Hello, med students. My name is Zach Olson, and thank you for downloading this week's episode of the EM Clerkship Podcast.

Last week, we discussed a simple approach to a simple seizure, seizures that that last less than five minutes with return of consciousness

before the next seizure. And what we really emphasized was history, taking that detailed

history that makes you sound smart to your tending. We talked about how even if that seizure is happening right in front of

you, but that's kind of okay. You really don't technically even need to give them any medicines

according to Tintanallies as long as it's a simple seizure. Less than five minutes, return of

consciousness between seizures. You don't need to treat with medicines at all, not even

at a van. However, that scenario is entirely different than the scenario where the patient

seizure lasts more than five minutes or occurs back to back with another seizure without

regaining consciousness.

Because when that happens, that's called status epilepticus.

And that does get treated with medicine.

Here's this week's case.

Okay, everybody's 18-year-old male seizure on the soccer field unknown if he was hit didn't see anybody crash into him apparently to the witnesses status epilepticus on arrival no history of epilepsy bordered and collared on scene post 160 BP 140 over 90 respiration is 20 glucose of 100

did give 5 milligrams diazepam I am and another 5 IV with no improvement

glucose was 100 that's it you got, you guys should have gotten a call.

Yeah.

All right.

Status epilepticus.

When your patient is having more than just a simple seizure, which you don't need to treat,

when they have status epilepticus, a neurologic emergency, when the seizure lasts more than

five minutes or occurs back to back without regaining consciousness, that's something that

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