In-house hospital management of status epilepticus in India
Status epilepticus (SE) is defined as any child that’s presenting convulsing to a healthcare official and facility or having seizures repeatedly, without regaining consciousness intermittently. The International League against Epilepsy (ILAE) defines SE in terms of time points (T1 and T2). The types of SE are Generalized Convulsive SE and Focal status with impaired consciousness. In Generalized Convulsive SE, if the seizures persist beyond 5 minutes, the patient is considered to be in SE and if it persists beyond 10 minutes, then the patient is considered to be in Focal status with impaired consciousness. Both of these are considered to be the first-time point, T1. On the other hand, if the seizures persist for more than 30 minutes and >60 minutes, respectively, they would have long-term effects. This is the second time point, T2. The treatment of seizures is divided into 5 stages – at arrival, 5–20 minutes, 30–60 minutes, between 1 and 24 hours (Refractory status epilepticus) and 24 hours (Super refractory status epilepticus).