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학습 자료 둘러보기 →The defining feature of status epilepticus is a seizure lasting longer than 5 minutes or recurrent seizures without regaining consciousness. At 20 minutes, the risk of permanent neuronal injury increases, making expeditious seizure termination the top priority.
The first-line pharmacological intervention is an intravenous benzodiazepine, such as lorazepam or diazepam. This directly addresses the underlying pathology by stopping the electrical storm in the brain and must be administered as soon as it is ordered.
Never insert an oral airway or bite block during active tonic-clonic movements. This can trigger a gag reflex, induce vomiting, or cause dental trauma. Airway management during the seizure focuses on positioning the child in a lateral recumbent position to maintain patency and prevent aspiration.
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