Drug resistant status epilepticus and seizures are some of the highest stakes emergencies in the ED. In this episode, we explore the ketogenic diet as an emerging strategy for patients who continue seizing despite standard therapy. We highlight how quickly seizure control can be achieved, why early initiation in critically ill patients is gaining attention, and how this therapy is starting to influence acute care decision making. Tune in to see how a traditionally outpatient therapy is stepping into the ED and ICU playbook for bedside seizure management.