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​Improving the Management of Prolonged Seizures in Wessex
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Click here to download the finished report
Background
It is known, anecdotally and from other audits, that there is high morbidity and mortality for children with prolonged seizures. Contributors to morbidity include respiratory and/or cardiovascular compromise due to ongoing seizure activity. Any mortality, if due to failure to terminate a seizure in a hospital setting is unacceptable. 

Project Aims (what are we trying to accomplish)
A reduction in morbidity & mortality from prolonged seizures.

Initial questions to investigate are:
  1. Time taken to seizure termination
  2. Number of patients with seizures who have evidence of respiratory compromise (need for airway manoeuvres, BVM, respiratory acidosis, oxygen requirement)
  3. Number of patients with seizures who have evidence of cardiovascular compromise (raised lactate)

Aim is to investigate these questions regionally and identify any possible improvements in processes or learning points from particular sites which can then be disseminated across the region. 

Brief description including setting (e.g. ward based, community etc)
Regional project – including all children presenting to hospital (assessment units, ED, ward, PICU) with a generalised tonic clonic seizure > 5 minutes duration even if this has terminated by the time of assessment.

Data will be collected by local team and sent to project leads who will collate and disseminate back to region to maximise learning.
 
How will we know a change is an improvement? (what are your measures?)
Continual monitoring of project questions and observing if interventions lead to reduction in time to seizure termination and/or improvements in numbers of patients with or degree of respiratory or cardiovascular compromise.

Identification of potential interventions to improve process and/or outcomes

Next steps
Continue data collection and raising awareness of the project around the region. Begin disseminating results on a monthly basis and as interventions are identified, introducing these and tracking changes. 

Project lead, role and contact details

Project leads: Neeraj Bhangu (paediatrics) & Olivia Shields (anaesthetics)
​
There is a lead consultant and trainee at each site.
 
Central email:
qiprolongedseizures@gmail.com

PIER Contact


​General Enquiries: admin@piernetwork.org

Southampton Children's Hospital
Tremona Road, Southampton
Hampshire, SO16 6YD

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  • Home
    • About PIER
    • Regional Contact Numbers
    • Our Partners
    • Contact Us
    • Register with PIER
  • Guidelines
    • Guidelines & Tools
    • Guideline Creation
    • Child Health Information & Leaflet Directory (CHILD)
    • Guidelines Management
  • Innovation
    • Innovation & Improvement Projects
    • Patient Safety First Projects
    • Innovation & Improvement Resources
    • The SHH Programme >
      • Sleep and Health
      • The SHH Programme
      • Training Workshops
      • The SHH Community
      • Contact
  • Education
    • Study Days
    • STAR Simulation App
    • Faculty Resources
    • Paediatric Nursing Videos
    • EPPIC Videos
    • #PedsCards Against Humanity
    • Fontanelle - The Paediatric Podcast
  • Research
    • Regional Research
  • Conference
    • 2020
    • 2019
    • 2018
    • 2017
    • 2016
  • Trainees
    • Welcome to Wessex
    • Trainee Rotations & Placement Guide
    • Paediatric Regional Education Programme
    • PREP 1.1 >
      • PREP 1.1 Information
      • PREP 1.1 Resources
    • PREP 1.2 >
      • PREP 1.2 Timetables
      • PREP 1.2 Timetable Upload
      • PREP 1.2 Resources
    • PREP 2 >
      • PREP 2 Timetables
      • PREP 2 Timetable Upload
      • PREP 2 Resources
    • PREP 3 >
      • PREP 3 Timetables
      • PREP 3 Timetable Upload
      • PREP 3 Resources
    • PREP Resources
    • PAFTAs >
      • PAFTAs 2020
      • PAFTAs 2019
      • PAFTAs 2018
    • MRCPCH Exam Guide
    • EPPIC Videos
    • Step Up/Step Back
    • STrIPES >
      • About
      • Members
      • Projects
      • Meetings
      • Contact
    • Wessex Buddies
  • Preceptorships
    • Nursing Preceptorship Programmes
    • Neonatal >
      • Qualified In Speciality >
        • Introduction
        • Course Outline
        • Curriculum
        • Events
        • Meet the Team
    • Paediatric >
      • About
      • Programme Overview
      • Study Days
      • Resources
      • Next Steps
      • Contact
  • Networks
    • Wessex Allergy Network
    • Wessex Paediatric Endocrine Network
    • Clinical Ethics >
      • Clinical Ethics
      • Difficult Decisions
    • Paediatric Critical Care Network
    • Neonatal ODN >
      • Guidelines & Information
      • Neonatal Simulations
  • Search