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Research Article

When Should You Test for and Treat Hypoglycemia in Prehospital Seizure Patients?

, MD, MPH, FACEP, , MD, , PhD, MPH, , MD, , MS, NREMT-P, , RN, PhD & , MD show all

References

  • Michael GE, O'Connor RE. The diagnosis and management of seizures and status epilepticus in the prehospital setting. Emerg Med Clin North Am. Feb 2011;29(1):29–39.
  • Burton RA, Raskin NH. Alimentary (postgastrectomy) hypoglycemia: a remediable cause of recurrent seizures. Arch Neurol. Jul 1970;23(1):14–7.
  • Brady W, Kefer M. Hypoglycemia masquerading as head trauma. Am J Emerg Med. May 1994;12(3):383–4.
  • Bell DS, Cutter G. Characteristics of severe hypoglycemia in the patient with insulin-dependent diabetes. South Med J. Jun 1994;87(6):616–20.
  • Bartlett D. Confusion, somnolence, seizures, tachycardia? Question drug-induced hypoglycemia. J Emerg Nurs. Apr 2005;31(2):206–8.
  • Hart SP, Frier BM. Causes, management and morbidity of acute hypoglycaemia in adults requiring hospital admission. QJM. Jul 1998;91(7):505–10.
  • Adverse events and their association with treatment regimens in the diabetes control and complications trial. Diabetes Care. Nov 1995;18(11):1415–27.
  • Burton RA, Raskin NH. Remediable seizure disorder due to alimentary hypoglycemia. Neurology. Apr 1970;20(4):380.
  • Hepburn DA, Steel JM, Frier BM. Hypoglycemic convulsions cause serious musculoskeletal injuries in patients with IDDM. Diabetes Care. Jan 1989;12(1):32–4.
  • Martin-Gill C, Hostler D, Callaway CW, Prunty H, Roth RN. Management of prehospital seizure patients by paramedics. Prehosp Emerg Care. Apr-Jun 2009;13(2):179–84.
  • Neligan A, Shorvon SD. Prognostic factors, morbidity and mortality in tonic–clonic status epilepticus: a review. Epilepsy Res. Jan 2011;93(1):1–10.
  • Silbergleit R, Durkalski V, Lowenstein D, Intramuscular versus intravenous therapy for prehospital status epilepticus. N Engl J Med. Feb 16 2012;366(7):591–600.
  • Silbergleit R, Lowenstein D, Durkalski V, Conwit R. RAMPART (Rapid Anticonvulsant Medication Prior to Arrival Trial): a double-blind randomized clinical trial of the efficacy of intramuscular midazolam versus intravenous lorazepam in the prehospital treatment of status epilepticus by paramedics. Epilepsia. Oct 2011;52 Suppl 8:45–7.
  • Lavery RF, Allegra JR, Cody RP, Zacharias D, Schreck DM. A prospective evaluation of glucose reagent teststrips in the prehospital setting. Am J Emerg Med. Jul 1991;9(4):304–8.
  • Carrillo L, Fleming LE, Lee DJ. Bloodborne pathogens risk and precautions among urban fire-rescue workers. J Occup Environ Med. Sep 1996;38(9):920–4.
  • Hao L, Naiman DQ. Quantile Regression. Thousand Oaks, CA: Sage; 2007.
  • Martin-Gill C, Hostler D, Callaway CW, Prunty H, Roth RN. Management of prehospital seizure patients by paramedics. Prehosp Emerg Care. Apr-Jun 2009;13(2):179–84.
  • Nicholl JS. Prehospital management of the seizure patient. Emerg Med Serv. May 1999;28(5):71–5; quiz 77.
  • Chamberlain JM, Altieri MA, Futterman C, Young GM, Ochsenschlager DW, Waisman Y. A prospective, randomized study comparing intramuscular midazolam with intravenous diazepam for the treatment of seizures in children. Pediatr Emerg Care. Apr 1997;13(2):92–4.
  • Legriel S, Azoulay E, Resche-Rigon M, Functional outcome after convulsive status epilepticus. Crit Care Med. Dec 2010;38(12):2295–303.
  • Pellock JM. Overview: definitions and classifications of seizure emergencies. J Child Neurol. May 2007;22(5 Suppl):9S–13S.
  • Hesdorffer DC, Logroscino G, Cascino G, Annegers JF, Hauser WA. Risk of unprovoked seizure after acute symptomatic seizure: effect of status epilepticus. Ann Neurol. Dec 1998;44(6):908–12.
  • Shinnar S, Hauser WA. Do occasional brief seizures cause detectable clinical consequences? Progr Brain Res. 2002;135: 221–35.
  • Alldredge BK, Gelb AM, Isaacs SM, A comparison of lorazepam, diazepam, and placebo for the treatment of out-of-hospital status epilepticus. N Engl J Med. 2001; 345:631–7.
  • Alldredge BK, Wall DB, Ferriero DM. Effect of prehospital treatment on the outcome of status epilepticus in children. Pediatr Neurol. Apr 1995;12(3):213–6.
  • Galustyan SG, Walsh-Kelly CM, Szewczuga D, Bergholte J, Hennes H. The short-term outcome of seizure management by prehospital personnel: a comparison of two protocols. Pediatr Emerg Care. Aug 2003;19(4):221–5.
  • Warden CR, Frederick C. Midazolam and diazepam for pediatric seizures in the prehospital setting. Prehosp Emerg Care. Oct-Dec 2006;10(4):463–7.
  • Lowenstein DH, Alldredge BK. Status epilepticus at an urban public hospital in the 1980s. Neurology. Mar 1993;43(3 Pt 1):483–8.

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