513 STATUS EPILEPTICUS

For Patients in Status Epilepticus (two or more seizures without a lucid interval or a continuous seizure lasting more than five minutes):

1. Begin Basic Life Support Seizures procedure.

2. Begin Cardiac Monitoring, record and evaluate EKG strip.

3. Draw a tube of blood for glucose level determination.

4. Begin an infusion of Dextrose 5% in water (D5W) to keep vein open.

5. Administer Dextrose 25 gm (50 ml of a 50% solution), IV bolus.

6. Administer Thiamine 100 mg, IV bolus.

7. Transportation decision.

8. If seizure activity persists, contact Medical Control for implementation of one or more of the following options:

MEDICAL CONTROL OPTIONS

OPTION A:

Administer Diazepam 5.0-10 mg, IV bolus. Repeat doses of Diazepam 5.0-10 mg, IV bolus, may be given, if seizure activity persists or recurs. (Rate of administration may not exceed 5.0 mg/min.)

OPTION B:

Transportation decision.

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