Society Guidelines for Seizure Management in Critical and Emergency Care
“EEG should be initiated
within 15-60 minutes of suspected Status Epilepticus
in all patients.”
“EEG should be promptly performed and interpreted for the diagnosis of seizures in all comatose patients after ROSC.”
“The requirements bring the standards in closer alignment with guidelines… to maximize patient survival with the best possible neurological outcomes.”
NCS Guidelines
EEG should be initiated within 15-60 minutes of suspected Status Epilepticus in all patients.
Guidelines for the Evaluation and Management of Status Epilepticus
Published by:
Gretchen M. Brophy, Rodney Bell, Jan Claassen, Brian Alldredge, Thomas P. Bleck, Tracy Glauser, Suzette M. LaRoche, James J. Riviello Jr., Lori Shutter, Michael R. Sperling, David M. Treiman, Paul M. Vespa
Gretchen M. Brophy, Rodney Bell, Jan Claassen, Brian Alldredge, Thomas P. Bleck, Tracy Glauser, Suzette M. LaRoche, James J. Riviello Jr., Lori Shutter, Michael R. Sperling, David M. Treiman, Paul M. Vespa
| Critical Care Treatment | Timing (minutes post seizure onset) | Goals |
|---|---|---|
| Continuous EEG | Urgent (15-60min) | Evaluate for NCSE if not waking up afterclinically obvious seizures cease |
AHA Guidelines
2020 Adult Post-cardiac Arrest Care Algorithm63
Many cardiac arrest patients who survive the initial event will eventually die because of withdrawal of life-sustaining treatment in the setting of neurological injury… Thus, much of post-arrest care focuses on mitigating injury to the brain.63
TJC Requirements
2022 The Joint Commission R3 requires compliance to the 2020 AHA Guidelines for CPR and ECC, including the need for prompt EEG as part of post-resuscitation care.
