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Benzodiazepine as seizure abortive for a child actively seizing in the ED

Complex Febrile Seizure, only- The majority of respondents from the Divisions of Child Neurology, Emergency Medicine, and Hospital Medicine recommend prescribing ANY benzodiazepine for abortive therapy. However, a consensus (defined by agreement of 75% of respondents) for a particular agent was not reached.


These guidelines do not establish a standard of care to be followed in every case. It is recognized that each case is different and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare guidelines for each. Accordingly these guidelines should guide care with the understanding that departures from them may be required at times.