CEWT (Children s Epilepsy Workstream in Trent) Guidelines process.
|
|
- Alban Richards
- 6 years ago
- Views:
Transcription
1 ttingham Children s Hospital ttingham University Hospitals Seizure with Fever Title of Guideline (must include the word Guideline (not protocol, policy, procedure etc) Contact Name and Job Title (author) Guideline for the management of seizure(s) presenting with fever Keshav Kallambella (Specialist Registrar) Colin Dunkley (Consultant Paediatrician) William Whitehouse (Consultant Paediatric Neurologist) Directorate & Speciality Directorate: Family Health Children Speciality: Neurosciences Date of submission September 2016 Date when guideline reviewed September 2019 Guideline Number 1993 Explicit definition of patient group to which it applies (e.g. inclusion and exclusion criteria, diagnosis) Abstract Children or young people presenting with seizure with fever to acute paediatric services Management of children or young people presenting with seizure with fever to acute paediatric services Key Words Paediatrics. Children. Seizure, convulsion fit, febrile fever Statement of the evidence base of the guideline has the guideline been peer reviewed by colleagues? 1a meta analysis of randomised controlled trials 2a at least one well-designed controlled study without randomisation 2b at least one other type of well-designed quasi-experimental study 3 well designed non-experimental descriptive studies (ie comparative / correlation and case studies) 4 expert committee reports or opinions and / or clinical experiences of respected authorities 5 recommended best practise based on the clinical experience of the guideline developer Consultation Process Put a cross (X) in the highest level of evidence. x CEWT (Children s Epilepsy Workstream in Trent) Staff at ttingham Children s Hospital via the Guidelines process. Staff at the ttingham Children s Hospital Target audience This guideline has been registered with the trust. However, clinical guidelines are guidelines only. The interpretation and application of clinical guidelines will remain the responsibility of the individual clinician. If in doubt contact a senior colleague or expert. Caution is advised when using guidelines after the review date. Page 1 of 5 December 2016
2 ttingham Children s Hospital ttingham University Hospitals Document Control Document Amendment Record Version Issue Date Author V1 April 2011 Kiran Damera (Specialist Registrar), Colin Dunkley (Consultant Paediatrician) William Whitehouse (Consultant Paediatric Neurologist) V2 May 2016 Keshav Kallambella, Specialist Registrar Contributors: Kiran Damera, Colin Dunkley, Katherine Martin, William Whitehouse, Mal Ratnayaka, Rachael Wheway, Catie Picton, Ann Brown, Kirsten Johnson, Hani Faza General tes: This guideline has been developed through CEWT, a collaborative network of health professionals. It is designed to complement a range of guidelines and pathways available at and is aligned with national recommendations. This ttingham guideline is a local implementation of this regional guideline. Summary of changes for new version: Further detail regarding prognosis of further seizures and epilepsy. Further detail regarding indications for buccal midazolam and follow up Statement of Compliance with Child Health Guidelines SOP This guideline has followed Child Health Guideline SOP. It has been circulated to all Paediatric Senior staff and comments incorporated before uploading to the Trust Guideline site. Martin Hewitt Clinical Guideline Lead 16 th December Page 2 of 5 December 2016
3 ttingham Children s Hospital ttingham University Hospitals Definitions and background Fever : Recorded temperature >37.8 or perceived to have fever by parents/carers around time of seizure Febrile Seizures : (Sometimes termed Febrile Convulsion ) A convulsive seizure in infancy or childhood between 6 months and 5 years of age (peak age months) associated with fever but without evidence of intracranial infection or defined cause of seizure. Population studies report a cumulative incidence of 2 5% 1. The seizure may occur before the fever becomes apparent, and well before the illness causing the fever is manifest. 2 Types of febrile seizures: Simple Febrile Seizures: A single generalised (no focal features) seizure lasting <10 min (2/3 of all febrile seizures) Complex Febrile Seizures: Multiple seizures in same illness or 10 min or focal features (either during the seizure of afterwards e.g. Todd s palsy). (1/3 of all febrile seizures) Acute symptomatic seizures with fever: Other conditions can cause seizure associated with fever. These include Intracranial infections (e.g. meningitis/encephalitis/brain abscess) Gastroenteritis or sepsis with electrolyte abnormalities or hypoglycaemia Epilepsy with fever-related seizures: Seizures can be precipitated by fever in children with a known epilepsy or first presentation of an epilepsy. Other situations mimicking febrile seizures or epileptic seizures: Fever with rigors Fever with delirium Fever with reflex syncope Fever with hypotonic-hyporesponsive episodes Page 3 of 5 December 2016
