Clinical guidelines in acute seizure management
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Clinical Guidelines in Acute Seizure Management. William C. Dalsey, MD, FACEP, MBA Department of Emergency Medicine Robert Wood Johnson University Hospital New Jersey [email protected] 215-654-1190. How Do You Begin to Create a Clinical Guideline for Seizures?. Selecting the Topic

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Clinical Guidelines in Acute Seizure Management

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Clinical guidelines in acute seizure management

Clinical Guidelines in Acute Seizure Management

William C. Dalsey, MD, FACEP, MBA

Department of Emergency Medicine

Robert Wood Johnson University Hospital

New Jersey

[email protected]

215-654-1190


How do you begin to create a clinical guideline for seizures

How Do You Begin to Create a Clinical Guideline for Seizures?

  • Selecting the Topic

  • Selecting Members of the Committee

  • Process for Evaluating the Literature

  • Process to Create Clinical Guideline


Critical questions

Critical Questions

  • How do you evaluate and treat a seizure patient?

  • Complicating Factors:

    • Status Epilepticus

    • Hypoglycemia

    • Febrile Seizures

    • Alcohol Withdrawal

    • Trauma

    • Eclampsia


What is best

What is best?

  • Efficacy of Treatment?

  • Safety?

  • Complications? Side Effects?

  • Route of Administration?

  • Costs?

  • Society/Ethics?


Are there existing practice guidelines

Are There Existing Practice Guidelines?

  • www.guidelines.gov

  • AMA Clinical Guidelines Clearinghouse

  • Cochrane Library


Asking the right questions

Asking the “Right” Questions

  • The need to be specific

  • Identification of inclusion/exclusion criteria

  • Searching the Literature

  • Metanalysis and Nonrandomized Trials


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