Initial Assessment
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Initial Checklist
Checklist for initial evaluation and supportive care measures for SE patients
Progress Overview
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Total Completed
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Immediate Priority
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Can be Delayed
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ABCs
Airway Assessment
🔴 ImmediateEnsure patent airway, consider positioning, suction if needed
Breathing Assessment
🔴 ImmediateAssess respiratory rate, oxygen saturation, provide O2 if needed
Circulation Assessment
🔴 ImmediateCheck pulse, blood pressure, IV access establishment
Monitoring
Vital Sign Monitoring
🔴 ImmediateContinuous monitoring of HR, BP, RR, O2 sat, temperature
cEEG Consideration
🟡 PostponableConsider continuous EEG monitoring, especially for non-convulsive SE
Blood Tests
Blood Glucose
🔴 ImmediateImmediate bedside glucose check, correct hypoglycemia if present
Electrolytes
🔴 ImmediateCheck Na+, K+, Ca2+, Mg2+, correct abnormalities
AED Levels
🟡 PostponableCheck levels of current antiepileptic drugs if applicable
Imaging
Neuroimaging Consideration
🟡 PostponableCT or MRI if focal features, first episode, or concerning features
Investigation
Underlying Cause
🟡 PostponableHistory, examination, targeted investigations based on clinical picture
Important Notes
- • Time is critical: Focus on immediate priority items first
- • ABCs first: Always ensure airway, breathing, and circulation are stable
- • Don't delay treatment: Start antiepileptic therapy while completing assessment
- • Document everything: Record times, medications given, and clinical changes
- • Continuous monitoring: Seizure activity may not be clinically obvious