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Treat Seizures

Important Information

Seizures or convulsions may result from epilepsy, heat stroke, poisoning, hypoglycemia, high fever in children, brain injury, stroke or electric shock; Follow primary care procedures

Indications that a person is having a seizure includes jerking limbs, eyes rolled up in a fixed daze, tightly gritted teeth, and possible foaming in the mouth

They may also suffer breathing difficulties with blueness around the lips and face (cyanosis); It is not uncommon for a seizure patient to show signs of incontinence (involuntary urination or defecation)

Treat a seizure as a medical emergency when the patient does not have epilepsy or a seizure disorder, if the seizure lasts for more than five minutes, has a series of seizures or there are associated injuries and illnesses that require care

Patient Care; Seizures

  • STOP - Assess and observe the scene; Does the patient have a seizure disorder?

  • THINK - Consider your safety and form action plan; Are there harmful objects near the patient?

  • ACT - Check responsiveness, look for a medical alert tag and Alert EMS

  • During the seizure, attempt to protect and cushion the patient's head and move objects out of the way but do not restrain the patient

  • Wipe away any excess foam from the mouth and nose; Do not force anything into the casualty's mouth or hold the casualty down as this may cause injury

  • Take note of the duration of the fits and pass this information to the paramedics

  • After a seizure and when the fitting has stopped, conduct your primary assessment and place a breathing patient in the recovery position

  • For a patient with a seizure disorder, support and reassure the patient until they are recovered

  • For a patient with no history of seizures or if the patient is injured, continue to monitor the patient's Cycle of Care until EMS arrives