4 ttingham Children s Hospital ttingham University Hospitals Prognosis Risk factors predisposing to febrile seizures Previous febrile seizure Family history (first degree relative) Risk of future febrile seizures 3 Antipyretics can be used but there is no evidence that they reduce risk of febrile seizures. Antiepileptic drugs do not usually have any role in reducing the risk of future febrile seizures. Overall 30% will develop further febrile seizures. The risk can be individualised: Risk Factors: Early age of onset (<18months) Family history of febrile seizures Lower temperature (<40 C) (Complex features not a risk factor) Risk of epilepsy 4 Overall 3% of children with febrile seizures will go on to have some type of epilepsy (recurrent afebrile epileptic seizures) at some point. The risk can be individualised: Risk Factors: Abnormal neurology prior to first febrile seizure Family history of afebrile seizures Complex febrile seizure References 1. Febrile seizures: an update. C Waruiru, R Appleton Arch Dis Child 2004; 89: Cross JH, Fever and fever-related epilepsies. Epilepsia, 53(Suppl. 4):3 8, Berg et al Arch Pediatr Adolesc Med 151, Nelson & Ellenberg Pediatrics 61, CEWT Guideline Framework 6. The management of children and young people with an acute decrease in conscious level, RCPCH guideline, Complex Febrile Seizures: A Practical Guide to Evaluation and Treatment J Child Neurol June : Febrile Seizures: Guideline for the Neurodiagnostic Evaluation of the Child with a Simple Febrile Seizure. Pediatrics Vol February 1, 2011 pp Kimia A, Ben-Joseph EP, Rudloe T, Capraro A, Sarco D, Hummel D, Johnston P, Harper MB. Yield of lumbar puncture among children who present with their first complex febrile seizure. Pediatrics Jul; 126(1): Page 4 of 5 December 2016
5 Prolonged Convulsive Seizure Guideline 5 Reduced Conscious Level Guideline 6 Meningitis /Meningococcal Sepsis Guidelines Further Paediatric Assessment History and examination Paracetamol and/or Ibuprofen prn Identify source of fever, investigate & treat (see NICE feverish illness guidelines) Routine investigations are not indicated in all children with febrile seizures Consider LP if concerning features * (note contraindications) Senior review prior to discharge Once fit for discharge: Discuss risk of future seizures Consider home Buccal Midazolam if convulsive seizure >5 minutes, particularly if recurrent. Ensure prescribed with individualised care plan and parental training. Febrile seizure and fever advice and written information ttingham Children s Hospital ttingham University Hospitals Seizure(s) with Fever in Children Continuing convulsive seizure > 5 minutes? Decreased conscious level? Before seizure onset Or > 1 hour after seizure end Or longer than typical post-ictal period for child in question Meningism or Meningococcal shock? Any concerning feature?* First Febrile Seizure? OR clear focus of infection? OR Parental concern? Known or suspected epilepsy? Contraindications for Lumbar Puncture 6 Signs of raised intracranial pressure** even if GCS is 15 A GCS of less than or equal to 8 A deteriorating GCS Focal neurological signs GCS equal to or less than 12 after a seizure lasting more than 10 minutes Clinical evidence of circulatory shock or meningococcal disease A CT or MRI scan suggesting CSF pathway obstruction *Concerning Features: Any prolonged convulsion > 5 mins Complex febrile seizures o Multiple seizures in same illness o Focal features Infant < 18 months Prior treatment with antibiotics Drowsy before the seizure or > 1 hour post seizure More than 3 days illness GP contact in last 24 hrs Meningism (neck stiffness, photophobia, irritability) n-blanching rash (petechiae, purpura) **Signs of raised intracranial pressure o bulging fontanelle o pupillary dilation unilateral/bilateral) or loss/impairment of pupillary reaction to light o bradycardia (heart rate < 60/min) o hypertension (mean BP >95th centile for age) o abnormal breathing pattern or posture) Focal neurology Review epilepsy and management Inform epilepsy specialist nurse Review need for admission or earlier outpatient appointment The management of epilepsy is outside scope of this guideline 2 Follow up Most do not require follow up. Follow up probably needed for: Having recurrent febrile seizures Prescribed home Buccal Midazolam Children with seizure with fever < 6 months or > 5 years Needing follow up for other reasons e.g. neurodevelopment problems etc. Previous febrile seizures AND Focus of infection identified AND significant parental concern Lead Author Page 5 of 5 Issued: June 2010 Manage according to cause Consider discharge Discuss risk of future seizures Febrile seizure and fever management advice and written information
Management of a child after a first afebrile seizure(s)
