Abstract:Objective:To determine whether a pocket card treatment algorithm improves the early treatment of status epilepticus and to assess its utilization and retention in clinical practiceMethods:Multidisciplinary care teams participated in video-recorded status epilepticus simulation sessions from 2015 to 2019. In this longitudinal cohort study, we examined the sessions recorded before and after introducing an internally developed, guideline-derived pocket card to determine differences in the adequacy or timeliness of rescue benzodiazepine. Simulation participants were queried 9-months later for submission of a differentiating identification number on each card to assess ongoing availability and utilization.Results:Forty-four teams were included (22 before and 22 after the introduction of the pocket card). The time to rescue therapy was shorter for teams with the pocket card available [84 seconds (64 – 132)] compared to teams before introduction [144 seconds (100 – 162)] (U = 94; median difference = -46.9, 95% CI = -75.9 to -21.9). The adequate dosing did not differ with card availability (OR 1.48, 95% CI: 0.43-5.1). At 9-month follow-up, 32 participants (65%) completed the survey, with 26 (81%) self-reporting having the pocket card available and 11 (34%) confirming ready access with the identification number. All identification numbers submitted corresponded to the hard copy laminated pocket card, none to the electronic version.Conclusions:A pocket card is a feasible, effective, and worthwhile educational tool to improve the implementation of updated guidelines for the treatment of status epilepticus.