Update on current care guideline: status epileptics.

Status epileptics is a medical emergency. Most epileptic seizures last for 1-4 minutes, Seizures lasting over five minutes should be treated a status epileptics. EEG essential for diagnostics. The treatment can be divided into first-aid medications, such as buccal/intranasal midazolam or rectal diazepam, first-line medications such as intravenous diazepam or lorazepam and second-line medications such as fosphenytoin, levetiracetam, valproate and lacosamide, and in addition phenobarbital for children. Third-line treatment is suppressive general anesthesia, monitored by continuous EEG. Antiepileptic medication of patients with epilepsy should be carefully re-evaluated after status epilepticus.