Management of a child after a first afebrile seizure(s) Colin Dunkley, Hemant Kulkarni, William Whitehouse, Children s Epilepsy Workstream in Trent (CEWT) Steering Group. (Based on an adaptation of Childhood
More informationGUIDELINE FOR THE MANAGEMENT OF MENINGITIS. All children with suspected or confirmed meningitis
GUIDELINE FOR THE MANAGEMENT OF MENINGITIS Reference: Mennigitis Version No: 1 Applicable to All children with suspected or confirmed meningitis Classification of document: Area for Circulation: Author:
More informationFebrile Seizures. Preface. Definition, Evaluation, Assessment, and Prognosis. Definition
Febrile Seizures Guideline significantly revised by Rebecca Latch, MD, in collaboration with the ANGELS team. Last reviewed by Rebecca Latch, MD, July 22, 2016. Guideline replaced Evaluation and Treatment
More informationManagement of Complex Febrile Seizures
Management of Complex Febrile Seizures An 13 month old girl presents to the ED after having a shaking episode at home. Mom describes shaking of both arms and legs, lasting 20 minutes. The child has no
More informationSpeciality: Neurosciences:
Afebrile Seizures Title of Guideline (must include the word Guideline (not protocol, policy, procedure etc) Contact Name and Job Title (author) Directorate & Speciality Date of submission July 2014 Date
More informationFirst Afebrile Seizure
First Afebrile Seizure Version: V1.1 Approval Committee: Date of Approval: Ratification Group (eg Clinical network): Date of Ratification Signature of ratifying Group Chair Author s and job titles Date
More informationFEBRILE SEIZURES. IAP UG Teaching slides
FEBRILE SEIZURES 1 DEFINITION Febrile seizures are seizures that occur between the age of 6 and 60 months with a temperature of 38 C or higher, that are not the result of central nervous system infection
More informationGUIDELINE FOR THE MANAGEMENT OF
GUIDELINE FOR THE MANAGEMENT OF Reference: Febrile Convulsions Version No: 1 Applicable to All children admitted with Febrile Convulsion to the Children s Hospital for Wales Classification of document:
More informationIdiopathic Thrombocytopenic Purpura
Idiopathic Thrombocytopenic Purpura Title of Guideline Contact Name and Job Title (author) Directorate & Speciality Guideline for the management of idiopathic thrombocytopenic purpura Dr S Stokley, Consultant
More informationFever in children aged less than 5 years
Fever in children aged less than 5 years A fever is defined as a temperature greater than 38 degrees celsius Height and duration of fever do not identify serious illness. However fever in children younger
More informationDay care adenotonsillectomy in sleep apnoea
Day care adenotonsillectomy in sleep apnoea Title of Guideline (must include the word Guideline (not protocol, policy, procedure etc) Day care adenotonsillectomy in presence of sleep apnoea 1a 2a 2b Contact
More informationJMSCR Volume 03 Issue 05 Page May 2015
www.jmscr.igmpublication.org Impact Factor 3.79 ISSN (e)-2347-176x Practice Parameters for Managing Children with Febrile Convulsion Author Dr Anwar T Elgasseir Department of Paediatric, Misurata Teaching
More informationCLINICAL GUIDELINE FOR THE EVALUATION OF A CHILD PRESENTING WITH FEVER AND SEIZURE V3.0
CLINICAL GUIDELINE FOR THE EVALUATION OF A CHILD PRESENTING WITH FEVER AND SEIZURE V3.0 Clinical Guideline Template Page 1 of 18 Page 1 of 13 1. Aim/Purpose of this Guideline 1.1. This guideline applies
More informationThe fitting child. Dr Chris Bird MRCPCH DTMH, Locum consultant, Paediatric Emergency Medicine
The fitting child Dr Chris Bird MRCPCH DTMH, Locum consultant, Paediatric Emergency Medicine What I am not Detail from The Neurologist, Jose Perez The sacred disease Epilepsy comes from the ancient Greek
More informationBurn Wound Assessment and Infections
Burn Wound Assessment and Infections Title of Guideline (must include the word Guideline (not protocol, policy, procedure etc) Contact Name and Job Title (author) Directorate & Speciality Family Health:
More informationFactors predicting bacterial meningitis in children aged 6-18 months presenting with first febrile seizure
International Journal of Contemporary Pediatrics Khosroshahi N et al. Int J Contemp Pediatr. 2016 May;3(2):537-541 http://www.ijpediatrics.com pissn 2349-3283 eissn 2349-3291 Research Article DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20161033
More information5/23/14. Febrile seizures: Who need further workup? Afebrile seizures: Who needs imaging? Status epilepticus: Most effective treatments
Febrile seizures: Who need further workup? Afebrile seizures: Who needs imaging? Status epilepticus: Most effective treatments Andi Marmor, MD, MSEd Associate Professor, Pediatrics University of California,
More informationS (17) Reference: YAJEM 57199
Accepted Manuscript Should patients with complex febrile seizure be admitted for further management? Heather Olson, Tiffany Rudloe, Tobias Loddenkemper, Marvin B. Harper, Amir A. Kimia PII: S0735-6757(17)31061-6
More informationRESEARCH ARTICLE IS LUMBAR PUNCTURE ALWAYS NECESSARY IN THE FEBRILE CHILD WITH CONVULSION?
