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  6. Generalised convulsive status epilepticus in adults (1003)
Please update your RDS mobile app to version 4.7.1

We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. When you install the update, you will see that each toolkit has a small QR code icon the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.

You may need to actively install the update to install RDS app version 4.7.1 to see this improvement. Installing this update is also strongly recommended to get the full benefits of the new contingency arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits. 

To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number.  To install latest updates:

On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.

On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.

Please get in touch with ann.wales3@nhs.scot with any questions.

Generalised convulsive status epilepticus in adults (1003)

Convulsive status epilepticus (continuing or recurrent seizures over 5 minutes, or without recovery) is a medical emergency with a 16–39% mortality rate. There is a risk that seizures will cause cerebral damage if not controlled within 30 minutes of onset.


This guideline outlines the general management of convulsive status epilepticus in adults (those ≥ 16 years old) and is based on the SIGN guideline for diagnosis and management of epilepsy in adults and up-to-date trial information. Treatment may differ in individual clinical circumstances. Consult specialist guidelines for advice on the management of status epilepticus in pregnant patients.


The management of convulsive status epilepticus is outlined in the treatment pathway below, more detail regarding choice, dosage and administration of antiepileptic drugs can be found by following the relevant links throughout the document.

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Editorial Information

Last reviewed: 26/07/2024

Next review date: 16/03/2025

Author(s): Russell Hewett, Emma Russell, Laura Stobo.

Version: 2

Author email(s): russell.hewett@ggc.scot.nhs.uk.

Approved By: Medicines Utilisation Subcommittee of ADTC

Reviewer name(s): Russell Hewett.

Document Id: 1003