Table 4.

Audit data collection tool to monitor implementation of the CPG for management of CSE in children.

Items done and documented in the patient medical records
Diagnosis
Date of birth (DOB):	- - / - - / - - - - (day/month/year)
Type of patient	◻New onset seizures ◻Known patient with seizures
Type of seizures	◻Generalized	◻Focal
Anti-epileptic drug (AED) levels done	◻YES	◻NO	◻Not Indicated
Toxicology screening done	◻YES	◻NO	◻Not Indicated
Blood cultures done	◻YES	◻NO	◻Not Indicated
Lumbar puncture (LP) done	◻YES	◻NO	◻Not Indicated
Electroencephalography (EEG) done	◻YES	◻NO	◻Not Indicated
Neuroimaging studies done:
CT	◻YES	◻NO	◻Not Indicated
MRI	◻YES	◻NO	◻Not Indicated
Treatment
Response to First-line therapy (Benzodiazepines):	◻YES	◻NO
Response to Second-line therapy (Phenytoin):	◻YES	◻NO
Response to Third-line therapy (Phenobarbitone):	◻YES	◻NO
Response to Alternative therapy:	◻YES	◻NO
Type of medication
Levetiracetam	◻YES	◻NO
Valproic acid	◻YES	◻NO
Response to Fourth-line therapy:-
Midazolam Infusion	◻YES	◻NO
Thiopental Infusion	◻YES	◻NO
Pentobarbital Infusion	◻YES	◻NO
Admission to PICU	◻YES	◻NO
Intubation/ Ventilation needed	◻YES	◻NO
Length of stay (LOS) (Days/Hours):-  •Department of Emergency Medicine (DEM)  • Pediatric Intensive Care Unit (PICU)  • Inpatient ward  • Total LOS	--/-- --/-- --/-- --/--
Patient outcome	◻Discharged	◻Died
Follow up appointment in the Pediatric Neurology Clinic provided:	◻YES	◻NO