EM Cases · Status epilepticus
Status epilepticus — the refractory resus station
An ACEM Fellowship OSCE clinical-management (resus) station. Tests SE definition, glucose-first care, benzo limits, ESETT second-line dosing, RSI for refractory SE, and CRM. ACEM-primary, globally tagged.
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Target exams
ACEMFRCEMABEMFRCPCCCFPEMEBEEM
Prompt
A young adult in ongoing convulsive status who fails benzodiazepine and second-line therapy and requires RSI and anaesthetic infusion.
Stem
All persons, presentations and observations in this station are fictional and invented for teaching assessment; they do not describe a real person.
References2ShowHide
- [1]Kapur J, Elm J, Chamberlain JM, et al. Randomized Trial of Three Anticonvulsant Medications for Status Epilepticus (ESETT). New England Journal of Medicine, 2019.PMID 31774955
- [2]Chamberlain JM, Kapur J, Shinnar S, et al. Efficacy of levetiracetam, fosphenytoin, and valproate for established status epilepticus by age group (ESETT). Lancet, 2020.PMID 32203691