RESEARCH ARTICLE IS LUMBAR PUNCTURE ALWAYS NECESSARY IN THE FEBRILE CHILD WITH CONVULSION? MR. Salehi Omrani MD¹, MR. Edraki MD 2, M. Alizadeh MD 3 Abstract: Objective Febrile convulsion is the most common
More informationDr. Dafalla Ahmed Babiker Jazan University
Dr. Dafalla Ahmed Babiker Jazan University change in motor activity and/or behaviour due to abnormal electrical activity in the brain. seizures in children either - provoked by somatic disorders originating
More informationGuideline for surveillance for hip subluxation and dislocation in children and young people with cerebral palsy. Speciality: General
Title of Guideline Contact Name and Job Title (author) Directorate & Speciality Guideline for surveillance for hip subluxation and dislocation in children and young people with cerebral palsy Janet Corderoy,
More informationSeizure classification In 2010 the ILAE proposed that febrile seizures could be organised by typical age at onset (that is, infancy and
Link to this article online for CPD/CME credits Febrile s Nikhil Patel, 1 Dipak Ram, 2 Nina Swiderska, 2 Leena D Mewasingh, 3 Richard W Newton, 1 Martin Offringa 4 1 Imperial College School of Medicine,
More informationUNDERSTANDING PANAYIOTOPOULOS SYNDROME. Colin Ferrie
UNDERSTANDING PANAYIOTOPOULOS SYNDROME Colin Ferrie 1 CONTENTS 2 WHAT IS PANAYIOTOPOULOS SYNDROME? 4 EPILEPSY 5 SEIZURES 6 DIAGNOSIS 8 SYMPTOMS 8 EEG 8 TREATMENT 10 PROGNOSIS DEFINED. ERROR! BOOKMARK NOT
More informationManagement of Reflux and GORD
Management of Reflux and GORD 1a 2a Title of Guideline (must include the word Guideline (not protocol, policy, procedure etc) Contact Name and Job Title (author) Directorate & Speciality Guideline for
More informationElectroencephalogram (EEG) for First Nonfebrile Seizure - Critically Appraised Topic (CAT)
Electroencephalogram (EEG) for First Nonfebrile Seizure - Critically Appraised Topic (CAT) PICOT Question: For the child who presents to the ED after a first nonfebrile seizure should an EEG be obtained
More informationABCDE HOW TO RECOGNISE AND TREAT THE SERIOUSLY ILL CHILD
ABCDE HOW TO RECOGNISE AND TREAT THE SERIOUSLY ILL CHILD A B C D E Possible Problems Airway obstruction Partial or complete Foreign body Secretions/blood/vomit Infection Swelling e.g. anaphylaxis trauma
More informationThe management of children and young people with an acute decrease in conscious level. Summary of Recommendations
The management of children and young people with an acute decrease in conscious level Summary of Recommendations 3.1 Assessment of airway and airway protection in children with a decreased conscious level
More informationPaediatric Directorate
Paediatric Directorate Dehydration Guidelines Primary cause of dehydration diarrhoea +/- vomiting. Approximately 10%Children < 5yrs present with gastroenteritis each year Diagnosis History - sudden change
More informationInternational Journal of Research and Review E-ISSN: ; P-ISSN:
International Journal of Research and Review www.gkpublication.in E-ISSN: 2349-9788; P-ISSN: 2454-2237 Original Research Article Serum Sodium Level in Febrile Seizure- Does It Predict Seizure Recurrence
More informationCONVULSIONS - AFEBRILE
Incidence All Children require Management Recurrence Risk Indications for starting therapy Starting Anticonvulsant medication Criteria for Referral to Paediatric Neurology Useful links References Appendix
More informationCare Coordination / Care Programme Approach Learning Disability PGN Management of Epilepsy in Learning Disability (LD) Planned and Urgent Care V03
Care Coordination / Care Programme Approach Learning Disability PGN Management of Epilepsy in Learning Disability (LD) Planned and Urgent Care V03 V03 issued Issue 1 Dec 14 Issue 2 Dec 17 Planned review
More informationLOSS OF CONSCIOUSNESS & ASSESSMENT. Sheba Medical Center Acute Medicine Department MATTHEW WRIGHT
LOSS OF CONSCIOUSNESS & ASSESSMENT Sheba Medical Center Acute Medicine Department MATTHEW WRIGHT OUTLINE Causes Head Injury Clinical Features Complications Rapid Assessment Glasgow Coma Scale Classification
More informationNICE guideline Draft for consultation, October 2009
Bacterial meningitis and meningococcal septicaemia: management of bacterial meningitis and meningococcal septicaemia in children and young people younger than 16 years in primary and secondary care NICE
More informationFamily Health, Nottingham Children s Hospital Date of submission February 2018
Nusinersen Title of Guideline Guideline for the prescribing and administration of Nusinersen to patients with Spinal Muscular Atrophy Type 1 Contact Name and Job Title (author) Dr Gabriel Chow- Consultant
More informationStaff at the Nottingham Children s Hospital. Guidelines process.
