Status Epilepticus

This is a neurologic emergency. If generalized convulsive, treat aggressively with benzos and 2nd line agents. If seizures persist, will need neuro ICU admission. They will also need cEEG, CTH, and CTA brain/neck as stroke can rarely present as status. If they are also febrile or immunocompromised, start broad spectrum CNS abx and have a low threshold for an LP. If pt is in focal status, use can just use benzos and obtain cEEG.