Entry Points for 1st Seizure / Seizures

General Paediatrician General Practitioner

A&E
If convulsive: blood glucose, ECG Community Paediatrician
Admit if
prolonged
First seizure clinic (or local equivalent)
Paediatrician with an expertise in epilepsy*
Epileptic
seizure/seizures
suspected
Not epilepsy
Epileptic seizure / seizures suspected OR clear diagnosis not epilepsy
*Investigations if
necessary eg, ECG,
EEG
**Except:
Idiopathic generalised
epilepsies
Benign childhood epilepsy
with centrotemporal spikes
Discharge with advice or follow up:
Cardiology
Neurology
General Paediatrics
Community Paediatrics
Child & Family Mental Health
Suspected diagnosis
Review by Paediatrician with expertise in epilepsy
Relevant investigations: EEG, MRI**
Further EEG studies if necessary
Not epilepsy
Confirmed diagnosis of epileptic seizure/seizures
Care plan issued:
Treat or not
Follow up:
Care plan reviewed
Community
Paediatrician
General
Paediatrician
Epilepsy
Clinic
GPs
Epilepsy
Nurse
Specialist
Community
Paediatric
Team
Voluntary
Sector
Advice on acute
seizure management
Information
Packs
Care plan for
school
This care pathway has been ratified by the multidisciplinary Advisory Board of the Scottish Paediatric Epilepsy Managed Clinical Network: a National Services Division funded National Clinical Network
and conforms to SIGN 81 - Diagnosis and Management of Epilepsies in children and young people
Follow up will remain the responsibility of the specialist in secondary care
Paediatric
Paediatric
1st Seizure Care Pathway
1st Seizure Care Pathway
www.epilepsymcn.scot.nhs.uk/paediatriccarepathways.htm
Scottish Paediatric Epilepsy Network
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