"You cannot educate a child who is not healthy, and you cannot keep a child healthy who is not educated."
- Dr. Jocelyn Elders
In the News:
AAP Provides Guidance to Develop Plans to Help Diminish Prolonged Seizures at School
The Council on School Health and Section on Neurology have co-authored an important new clinical report, Rescue Medications for Epilepsy in Education Settings, which highlights issues that pediatricians might consider when working with families and patients with epilepsy. According to the report, prescribing physicians should collaborate with families and schools in developing medical orders and/or actions plans for the child or youth with epilepsy in school-related settings, which may include the use of seizure rescue medications.
Since prolonged seizures may evolve into status epilepticus, administering a seizure rescue medication can abort a seizure and may obviate the need for emergency medical services and subsequent care in an emergency department. According to the report, these rescue medications can also diminish the need for hospital stays and lengthy recoveries. The report addresses administering seizure rescue medications to children and adolescents with epilepsy who may experience prolonged seizures in school-associated settings (e.g., during transportation, in the classroom, or during sports activities).
The report acknowledges that seizure management at school can be challenging, especially when school nurses aren’t available. In these situations, simple but effective response plans can help untrained staff or volunteers recognize and properly manage a student’s seizure until medical help arrives. Given these staff variations, as well as, differences in state and local regulations, the patient’s doctor should work with the family and school to develop an individualized action plan that includes medication administration, as appropriate. Click here to read the full report.
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