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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 sparkledmd@aol.com 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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  1. Clinical Guidelines in Acute Seizure Management William C. Dalsey, MD, FACEP, MBA Department of Emergency Medicine Robert Wood Johnson University Hospital New Jersey sparkledmd@aol.com 215-654-1190

  2. 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

  3. Critical Questions • How do you evaluate and treat a seizure patient? • Complicating Factors: • Status Epilepticus • Hypoglycemia • Febrile Seizures • Alcohol Withdrawal • Trauma • Eclampsia

  4. What is best? • Efficacy of Treatment? • Safety? • Complications? Side Effects? • Route of Administration? • Costs? • Society/Ethics?

  5. Are There Existing Practice Guidelines? • www.guidelines.gov • AMA Clinical Guidelines Clearinghouse • Cochrane Library

  6. 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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