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Active Seizures in Children Are Often Subtle and Unrecognized by Prehospital Providers

Rose, Emily MD, FAAP, FAAEM, FACEP; Abramson, Tiffany M. MD; Kearl, Yvette L. MD, FAAP; Loza-Gomez, Angelica MD

doi: 10.1097/PEC.0000000000001941
Illustrative Cases
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Early recognition and treatment of seizures is essential for optimal patient outcomes. Seizure activity, particularly in young children, can be subtle and often go unrecognized by providers. This case series retrospectively identified 7 cases of pediatric patients (14 years and younger) who presented to the emergency department with active seizure activity that was unrecognized by the prehospital care providers. The presentation of these patients, their clinical signs of seizure, and emergency department disposition are highlighted in this series.

From the Keck School of Medicine of the University of Southern California and, Department of Emergency Medicine, Los Angeles County + University of Southern California Medical Center, Los Angeles, CA.

Disclosure: The authors declare no conflict of interest.

Dr Rose has received educational speaking honoraria and travel expense coverage from the American College of Emergency Physicians (ACEP), Medical Education Speakers Network, Symposia Medicus, American College of Osteopathic Emergency Physicians, American Academy of Emergency Physicians, California ACEP, HIPPO Education, Emergency Medicine Reviews and Perspectives, Oakstone CME, Society of Emergency Medicine Physician Assistants, and several residency and fellowship programs. Dr Kearl has received educational speaking honoraria from Hippo Education, California ACEP, and Medical Education Speakers Network.

Reprints: Emily Rose, MD, FAAP, FAAEM, FACEP, Keck School of Medicine of the University of Southern California, Department of Emergency Medicine, Los Angeles County + University of Southern California Medical Center, 1200 North State St, Room 1011, Los Angeles, CA 90033 (e-mail: emilyros@usc.edu; emilyrose010@gmail.com).

Online date: September 13, 2019

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