Presentation on theme: "Clinical Guidelines in Acute Seizure Management William C. Dalsey, MD, FACEP, MBA Department of Emergency Medicine Robert Wood Johnson University Hospital."— Presentation transcript:
Clinical Guidelines in Acute Seizure Management William C. Dalsey, MD, FACEP, MBA Department of Emergency Medicine Robert Wood Johnson University Hospital New Jersey
How Do You Begin to Create a Clinical Guideline for Seizures? Selecting the Topic Selecting Members of the Committee Process for Evaluating the Literature Process to Create Clinical Guideline
Critical Questions How do you evaluate and treat a patient with a seizure? Complicating Factors: Status Epilepticus? Hypoglycemia, Febrile Seizures, Alcohol Withdrawal, Trauma, Eclampsia
What is best ? Efficacy of Treatment? Safety? Complications? Side Effects? Route of Administration? Costs? Society/Ethics?
Are There Existing Practice Guidelines? AMA Clinical Guidelines Clearinghouse Cochrane Library
Asking the “Right” Questions The need to be specific Identification of inclusion/exclusion criteria Searching the Literature Metanalysis and Nonrandomized Trials