Diabetes and Surgery Title of Guideline Contact Name and Job Title (author) Guideline for the management of children and young people with diabetes aged 18 or under requiring surgery Dr Priyha Santhanam,
More informationAmy-Jo Hooley Specialist Clinical Pharmacist
Gut Decontamination Title of Guideline (must include the word Guideline (not protocol, policy, procedure etc) Contact Name and Job Title (author) Directorate & Speciality Guideline for the Safe Administration
More informationP01. Title of Guideline (must include the word Guideline (not protocol, policy, procedure etc) P01 Guideline for Peak flow recording
Title of Guideline (must include the word Guideline (not protocol, policy, procedure etc) Contact Name and Job Title (author) Directorate & Speciality Guideline for Peak flow recording Caroline Youle,
More informationFeverish illness: assessment and initial management in children younger than 5 years of age
Feverish illness: assessment and initial management in children younger than 5 years of age NICE guideline Draft for consultation, November, 2006 If you wish to comment on this version of the guideline,
More informationLumbar puncture. Invasive procedure: diagnostic or therapeutic. The subarachnoid space 4-13 ys: ml Replenished: 4-6 h Routine LP (3-5 ml): <1h
Lumbar puncture Lumbar puncture Invasive procedure: diagnostic or therapeutic. The subarachnoid space 4-13 ys: 65-150ml Replenished: 4-6 h Routine LP (3-5 ml):
More informationRefractory Seizures. Dr James Edwards EMCORE May 30th 2014
Refractory Seizures Dr James Edwards EMCORE May 30th 2014 Refractory Seizures Seizures are a common presentation to the ED and some patients will have multiple seizures or have a reduced level of consciousness
More informationFebrile seizures. Olivier Dulac. Hôpital Necker-Enfants Malades, Université Paris V, INSERM U663
Febrile seizures Olivier Dulac Hôpital Necker-Enfants Malades, Université Paris V, INSERM U663 olivier.dulac@nck.aphp.fr Definition Seizures precipitated by fever that is not due to an intracranial infection
More informationManagement of the Fitting Child. Dr Mergan Naidoo
Management of the Fitting Child Dr Mergan Naidoo Seizures A seizure is a change in movement, attention or level of awareness that is sustained or repetitive and occurs as a result of abnormal neuronal
More informationORIGINAL ARTICLE. Frequency of Meningitis in Children Presenting with Febrile Seizures at Ali- Asghar Children s Hospital.
ORIGINAL ARTICLE Frequency of Meningitis in Children Presenting with Febrile Seizures at Ali- Asghar Children s Hospital How to Cite This Article: Tavasoli A, Afsharkhas L, Edraki A. Frequency of Meningitis
More informationConsulted With Post/Committee/Group Date Melanie Chambers Lead Nurse Children and young people March 2016 Andrea Stanley
Feverish illness in children: Assessment and initial management in children younger than 5 years CLINICAL GUIDELINES Register no: 10043 Status: Public Developed in response to: Update and improve practice
More informationANTIBIOTIC GUIDELINES FOR THE MANAGEMENT OF COMMUNITY-ACQUIRED MENINGITIS AND ENCEPHALITIS IN ADULTS
ANTIBIOTIC GUIDELINES FOR THE MANAGEMENT OF COMMUNITY-ACQUIRED MENINGITIS AND ENCEPHALITIS IN ADULTS Version 4.0 Date ratified February 2009 Review date February 2011 Ratified by Authors Consultation Evidence
More informationCARE PATHWAY FOR CHILDREN AND YOUNG PERSONS WITH FEBRILE NEUTROPENIA, NEUTROPENIC SEPSIS OR SUSPECTED CENTRAL VENOUS LINE INFECTIONS
CARE PATHWAY FOR CHILDREN AND YOUNG PERSONS WITH FEBRILE NEUTROPENIA, NEUTROPENIC SEPSIS OR SUSPECTED CENTRAL VENOUS LINE INFECTIONS This Care Pathway has been developed by a multidisciplinary team. It
More informationMANAGEMENT OF FEBRILE CONVULSION IN CHILDREN
Art & science The acute care synthesis of care young of art and people science is lived by the nurse in the nursing act JOSEPHINE G PATERSON MANAGEMENT OF FEBRILE CONVULSION IN CHILDREN Siba Prosad Paul
More informationLRI Children s Hospital
LRI Children s Hospital Management of Henoch Schönlein Purpura (HSP) in children Staff relevant to: Clinical staff working within the UHL Children s Hospital. Team approval date: July 2017 Version: V 3
More informationPAEDIATRIC ACUTE CARE GUIDELINE. Resuscitation Coma
Princess Margaret Hospital for Children PAEDIATRIC ACUTE CARE GUIDELINE Resuscitation Coma Scope (Staff): Scope (Area): All Emergency Department Clinicians Emergency Department This document should be
More informationGUIDELINE FOR RECOVERY ROOM MANAGEMENT OF PATIENTS AFTER CAROTID ENDARTERECTOMY
GUIDELINE FOR RECOVERY ROOM MANAGEMENT OF PATIENTS AFTER CAROTID ENDARTERECTOMY Full Title of Guideline: Author (include email and role): Guideline for Recovery Room Management of Patients after Carotid
More informationFIRST AFEBRILE SEIZURE IN CHILDREN
FIRST AFEBRILE SEIZURE IN CHILDREN Today s research is tomorrow s care We all benefit from research. Leicester s Hospitals is a research active Trust so you may find that research is happening when you
More informationTitle of Guideline (must include the word Guideline (not protocol, policy, procedure etc)
Title of Guideline (must include the word Guideline (not protocol, policy, procedure etc) Contact Name and Job Title (author) Guideline on the management of excessive coumarin anticoagulation in adults
