Emergency pre-PIC treatment of status epilepticus
| Emergency AED treatment | Prehospital (%) | Overall (prehospital and hospital) (%) |
|---|---|---|
| First line AED (n = 98) | ||
| Treatment given | 49 | 100 |
| Diazepam/lorazepam | 100 | 94 |
| Dose low | 55 | 30 |
| Dose appropriate | 30 | 55 |
| Dose high | 5 | 3 |
| Dose unknown | 0 | 12 |
| Other | 0 | 6 |
| No treatment | 51 | 0 |
| Second line AED (n = 90) | ||
|---|---|---|
| Benzodiazepines are the most commonly used first line AED but the dose is frequently low. Half of episodes of SE admitted to PIC will not be treated in the prehospital setting. Equal proportions of episodes of SE requiring second line treatment will be treated with paraldehyde and phenytoin. | ||
| Paraldehyde | – | 50 |
| Dose low | – | 16 |
| Dose appropriate | – | 49 |
| Dose high | – | 30 |
| Dose unknown | – | 5 |
| Phenytoin | – | 49 |
| Dose low | – | 2 |
| Dose appropriate | – | 92 |
| Dose high | – | 4 |
| Dose unknown | – | 2 |
| Phenobarbitone | – | 1 |
| Dose low | – | 0 |
| Dose appropriate | – | 100 |
| Dose high | – | 0 |
| Dose unknown | – | 0 |