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- Nov 18, 2011
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I've seen a lot of practice variation here, and a lot of varying comfort levels amongst providers. I'm interested in your approach.
Let's say you have a patient come in with suspected EtOH wthdraw seizure at home, no prior seizure or medical history, now clearly in withdraw.
1) What's your approach to these patients? Benzos? Phenobarbital?
2) Lets say you get their symptoms well under control with either of the above, have you ever sent them home? Do they 100% of the time need to come in to the hospital?
I ask because I've seen some providers who admit every EtOH withdraw seizure, and I've seen some who, if they control the symptoms, send them out. Where they train influences this decision significantly, but I'd like to hear your opinions.
Let's say you have a patient come in with suspected EtOH wthdraw seizure at home, no prior seizure or medical history, now clearly in withdraw.
1) What's your approach to these patients? Benzos? Phenobarbital?
2) Lets say you get their symptoms well under control with either of the above, have you ever sent them home? Do they 100% of the time need to come in to the hospital?
I ask because I've seen some providers who admit every EtOH withdraw seizure, and I've seen some who, if they control the symptoms, send them out. Where they train influences this decision significantly, but I'd like to hear your opinions.