First Aid/Seizures
Introduction — Issues in Providing Care — Primary Assessment & Basic Life Support — Secondary Assessment — Circulatory Emergencies
Respiratory Emergencies — Soft Tissue Injuries — Bone & Joint Injuries — Environmental Illness & Injury
Medical Conditions & Poisoning — Advanced Topics — Appendices — Meta content
Introduction
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A seizure occurs when the electrical activity of the brain becomes irregular. When the electrical activity is severely irregular, the result may be a seizure. A seizure is a medical emergency. Seizures may be caused by either an acute or chronic condition such as epilepsy.
Risk Factors for Seizures:
- Head trauma
- Infections and malignant or benign tumors of the brain or spinal cord
- Epilepsy
- Stroke
- Drug use or withdrawal
- Hypoglycemia (Low Blood Sugar)
- Heat Stroke
- First Aid/Allergy
- Fever in infants
- Noncompliance with anticonvulsives, lack of sleep, excessive stress, fever, severe infection, hypoglycemia or dehydration (lack of sufficient nutrition), and exposure to bright light can all trigger seizures in those who have epilepsy or are otherwise predisposed to them
Often before a seizure occurs, the victim may feel an aura, which is an unusual sensation that typically precedes seizures. Auras may come in many forms, such as a strange taste in the mouth, tingling in the limbs, or the visual disturbance of "flashing lights"; often if the person is epileptic, they may be aware that a seizure is imminent and may tell others or sit or lie down to prevent injury.
Recognition
editTypically seizures usually last no more than three minutes. Some common occurrences during a seizure include stopped or irregular breathing, body rigidness or convulsing, defecation, urination, and drooling. Some forms of seizure, such as Status Epilepticus or a "Status seizure" do not cease without medical intervention - a Status seizure is where the patient begins to have a seizure, and appears to come out of it, but without regaining consciousness immediately begins to seize again.
Treatment
edit Don't do this!
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| Never try to restrain the seizure. Never put anything in the mouth. |
Seeing a seizure may be a frightening experience which may cause you hesitation to act to aid the victim. However, it is very easy to care for the victim. Never attempt to hold them in any way to stop their seizure - the victim is unaware that it is occurring and is unable to control it. Attempting to restrain an individual having a seizure may result in injuries to both you and the victim. Also, do not attempt to stick anything into the victim's mouth - the victim will not swallow their tongue and sticking something in their mouth can cause further injury or death. The tongue may obstruct the airway during the seizure, but this is normal.
In the event of a Status seizure being noticed, as described above, it is important to get Emergency help as quickly as possible - you should explain to any call handler or dispatcher that the patient is having a continuous seizure. These types of seizure can only be terminated by the administration (by trained EMS personnel or an MD) of Diazepam, usually anally or via intramuscular injection.
Care for Seizures:
- Call EMS or have someone call for you.
- Move anything the victim can injure themselves with away from the victim such as chairs or other objects.
- Gently support the victim's head to prevent it from hitting the ground.
- Request that all bystanders move away (persons having a seizure are often embarrassed after their seizure).
- After the seizure has ended, roll the victim into the recovery position but only if you do not suspect a spinal injury.
After the seizure, the victim will slowly "awaken." Ensure that bystanders are away and offer reassurance for the victim. Victims who have a seizure in public are often self-conscious about their condition. The victim will be very tired after his seizure. Continue to reassure the victim until he or she is fully aware of the surroundings or until EMS arrives.
