Understanding status epilepticus and its treatment in the community

status epileptus

Status epilepticus (SE) is a complication of epilepsy characterised by prolonged or repeated seizures. It is a life-threatening condition that requires the immediate administration of a rescue medicine. If given promptly, rescue medicines can reduce the duration of seizures and support SE cessation. Buccal midazolam is the recommended first-line treatment for SE in the community in people who have had a previous episode of prolonged or serial convulsive seizures. Therefore, it is crucial that all those who care for people with learning disabilities who have epilepsy in the community – including family members, friends and professional carers – receive support, training and guidance in the administration of buccal midazolam. This article provides an overview of the treatment of SE in the community, including the administration of buccal midazolam.

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Why you should read this article

  • to refresh your knowledge of epilepsy, its classification and its higher prevalence in people with learning disabilities
  • to enhance your understanding of the treatment of status epilepticus by carers in the community
  • to count towards revalidation as part of your 35 hours of CPD, or you may wish to write a reflective account (UK readers)
  • to contribute towards your professional development and local registration renewal requirements (non-UK readers)

Resource last reviewed

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Authors

Ruth Ryan (Lecturer - Department of Nursing and Midwifery, Faculty of Education and Health Sciences, University of Limerick, Limerick, Ireland)
Maeve O’Halloran (Registered nurse - in intellectual disability and consultant for intellectual disability services, Ireland)
Owen Doody (Senior lecturer - Department of Nursing and Midwifery, Faculty of Education and Health Sciences, University of Limerick, Limerick, Ireland)