Seizures (Adult) CPG Notes Flashcards
(15 cards)
How is Status Epilepticus (SE) defined?
≥ 5 minutes of continuous seizure activity OR multiple seizures without return to baseline consciousness.
What characterises Generalised Convulsive Status Epilepticus (GCSE)?
Tonic-clonic movements of extremities + altered conscious state.
What is subtle SE?
Prolonged seizure activity with coma and subtle signs (e.g. twitches, eye deviation)—no full recovery between convulsions.
When can midazolam be administered for non-GCSE seizures?
Only after consultation with the AV Clinician.
What other forms of midazolam may patients be prescribed?
Buccal or intranasal midazolam or rectal diazepam.
If a single seizure has resolved spontaneously, what should be considered?
CPG TR0207 Treat and Refer – Seizures.
What should always be done when calculating drug doses?
Ensure accurate dose calculation and confirm with another paramedic.
What type of errors are common in this CPG?
Frequent drug dosage administration errors.
What effects can midazolam have?
Pronounced effects on BP, conscious state, ventilations, and airway tone.
What condition should be considered in pregnant seizure patients with no prior history?
Eclampsia.
Which CPG covers management of eclampsia?
CPG M0202 Pre-eclampsia / Eclampsia.
How common are eclamptic seizures?
They are rare (0.1%) and usually self-limiting.
Can midazolam cross the placenta?
Yes, and it may cause adverse effects to the baby.
Is midazolam still indicated in pregnant patients with GCSE?
Yes, it is indicated if GCSE is life-threatening to mother or baby.
Who should be contacted for advice in pregnant seizure patients?
PIPER via AV Clinician or 1300 137 650.
