Evidence-based Clinical Care: Seizures

Epilepsy is the fourth-most common neurological disease and affects people of all ages. An estimated 150,000 adults present annually with an unprovoked first seizure in the United States. Even one seizure is a traumatic physical and psychological event that poses difficult diagnostic and treatment questions, and has major social consequences. Dr. Alberto Pinzon Ardila will discuss seizure management pathways at Baptist Health.

Note to Physicians: Be sure to bookmark this course to access all protocols, pathways, policies and procedures at your convenience via your CME Portal account. All power plans are available in Cerner. All EBCC deliverables will be available on the EBCC website.

Target Audience

Emergency Medicine Physicians, Hospitalists, Family Medicine Physicians, Internal Medicine Physicians, Neurologists, Intensivists, Nurse Practitioners, Physician Assistants and all other interested healthcare providers.

Learning Objectives

  • Discuss the need for the creation of a clinical pathway for seizures.
  • Describe the methods for standardization and implementation of evidence-based best practices.
  • Define the clinical specifications and goals for seizures. 
  • Review the current standards for management and treatment of status epilepticus patients.
  • Discuss mechanisms to measure adherence to the clinical pathways.
  • Implement the emergency department seizure algorithm and seizure transfer algorithm to apply the standards of care and utilize the appropriate power plan.
Additional information
Bibliography: 
  • Drislane, F. W. ( 2018). Convulsive status epilepticus in adults: Classification, clinical features, and diagnosis. In J. F. Dashe (Ed.), UpToDate. Retrieved November 23, 2018
  • Drislane, F. W. (2018). Convulsive status epilepticus in adults: Treatment and prognosis. In J. F. Dashe (Ed.), UpToDate. Retrieved November 23, 2018
  • Dunn, M. J., Breen, D. P., Davenport, R. J., & Gray, A. J. (2005). Early management of adults with an uncomplicated first generalised seizure. Emergency Medicine Journal, 22(4), 237-242.
  • Glauser, T., Shinnar, S., Gloss, D., Alldredge, B., Arya, R., Bainbridge, J., . . . Treiman, D. M. (2016). Evidence-Based Guideline: Treatment of Convulsive Status Epilepticus in Children and Adults: Report of the Guideline Committee of the American Epilepsy Society. Epilepsy Currents, 16(1), 48-61.
Resources: 

How to save power plans (EBCC order sets) to your favorites on CERNER? Click here to access video tutorial.

Course summary
Available credit: 
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Nurse Practitioners
Course opens: 
04/01/2019
Course expires: 
03/31/2022

Alberto Pinzon Ardila, M.D.
Medical Director, Epilepsy Program
Baptist Hospital
Neurologist, Baptist, South Miami and West Kendall Baptist Hospitals
Miami, Florida

Alberto Pinzon Ardila, M.D., faculty for this educational activity, is on the speakers' bureau for Sunovion Pharmaceuticals and UCB and has indicated that the presentation or discussion will not include off-label or unapproved product usage. 

Design Team Members

Seema Chandra, M.D., conference director for this educational activity, has no relevant financial relationship with ineligible companies* to disclose.

Andrew Lerman, M.D., indicated that he is on the speakers' bureau for Eisai, Sunovian and Supernus Pharmaceuticals.

Kevin Abrams, M.D., indicated that he is a consultant for Keystone Heart and a stockholder with Keystone Heart and Cleerly.

All of the relevant financial relationships listed for these individuals have been mitigated.

All other design team members, operational champions, non-faculty contributors and others involved in the planning, development and editing/review of the content have no relevant financial relationships to disclose.

*Ineligible companies -- Companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
              
Baptist Health South Florida designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Available Credit

  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Nurse Practitioners
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