This is a neurologic emergency. If generalized convulsive, treat aggressively with benzos and 2nd line agents. If seizures persist, will need neuro ICU admission. They will also need cEEG, CTH, and CTA brain/neck as stroke can rarely present as status. If they are also febrile or immunocompromised, start broad spectrum CNS abx and have a low threshold for an LP. If pt is in focal status, use can just use benzos and obtain cEEG.
Description of Current Episode Number of seizures without return to baseline
Duration of seizure
Description of seizure: _______ Other reported neuro symptoms: _______
Assess for Triggers Structural
CNS Infection
Toxic
Stress on body
Metabolic
If known epilepsy: Current outpatient neurologist: _______ Date of last outpatient visit: _______ Type of epilepsy
Baseline seizure frequency
Frequency of missed AED doses
Current AED regimen
Previous AEDs tried
Seizure Rescue Plan or Rescue Medications
If prior history of status: Date of occurence: _______ Precipitants identified: _______