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To determine the effect of imaging and electroencephalography on emergency department (ED) length of stay.

Seizures and seizure-like activity comprise 1% of all of pediatric visits to the pediatric ED. There is no clear consensus on the evaluation and management of pediatric patients presenting to the ED with seizures. Guidelines on neuroimaging and encephalography are not based on strong evidence and patients often undergo unnecessary testing that leads to prolonged ED visits. Lower ED length of stay has been linked to improved patient experience and may reduce ED overcrowding.

This is a retrospective cohort study involving patient records over the period of 6 months at an urban tertiary children’s hospital who presented with seizures. Febrile seizures, seizures associated with trauma, and charts of patients who did not present initially through our ED were …