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SRLF, avec le GFRUP et la SFMU — RFE 2009

États de mal épileptiques — prise en charge d'urgence

Prise en charge en situation d'urgence et en réanimation des états de mal épileptiques de l'adulte et de l'enfant (nouveau-né exclu)

Independent summary, neither edited nor endorsed by the societies cited.

This summary is currently available in French only (titles, summaries and recommendations): the English version is in preparation.

Update in progress. The society has announced a new version of this guideline; the summary will be updated as soon as it is published.

Scope of the guideline

Prise en charge en situation d'urgence (préhospitalière et hospitalière) et en réanimation des états de mal épileptiques (EME), convulsifs et non convulsifs, chez l'adulte ET l'enfant — le nouveau-né est explicitement exclu du champ de ces recommandations.

Key points

  • État de mal : crises continues ou successives sans retour à la conscience pendant 30 minutes.
  • Pour l'état de mal tonicoclonique généralisé, prise en charge dès 5 minutes de crises continues ou subintrantes.
  • L'état de mal larvé (coma, signes moteurs atténués, EEG persistant) complique un état de mal mal traité.

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Societies
SRLF, GFRUP, SFMU
Document
RFE · 26 July 2008
Methodology
Accord fort/faible (méthode RAND/UCLA, non GRADE)
Endorsement
Publié Réanimation 2009;18:4-12, doi 10.1016/j.reaurg.2008.07.008

Older source. Guideline published in 2008, more than 10 years ago: check with the society that no update has been published since.

Official source document ↗ — freely available on the society's website (link checked on 12 October 2026).

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Independent summary: it replaces neither the full text of the official guideline nor clinical judgement, and is neither edited nor endorsed by the societies cited. Our approach