More informationTitle Protocol for the Management of Urinary Tract Infections for Adult Females and Children in MIUs and WICs
Document Control Title Protocol for the Management of Urinary Tract Infections for Adult Females and Children in MIUs and WICs Author Author s job title Professional Lead, Minor Injuries Unit Directorate,
More informationNational Institute for Health and Care Excellence
National Institute for Health and Care Excellence 4-year surveillance (2017) Fever in under 5s (2013) NICE guideline CG160 Appendix B: stakeholder consultation comments table Consultation dates: 17 January
More informationGUIDELINE FOR THE MANAGEMENT OF MENINGOCOCCAL DISEASE
GUIDELINE FOR THE MANAGEMENT OF MENINGOCOCCAL DISEASE Reference: MCD Version No: 1 Applicable to Children with suspected or confirmed meningococcal disease Classification of document: Area for Circulation:
More informationTitle Management of Impetigo Protocol in MIUs and WICs. Author s job title Professional Lead, Minor Injuries Unit Directorate
Document Control Title Management of Impetigo Protocol in MIUs and WICs Author Author s job title Professional Lead, Minor Injuries Unit Directorate Department MIU Version Date Issued Status Comment /
More informationGuideline for the Use of inhaled Nitric Oxide (NO) Catarina Silvestre Prof. Harish Vyas
Inhaled Nitric Oxide Title of Guideline Guideline for the Use of inhaled Nitric Oxide (NO) 1a 2a 2b Contact Name and Job Title (author) Directorate & Speciality Date of submission October 2015 Date when
More informationLaboratory Testing for First Nonfebrile Seizure - Critically Appraised Topic (CAT)
Laboratory Testing for First Nonfebrile Seizure - Critically Appraised Topic (CAT) PICOT Question: For the child who presents to the emergency department (ED) after a first nonfebrile should laboratory
More informationIndex. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A Absence seizures, 6 in childhood, 95 Adults, seizures and status epilepticus in, management of, 34 35 with first-time seizures. See Seizure(s),
More informationNeurology. Access Center 24/7 access for referring physicians (866) 353-KIDS (5437)
Neurology The Neurology practice at Valley Children s provides diagnostic services, medical treatment, and followup care to infants, children, and adolescents who have suspected or confirmed neurological
More informationGuidelines for the Immediate Management of Paediatric Patients with Sickle Cell Disease (SCD) and Acute Neurological Symptoms
Guidelines for the Immediate Management of Paediatric Patients with Sickle Cell Disease (SCD) and Acute Neurological Symptoms Document Information Version: 2 Date: Sept 2014 Authors (incl. job title):
More informationProvide specific counseling to parents and patients with neurological disorders, addressing:
Neurology Description: The Pediatric Neurology elective will give the resident the opportunity to learn how to obtain an appropriate history and perform a complete neurologic exam. Four to five half days
More informationClinical Assessment Tool
Clinical Assessment Tool Child with Suspected Gastroenteritis 0-5 Years Diarrhoea is defined as the passage of three or more loose/watery stools per day, the most common cause of diarrhoea in children
More informationCHILD IN NON - TRAUMATIC COMA
May / 2018 PELC / SLCP 1 CHILD IN NON - TRAUMATIC COMA PELS May / 2018 PELC / SLCP 2 Objectives Recognize depressed mental status Know the causes of depressed mental status in children Assessment and workup
More informationObjectives. Vignette. Febrile Seizures 8/29/2011
Madeleine Grace M. Sosa, MD., FPPS, FPNA,FCNSP, MSCE Faculty & Consultant De La Salle Health Science Institute, College of Medicine, Dasmarinas, Cavite Objectives Review the diagnosis and management of
More informationFebrile Seizures. Janet L. Patterson, MD; Stephanie A. Carapetian, MD; Joseph R. Hageman, MD; and Kent R. Kelley, MD. Abstract
Febrile Seizures Janet L. Patterson, MD; Stephanie A. Carapetian, MD; Joseph R. Hageman, MD; and Kent R. Kelley, MD Abstract Febrile seizures are the most common form of childhood seizures, affecting 2%
More informationTalk outline. Some definitions. Emergency epilepsy now what? Recognising seizure types. Dr Richard Perry. Management of status epilepticus
Emergency epilepsy now what? Dr Richard Perry Imperial College NHS Trust Imperial College Talk outline Recognising seizure types Management of status epilepticus Some definitions Epileptic seizure A clinical
More informationChild Neurology Elective PL1 Rotation
PL1 Rotation The neurology elective is available to first year residents in either a 2 or 4 week block rotation. The experience will include performing inpatient consultations, attending outpatient clinics
More informationINTRAVENOUS VANCOMYCIN PRESCRIBING AND MONITORING GUIDELINE FOR ADULT PATIENTS
Title of guideline (must include the word Guideline (not protocol, policy, procedure etc) INTRAVENOUS VANCOMYCIN PRESCRIBING AND MONITORING GUIDELINE FOR ADULT PATIENTS Author: Contact Name and Job Title
More informationSurveillance proposal consultation document
Surveillance proposal consultation document 2018 surveillance of Bacterial meningitis (NICE guideline CG102) Proposed surveillance decision We propose to update the NICE guideline on bacterial meningitis.
