Challenges for Emergency Medical Services in Status Epilepticus Management

Abstract

Untimely treatment in status epilepticus (SE) is independently associated with increased treatment resistance, morbidity, and mortality, but time to treatment is usually longer than suggested by guidelines in clinical practice.1 SE most commonly begins outside the hospital, and treatments take longer when seizures start in this setting.2 Therefore, we explored one of the potential barriers for Emergency Medical Services (EMS) to provide optimized pediatric prehospital treatment in the United States: their protocols.