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EMCrit Wee - Ketamine for Early Status Epilepticus Debate

EMCrit FOAM Feed

Scott D. Weingart, MD FCCM

Medicine, Health & Fitness, Science

4.82K Ratings

🗓️ 12 June 2025

⏱️ 34 minutes

🧾️ Download transcript

Summary

Transcript

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0:00.0

Hey folks, Scott Weingard here and this is an MCRIT Wii.

0:05.0

I saw a randomized controlled trial in the pediatric literature on ketamine for termination

0:13.7

of status epilepticus used much earlier than we have in the past.

0:17.1

You should just be for super refractory seizures, and this was using it with the first dose

0:21.9

of benzodiazepines in patients with seizures that have been lasting by the median time, 34 minutes.

0:28.0

And I mentioned it in a rack-lit review, and Justin Morganstern from first 10 am. did a post about it,

0:34.1

and I figured I'd get him on the line because I just love to debate stuff.

0:38.1

So we're going to have a little debate on when ketamine should be used for status epilepticus

0:42.3

in 2025. And then in a couple weeks, I've already recorded a episode of State of the Crit

0:48.7

with Josh Farkas from Palm Critt and myself, and we actually contextualize this paper and a whole bunch

0:56.7

of other stuff to really tell you where you should be for status epilepticus in 2025.

1:01.4

So that'll be coming soon.

1:02.9

But today, debate.

1:03.9

So if you like debates, then you will like this.

1:05.9

If you do not like debates, then you can just skip to the last five minutes.

1:09.9

And that will give you the answer we

1:11.3

eventually came up with, a happy meeting place between our two minds. But if you like debate like

1:16.7

I do, then I listen to the whole thing. And weigh in. Put it in the comments. Tell me what

1:20.5

you think. Tell me, hey, Scott, you're mean during these debates or you're really nice or what have

1:24.8

you. I want to hear what you have to say. Okay, let's get right in.

1:28.3

So people should know who you are already, but just in case, who are you? I'm a community

1:33.6

doc from the Toronto area in Canada, and I do a bunch of this full med stuff, mostly centered around

...

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