Seizure - Revision history

Treloars at 14:31, 24 April 2020

2020-04-24T14:31:48Z

← Older revision		Revision as of 14:31, 24 April 2020
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	[[Initial Medical Assessment and Care\|INITIAL MEDICAL CARE]] (2.01) - [[~~Medical Gases~~\|OXYGEN]] @ 100% via NRB mask:		[[Initial Medical Assessment and Care\|INITIAL MEDICAL CARE]] (2.01) - [[Oxygen\|OXYGEN]] @ 100% via NRB mask:
	* Institute if patient had a grand mal seizure PTA or is actively having grand mal seizure.		* Institute if patient had a grand mal seizure PTA or is actively having grand mal seizure.
	* Protect airway and protect patient from injury. Vomiting / aspiration precautions. Place nothing in mouth during seizure. Observe type, location and duration of seizure activity.		* Protect airway and protect patient from injury. Vomiting / aspiration precautions. Place nothing in mouth during seizure. Observe type, location and duration of seizure activity.

Treloars at 14:00, 24 April 2020

2020-04-24T14:00:12Z

← Older revision		Revision as of 14:00, 24 April 2020
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	* Obtain and record blood sugar level and refer to [[Hypo or Hyperglycemia\|HYPO / HYPERGLYCEMIA PRACTICE PARAMETERS]], (5.10) as indicated.		* Obtain and record blood sugar level and refer to [[Hypo or Hyperglycemia\|HYPO / HYPERGLYCEMIA PRACTICE PARAMETERS]], (5.10) as indicated.
	* If current seizure activity lasting greater than 10 minutes,		* If current seizure activity lasting greater than 10 minutes,
	** [[~~Sedative Hypnotics~~\|~~DIAZEPAM~~]] 2 - 20 mg Slow IVP for adults, titrated to control seizure activity. If no IV access, administer [[~~Sedative Hypnotics~~\|~~DIAZEPAM~~]] 10 - 20 mg IM up to a total of 2 ml per large muscle injection site or 1 ml per small muscle injection site.		** [[Valium\|VALIUM]] 2 - 20 mg Slow IVP for adults, titrated to control seizure activity. If no IV access, administer [[Valium\|VALIUM]] 10 - 20 mg IM up to a total of 2 ml per large muscle injection site or 1 ml per small muscle injection site.
	** '''''OR''''' [[~~Sedative Hypnotics~~\|MIDAZOLAM (VERSED)]] 5 mg IV, IM, IO or IN.		** '''''OR''''' [[Versed\|MIDAZOLAM (VERSED)]] 5 mg IV, IM, IO or IN.

	* Refer to Handtevy System for pediatric administration. If no IV access in PEDIATRICS, rectal administration may be used, per Handtevy System.		* Refer to Handtevy System for pediatric administration. If no IV access in PEDIATRICS, rectal administration may be used, per Handtevy System.

Treloars at 02:16, 31 January 2018

2018-01-31T02:16:00Z

← Older revision		Revision as of 02:16, 31 January 2018
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	*Any Questions, refer to [[Refusal of Service\|REFUSAL OF SERVICE PRACTICE PARAMETER]] (1.03)		*Any Questions, refer to [[Refusal of Service\|REFUSAL OF SERVICE PRACTICE PARAMETER]] (1.03)

	[[Category:Medical]]		[[Category:Medical\|0512]]

Treloars: /* Section 5 -MEDICAL */

2016-04-25T19:03:06Z

Section 5 -MEDICAL

← Older revision		Revision as of 19:03, 25 April 2016
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	** '''''OR''''' [[Sedative Hypnotics\|MIDAZOLAM (VERSED)]] 5 mg IV, IM, IO or IN.		** '''''OR''''' [[Sedative Hypnotics\|MIDAZOLAM (VERSED)]] 5 mg IV, IM, IO or IN.