More informationStatus Epilepticus in Children
PedsCases Podcast Scripts This is a text version of a podcast from Pedscases.com on Status Epilepticus in Children. These podcasts are designed to give medical students an overview of key topics in pediatrics.
More informationEvaluating an Apparent Unprovoked First Seizure in Adults
Evaluating an Apparent Unprovoked First Seizure in Adults Case Presentation A 52 year old woman is brought to the emergency room after a witnessed seizure. She was shopping at the local mall when she was
More informationPediatrics. Convulsive Disorders in Childhood
Pediatrics Convulsive Disorders in Childhood Definition Convulsion o A sudden, violent, irregular movement of a limb or of the body o Caused by involuntary contraction of muscles and associated especially
More informationAfrican Journal of Neurological Sciences Vol. 29, No 1
CLINICAL STUDIES / ETUDES CLINIQUES AUDITING THE ATTITUDE AND KNOWLEDGE OF PARENTS OF CHILDREN WITH FEBRILE SEIZURES EXAMEN DE L ATTITUDE ET DES CONNAISSANCES DES PARENTS D ENFANTS PRESENTANT DES CONVULSIONS
More informationWestern Health Specialist Clinics Access & Referral Guidelines
Western Health Specialist Clinics Access & Referral Guidelines Paediatric Medicine Clinics at Western Health: Western Health operates the following Specialist Clinic services for patients who require assessment
More informationMeningitis and Septicaemia
Meningitis and Septicaemia Name: Who to contact and how: Notes: Diana, Princess of Wales Scartho Road Grimsby DN33 2BA 03033 306999 www.nlg.nhs.uk Scunthorpe General Hospital Cliff Gardens Scunthorpe DN15
More informationCONJUGATE MENINGOCOCCAL (ACWY) VACCINE
Cumbria & Lancashire Vaccine PGD Group ADVISORY INFORMATION FOR USE WITH PATIENT SPECIFIC DIRECTION OR INDIVIDUAL PRESCRIPTION SIGNED BY GP OR NON-MEDICAL PRESCRIBER. CONJUGATE MENINGOCOCCAL (ACWY) VACCINE
More informationCP80 Version: V01. Acute Oncology Management Service Date approved: 8 th May 2015 Date ratified: 1 st June 2015 Review date: 1 st June 2017
STANDARD OPERATING PROCEDURE (SOP) AND PATHWAY FOR THE MANAGEMENT OF PATIENTS WITH METASTATIC SPINAL CORD COMPRESSION (MSCC) WITHIN THE CHRISTIE (Refer to the Manchester Cancer Network MSCC Pathway flowchart)
More informationFebrile Convulsions (Fever Fits)
Febrile Convulsions (Fever Fits) Children s Services Women & Children s Services This leaflet has been designed to give you important information about your condition / procedure, and to answer some common
More informationMedicines Protocol RECTAL DIAZEPAM
Medicines Protocol RECTAL DIAZEPAM RECTAL DIAZEPAM v2.0 1/6 Protocol Details Version 2.0 Legal category Staff grades POM Registered Paramedic Registered Nurse Specialist Paramedic (Urgent and Emergency
More informationNeurology Topics. Ian Rosemergy
Neurology Topics Ian Rosemergy Plan An unusual presentation of a not so unusual problem Some seizure cases 49 year old female Patient 1 Hit on back and neck by swinging car door o Severe neck and shoulder
More informationOriginal Article Risk of Recurrent Febrile Seizures Pak Armed Forces Med J 2015; 65(4): M Musarrat Jamal, Waseem Ahmed
Original Article Risk of Recurrent Febrile Seizures Pak Armed Forces Med J 2015; 65(4): 458-63 TO IDENTIFY THE FACTORS AFFECTING THE RISK OF RECURRENT FEBRILE SEIZURES IN SAUDI CHILDREN M Musarrat Jamal,
More informationPEDIATRIC BRAIN CARE
PEDIATRIC BRAIN CARE The brain matters most! OVERVIEW OF NEURO ASSESSMENT 1. Overall responsiveness/activity 2. The eyes 3.? Increased ICP 4. Movements 5.? Seizures 6. Other OVERALL RESPONSIVENESS/ ACTIVITY
More informationEpilepsy (and first seizure) on the acute take. Phil Smith Consultant Neurologist University Hospital of Wales, Cardiff
Epilepsy (and first seizure) on the acute take Phil Smith Consultant Neurologist University Hospital of Wales, Cardiff Epilepsy (and first seizure) on the acute take First suspected seizure Acute symptomatic
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE 1 Guideline title SCOPE Management of meningitis and meningococcal disease in children and young people in primary and secondary care. 1.1 Short title
More informationThis guideline describes the care required for a patient receiving a red blood cell transfusion whilst undergoing extra corporeal therapies.
