence and the evolution of clinical practice over the past 15 years. The document focuses on the acute pharmacological management of CSE, but some issues regarding supportive care, diagnostic approach and treatment of refractory CSE are discussed.
With the present culture technique, most, if not all, clinically significant positive blood and CSF results are reported by 48 h of culture incubation.
viruses has decreased by more than 80% and routine radiography for children with low risk acute ankle injuries has decreased from 86% to 57%. CONCLUSION: Developing and implementing a Choosing Wisely top 5 list at a childrens hospital aims to promote a culture of quality, evidence-based and high-value care. We have plans for further improvements in the current project, sustaining the gains already achieved, and to expand the initiative to other areas in our institution. This model, along with lessons learned, is being shared with paediatric healthcare providers across the country through presentation at meetings and rounds, as well as publication in various media and high impact journals.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.