UMEM Educational Pearls

Category: Pediatrics

Title: Pediatric Seizure Pearls

Keywords: pediatric seizures (PubMed Search)

Posted: 2/28/2009 by Don Van Wie, DO (Updated: 9/24/2021)
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  • Pediatric seizures are common and 4-6% of all children will have a seizure by the time they are 16 years old.
  • Afebrile neonatal seizures require an evaluation of electrolytes, glucose, calcium, magnesium, LP, blood and urine cultures.
  • Simple Febrile seizures usually do not require any lab testing or admission if the child appears well.
  • Dilution of formula with too much water is a common cause of hyponatremic seizures in infants.  (Treat with 3ml/kg of 3% hypertonic saline)
  • Complex febrile seizures have a higher risk for meningitis than simple febrile seizures, so perform an LP, give antibiotics, and admit.
  • When intubating for Status Epilepticus consider using thiopental or propofol for induction given their antiepileptic properties.

References

Berg C, Schumann H. An Evidence-Based Approach to Pediatric Seizures in the Emergency Department.  Pediatric Emergency Medicine Practice. Feb 2009. Vol 6, Number 2.