The Treatment of Status Epilepticus at a Community Hospital
Somsak Tiamkao, MD1,2, Siriporn Tiamkao, MD2,3
Affiliation : 1Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand, 2Intergrated Epilepsy Research Group, Khon Kaen University, Khon Kaen, Thailand, 3Department of Pharmacy, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
Status epilepticus (SE) is a neurological emergency that poses significant risks, which can lead to high rates of mortality and disability if the diagnosis is delayed or if an inappropriate treatment is administered. The treatment of SE at community hospitals emphasizes the importance of preventing the occurrence of refractory status epilepticus (RSE). When SE does occur, it is crucial to provide prompt treatment, even before reaching the hospital in order to effectively control the epilepticus. Additionally, having injectable anticonvulsants readily available is extremely important, since the absence of these medications can delay treatment and can increase the risk of the patient developing RSE or super refractory status epilepticus (SRSE). Therefore, developing a system for treating and transferring patients with SE is of the utmost importance.
Received 17 January 2025 | Revised 15 May 2025 | Accepted 1 June 2025
Keywords : Status epilepticus; System for treating and transferring; Injectable anticonvulsants
