Furyk Jeremy, Watt Kerriane, Emeto Theophilus I, Dalziel Stuart, Bodnar Daniel, Riney Kate, Babl Franz E
College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia.
Department of Emergency Medicine, The Townsville Hospital, Townsville, Queensland, Australia.
Emerg Med Australas. 2017 Aug;29(4):383-390. doi: 10.1111/1742-6723.12824. Epub 2017 Jun 18.
Paediatric status epilepticus (SE) is a medical emergency and a common critical condition confronting pre-hospital providers. Management in the pre-hospital environment is challenging but considered extremely important as a potentially modifiable factor on outcome. Recent data from multicentre clinical trials, quality observational studies and consensus documents have influenced management in this area, and is important to both pre-hospital providers and emergency physicians. The objective of this review was to: (i) present an overview of the available evidence relevant to pre-hospital care of paediatric SE; and (ii) assess the current pre-hospital practice guidelines in Australia and New Zealand. The review outlines current definitions and guidelines of SE management, regional variability in pre-hospital protocols within Australasia and aspects of pre-hospital care that could potentially be improved. Contemporary data is required to determine current practice in our setting. It is important that paediatric neurologists, emergency physicians and pre-hospital care providers are all engaged in future endeavours to improve clinical care and knowledge translation efforts for this patient group.
小儿癫痫持续状态（SE）是一种医疗急症，也是院前急救人员面临的常见危急情况。院前环境中的管理具有挑战性，但作为一个可能影响预后的可调节因素，其被认为极为重要。多中心临床试验、高质量观察性研究及共识文件的最新数据影响了该领域的管理，对院前急救人员和急诊医生都很重要。本综述的目的是：（i）概述与小儿SE院前护理相关的现有证据；（ii）评估澳大利亚和新西兰当前的院前实践指南。该综述概述了SE管理的当前定义和指南、澳大拉西亚地区院前协议的区域差异以及可能有待改进的院前护理方面。需要当代数据来确定我们环境中的当前实践。小儿神经科医生、急诊医生和院前护理人员都参与未来的努力以改善该患者群体的临床护理和知识转化工作，这一点很重要。