	* Refer to ~~Broselow Tape~~ for pediatric administration. If no IV access in PEDIATRICS, rectal administration may be used, per ~~Broselow Tape guidelines~~.		* Refer to Handtevy System for pediatric administration. If no IV access in PEDIATRICS, rectal administration may be used, per Handtevy System.
	* Observe patient's sensorium and airway during post-ictal period. Note any injury sustained during seizure and / or any incontinence.		* Observe patient's sensorium and airway during post-ictal period. Note any injury sustained during seizure and / or any incontinence.
	* If febrile seizure, refer to [[Pediatric Febrile Emergency\|PEDIATRIC FEBRILE EMERGENCY PRACTICE PARAMETER]] (7.10).		* If febrile seizure, refer to [[Pediatric Febrile Emergency\|PEDIATRIC FEBRILE EMERGENCY PRACTICE PARAMETER]] (7.10).

Treloars: /* Section 5 -MEDICAL */

2012-04-02T01:45:11Z

Section 5 -MEDICAL

← Older revision		Revision as of 01:45, 2 April 2012
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	** New onset of seizures		** New onset of seizures
	*Any Questions, refer to [[Refusal of Service\|REFUSAL OF SERVICE PRACTICE PARAMETER]] (1.03)		*Any Questions, refer to [[Refusal of Service\|REFUSAL OF SERVICE PRACTICE PARAMETER]] (1.03)

			[[Category:Medical]]

Treloars: Created page with "==Section 5 -MEDICAL== ===5.12 SEIZURE=== INITIAL MEDICAL CARE (2.01) - OXYGEN @ 100% via NRB mask: * Institute if ..."

2012-02-02T14:32:27Z

Created page with "==Section 5 -MEDICAL== ===5.12 SEIZURE=== INITIAL MEDICAL CARE (2.01) - OXYGEN @ 100% via NRB mask: * Institute if ..."

New page

==Section 5 -MEDICAL==
===5.12 SEIZURE===

[[Initial Medical Assessment and Care|INITIAL MEDICAL CARE]] (2.01) - [[Medical Gases|OXYGEN]] @ 100% via NRB mask:
* Institute if patient had a grand mal seizure PTA or is actively having grand mal seizure.
* Protect airway and protect patient from injury. Vomiting / aspiration precautions. Place nothing in mouth during seizure. Observe type, location and duration of seizure activity.
* Obtain and record blood sugar level and refer to [[Hypo or Hyperglycemia|HYPO / HYPERGLYCEMIA PRACTICE PARAMETERS]], (5.10) as indicated.
* If current seizure activity lasting greater than 10 minutes,
** [[Sedative Hypnotics|DIAZEPAM]] 2 - 20 mg Slow IVP for adults, titrated to control seizure activity. If no IV access, administer [[Sedative Hypnotics|DIAZEPAM]] 10 - 20 mg IM up to a total of 2 ml per large muscle injection site or 1 ml per small muscle injection site.
** '''''OR''''' [[Sedative Hypnotics|MIDAZOLAM (VERSED)]] 5 mg IV, IM, IO or IN.

* Refer to Broselow Tape for pediatric administration. If no IV access in PEDIATRICS, rectal administration may be used, per Broselow Tape guidelines.
* Observe patient's sensorium and airway during post-ictal period. Note any injury sustained during seizure and / or any incontinence.
* If febrile seizure, refer to [[Pediatric Febrile Emergency|PEDIATRIC FEBRILE EMERGENCY PRACTICE PARAMETER]] (7.10).

'''''PATIENT REFUSALS'''''
*If a patient has been treated for seizures, transport is not required if:
** The patient is stable.
** The patient has a competent adult that will remain with the patient for hours.
** The patient understands and agrees to the following instructions to take medication if indicated and call back if necessary.
* For seizures, the patient cannot have:
** fever
** repetitive seizures
** an unusual seizure for the patient
** New onset of seizures
*Any Questions, refer to [[Refusal of Service|REFUSAL OF SERVICE PRACTICE PARAMETER]] (1.03)