Seizure-like episode

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DiagnosisChoose oneTitle

EventChoose any

DurationChoose one

BaselineChoose one

Provoking factors presentChoose any

Provoking factors absentChoose any

AssessmentChoose one

HistoryChoose any

Labs and imagingChoose any

WorkupChoose any

ReferralChoose any

SafetyChoose any

Additional planChoose any

Rescue medicationChoose one

DispositionChoose one

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Counseling paragraphChoose oneParagraph

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Discussed the need for emergency evaluation today. Caregiver expressed understanding and agreement with plan. Answered all questions.

Note when inserted as is

Seizure-like episode
• Returned to baseline by history, with a normal neurologic exam today
• No fever, head injury, possible ingestion, or recent vomiting or diarrhea
• Description concerning for a seizure
• No labs or emergent head imaging needed given return to baseline and a normal exam
• Pediatric neurology referral
• Seizure safety and supervision reviewed, including showers rather than baths, close supervision around water, avoiding unprotected heights, and helmets
• Follow up after the neurology visit

Many children who have one seizure never have another, and the neurology visit will help decide whether an EEG, more testing, or treatment is needed. Recommended supportive care with an emphasis on seizure first aid, close supervision around water and heights, and regular sleep. Call 911 for a seizure that does not stop within 5 minutes, trouble breathing, or blue color. Return precautions given including another seizure, not waking up normally afterward, an injury, new weakness, a severe headache, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

First unprovoked seizure vs nonepileptic event (title)
Event description (semiology)
Provoking factors present or absent (fever, head injury, ingestion, illness)
Seizure vs mimics (syncope, breath-holding, night terrors, tics or stereotypies)
"EEG or additional evaluation to be considered"
Pediatric neurology referral
Seizure safety and supervision
Driving; first aid
Rescue medication (Valtoco, Nayzilam, Diastat)
ED for failure to return to baseline, head injury, ingestion

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Emergency precautions

Return precautions in the template

another seizurenot waking up normally afterwardan injurynew weaknessa severe headache

Seizure-like episode

What the sources cover

Return precautions in the template

Sources