✅ تشنج
سرفصل‌های زیادی داره ولی سعی کردم چندتاش رو که توی منجمنت اولیه به کارمون میاد رو اینجا بیارم.
یه الگوریتم خیلی قشنگ هم داره که در ادامه آورده شده است.

▪️︎Convulsive status epilepticus (CSE) in adults. CSE is defined as a single unremitting seizure lasting >5 minutes or frequent clinical seizures without an interictal return to the baseline clinical state.

▪️︎treatment with a nonbenzodiazepine antiseizure medication is given to prevent
recurrence, even if convulsions have ceased following benzodiazepine treatment. This is especially important if diazepam or midazolam was used to stop seizures, as they have a short duration of action. With initial therapy given alone, the recurrence rate of status epilepticus is unacceptably high.

▪️Disposition:

Patients may be discharged home with early referral to a neurologist
if they have a normal neurologic examination, no significant medical comorbidities, and no known structural brain disease, did not require more than one dose of a benzodiazepine in the ED, and are thought to have sufficient resources to comply reliably with follow-­up instructions.
*When the diagnosis is uncertain, history of neurologic disease or other comorbidities exist or close follow-­up is unlikely, neurologic
consultation, longer observation, or admission for observation should be considered.

➡️ Seizure in adults