Administration of anticonvulsive rescue medication in children—discrepancies between parents’ self-reports and limited practical performance

Abstract

• For seizures with duration of more than 5 min, the administration of anticonvulsive rescue medication is recommended. • Outside the hospital, the administration of rescue medication to children is performed most frequently by their parents. What is New: • Most of the parents reported that they had never experienced problems in handling anticonvulsive rescue medication. • But in the observed drug-handling performances, identified errors committed by parents were alarmingly frequent and pose a high clinical risk according to an expert panel.

Seizure management by preschool teachers: A training concept focussing on practical skills

“…We used dummy dolls as assessment instruments along the lines previously described by Kaune, Schumacher et al [15]. This allowed us to assess the practical performance of individual participants in the administration of rescue medication before and after the training independently from other participants.…”

“…A prepared doll was used for administration of a rectal tube, as was an artificial mouth reproduction for administration of a buccal syringe. To facilitate data assessment during the limited time frame before and after the training, we adjusted the dummy doll protocol as described by Kaune, Schumacher et al [15] by focussing on basic application steps of the administration of rescue medication. As a result, in our setting, 5 potential handling errors were investigated for rectal administration and 3 for buccal administration.…”

Public’s perspectives on guideline‐recommended self‐medication consultations in German community pharmacies

“…This is consistent with findings in the literature (Taylor, 1994). Nevertheless, it should be noted that patients might administer drugs incorrectly, even though they have used them before (Kaune et al, 2016; Mira, Lorenzo, Guilabert, Navarro, & Pérez‐Jover, 2015). Confidentiality issues also were cited as important reasons for declining consultation; respondents were reluctant to talk about certain medical conditions and did not like that other customers might listen to their conversations.…”

Interdisziplinäre Konzepte von Pädiatrie und Klinischer Pharmazie zur Optimierung der Antikonvulsivatherapie

“…waren die Art der Anwendung und die genauen Handhabungsschritte der speziellen Darreichungsformen zur rektalen oder bukkalen Anwendung nicht ausreichend bekannt. Hierzu gehören eine ungeeignete (insbesondere zu schnelle) oder falsch lokalisierte Anwendungsweise, ein unbeabsichtigter Verlust des Arzneimittels bei der Applikation (und damit falsch applizierte Arzneistoffmenge) und eine zur Arzneimittelapplikation ungeeignete Körperposition [17,27]. 11 % der Befragten gaben an, schon einmal selbst in einen Anfall eines von ihnen betreuten Kindes involviert gewesen zu sein.…”

“…B. bei einem Hausbesuch, ermöglichen. Diese neu entwickelten innovativen Instrumente haben sich als erfolgreich erwiesen, um Fehler im praktischen Handling, die bei der Verabreichung von antikonvulsiven Notfallarzneimitteln auftreten können, zu detektieren [27]. Inter-essant war dabei die erhebliche Diskrepanz zwischen der Selbsteinschätzung der Eltern, die in die Arzneimittelanwendung involviert waren, und der anhand der Puppen ermittelten praktischen Performance.…”