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A Study of Status Epilepticus with Focus on its Treatment — from the Standpoint of a Practicing Pediatrician —

The children’s hospital where I practice is located in western Fukuoka and is typical of those which can be found in any large city. From January to October of 1978, 5,748 patients, all children, came to the hospital; and, so far, a grand total of approximately 30,000 patients have been treated by me during my practicing career. This is an average of about 120 patients per day being treated by only one doctor, but a similar or even busier situation may be found in a large city or its suburbs. Out of these 5,748, 135 cases suffered from seizure, representing 2.3% of the total. Moreover, five of these 135 cases were status epilepticus. Unlike that which can be provided by a large clinic or university hospital, where midnight treatment and a large nursing staff are available, there is a limit to the treatment available at a small hospital due to the heavy daily volume, especially of emergency cases.