Title of Guideline (must include the word Guideline (not protocol, policy, procedure etc) Guidelines for care of a patient receiving a red blood cell transfusion whilst undergoing extra corporeal therapies.
More informationMANAGEMENT OF SUSPECTED VIRAL ENCEPHALITIS IN CHILDREN
MANAGEMENT OF SUSPECTED VIRAL ENCEPHALITIS IN CHILDREN OVERVIEW 1980s: dramatically improved by aciclovir HSV encephalitis in adults Delays treatment(> 48h after hospital admission): associated with a
More informationTitle of Guideline (must include the word Guideline (not protocol, policy, procedure etc)
Title of Guideline (must include the word Guideline (not protocol, policy, procedure etc) Guideline for the Investigation and Management of Polycystic Ovary Syndrome Author: Contact Name and Job Title
More informationManagement of Severe Traumatic Brain Injury
Guideline for North Bristol Trust Management of Severe Traumatic Brain Injury This guideline describes the following: Initial assessment and management of the patient with head injury Indications for CT
More informationInappropriate emergency management of status epilepticus in children contributes to need for intensive care
1584 PAPER Inappropriate emergency management of status epilepticus in children contributes to need for intensive care R F M Chin, L Verhulst, B G R Neville, M J Peters, R C Scott... See end of article
More informationTitle Protocol for the Management of Asthma in the Minor Injuries Units
Document Control Title Protocol for the Management of Asthma in the Minor Injuries Units Author Karen Watts Author s job title Professional Lead, Minor Injuries Unit Directorate Emergency Services, Logistics
More informationYield of Lumbar Puncture in Children of Age Six Months to Eighteen Months Who Presented with their first Complex Febrile Seizures
ORIGINAL ARTICLE Yield of Lumbar Puncture in Children of Age Six Months to Eighteen Months Who Presented with their first Complex Febrile Seizures MUHAMMAD ARSHAD 1, RABEYA REHMAN 2, NAIMA JAVED 3, FARAH
More informationA Framework of Competences for Special Interest Module in Paediatric Epilepsies
A Framework of Competences for Special Interest Module in Paediatric Epilepsies 2 Section 1 CONTENTS Introduction 5 Section 2 Specific Competences in Paediatric Epilepsies 7 Knowledge and Understanding
More informationGUIDELINES FOR PERFORMING AN INTRAPERITONEAL UROKINASE LOCK
GUIDELINES FOR PERFORMING AN INTRAPERITONEAL UROKINASE LOCK Contact Name and Job Title (author) Directorate & Speciality Jr Sr Vanessa Keill Diabetes, Infection, Renal and Cardiovascular Directorate (Renal
More informationNeuromuscular Disease(2) Epilepsy. Department of Pediatrics Soochow University Affiliated Children s Hospital
Neuromuscular Disease(2) Epilepsy Department of Pediatrics Soochow University Affiliated Children s Hospital Seizures (p130) Main contents: 1) Emphasize the clinical features of epileptic seizure and epilepsy.
More informationSeasonal Influenza in Pregnancy and Puerperium Guideline (GL1086)
Seasonal Influenza in Pregnancy and Puerperium Guideline (GL1086) Approval Approval Group Job Title, Chair of Committee Date Maternity & Children s Services Clinical Governance Committee Chair, Maternity
More informationGROMMET INSERTION RECURRENT ACUTE OTITIS MEDIA (WITHOUT EFFUSION) SECONDARY CARE PRIOR APPROVAL POLICY
Version: 1718.v1 Ratified by: SCCG COG Date Ratified: 05 April 2017 Name of Originator/Author: Name of Responsible Committee/Individual: IFR SCCG CCPF/ IFR Date issued: 18 April 2017 Review date: Target
More informationSHARED CARE GUIDELINE FOR BUCCAL MIDAZOLAM FOR THE TREATMENT OF PROLONGED SEIZURES IN CHILDREN
SHARED CARE GUIDELINE FOR BUCCAL MIDAZOLAM FOR THE TREATMENT OF PROLONGED SEIZURES IN CHILDREN 1. Aim/Purpose of this Guideline 1.1. This guideline applies to medical, nursing and pharmacy staff in the
More informationtrust clinical guideline
CG19 VERSION 1.2 1/12 Guideline ID CG19 Version 1.2 Title Approved by Sepsis including Meningococcal Septicaemia Clinical Effectiveness Group Date Issued 12/04/2016 Review Date 11/04/2019 Directorate Authorised
More informationBacterial meningitis
Bacterial meningitis Children s Ward Parent/Carer Information Leaflet What is meningitis? Meningitis is an infection that causes inflammation (swelling) of the meninges. The meninges are protective membranes
More information