Pediatric status epilepticus after first-line care
Educational use only. Not clinically reviewed6-year-old girl for calm pediatric convulsive status recognition after first-line care, qualified escalation, serial reassessment, and active-risk handoff. About 8 simulated minutes.
What you will practise
- Connect the seizure clock, supplied first-line care, breathing, circulation, glucose, and whole-child state.
- Recognize persistent pediatric convulsive status after 2 supplied appropriate first-line doses.
- Activate qualified second-line seizure-control and pediatric escalation ownership without delay.
- Keep airway safety, reversible and dangerous causes, monitoring, and the refractory boundary active in parallel.
- After elapsed qualified care, compare the fixed visible-seizure and whole-child trajectory without declaring seizure control.
- Hand off seizure, airway, recovery, cause, recurrence, refractory-risk, and named ownership.
Review and sources
Not clinically reviewed. No clinician has signed this scenario.
- Royal Children's Hospital Melbourne. Clinical Practice Guideline: Seizures - acute management. Last updated June 2025; consulted 2026-08-26.
- National Institute for Health and Care Excellence. Epilepsies in children, young people and adults. NICE guideline NG217. Published 2022; last updated 2025. Recommendations 7.1.1-7.1.12.
- Glauser T, Shinnar S, Gloss D, et al. Evidence-Based Guideline: Treatment of Convulsive Status Epilepticus in Children and Adults. Epilepsy Curr. 2016;16(1):48-61. PMID:26900382. doi:10.5698/1535-7597-16.1.48.
Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.