PaediatricsEmergency Medicine
Paediatric Status Epilepticus
APLS algorithm — convulsive status >5 min: benzodiazepine, second benzodiazepine, levetiracetam/phenytoin, induction of anaesthesia.
Source: APLS 6th Ed; NICE NG217 (epilepsies)
Step 1 of ~5
info
Recognise & ABCDE
Convulsive status epilepticus = continuous seizure ≥5 min OR recurrent seizures without recovery of consciousness. ABCDE — protect airway (airway adjunct, recovery position), high-flow O₂, IV/IO access, check CBG, take temperature, monitor. Always check glucose immediately. Verify all paediatric drug doses against BNFc.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Phenytoin / Fosphenytoin · Antiepileptic — Status Epilepticus (Second-Line)
- Levetiracetam (IV) · Antiepileptic — Status Epilepticus (Second-Line)
- Levetiracetam IV (Status Epilepticus) · Antiepileptic — Second-Line Status Epilepticus
- Diazepam (Paediatric) · Benzodiazepine — Status Epilepticus / Febrile Convulsions (Community)
- Midazolam (Paediatric) · Benzodiazepine — Status Epilepticus (First-Line) / Procedural Sedation
- Levetiracetam (Paediatric) · Anticonvulsant (SV2A Ligand)
Decision support only. Always apply local guidelines and clinical judgement.