Status epilepticus (SE) is a condition resulting either from initiation of mechanisms that lead to abnormally prolonged seizures (longer than five minutes), or the failure of the mechanisms responsible for seizure termination. Common causes of SE in children are febrile seizures and metabolic etiologies, such as inborn errors of metabolism and hypoglycemia. Ultimately, the goal of therapy is to terminate both the clinical and electrical seizure activity safely and rapidly. The authors present an approach to the diagnostic evaluation and therapeutic management of neonates and children in SE.
Increasingly, academic health centers are recognizing that residents and fellows are interested in gaining knowledge and skills in health care-related areas outside their normal residency program curriculum. Annually, Emory University School of Medicine's graduate medical education (GME) office educates more than 1300 trainees in 110 programs. While large specialty programs such as internal medicine can develop complementary pathways/tracks for their residents' education, smaller programs typically have limited resources. We anticipated that residency tracks developed and administered at the GME level and open to all residents and fellows could support complementary education in health care–related areas and help promote intraprofessional learning among trainees.1