first aid management of patient with seizure

types,causes,management of pt with seizures

1. Seizure In children I ncidence, assessessment and management

2. Definition Status epilepticus Defined as continuous seizure activity lasting more than 30 min or 2 or more seizures in this duration without gaining consciousness between them

3. PATHOPHYSIOLOGY OVERACTIVITY OF BRAIN CELLS DUE TO TRIGGERING FACTORS INCREASED ELECTRICAL EXCITABILITY SEIZURE

4. Management Initial stabilization Termination of seizure Evaluation and treatment of underlying cause

5. Initial stabilization Keep in safe place : If you see pt falling ,try to ease fall Prevent injury by clearing the area around the person of anything hard or sharp Place soft clothes , folded jacket under his head. Don’t restrain the patient Maintain Airway Patency : left lateral position clear secetions Don’t insert anything in mouth( eg spoon) Head tilt, chin lift , jaw thrust to prevent toungue fall Loosen tie ,clothing around the neck Remove artificial dentures if possible

6. Breathing: donot try artificial respiration Monitor vital parameters Wait till the seizure controls USE DRUGS IF AVAILABLE AT UR CENTRE After seizure: check consciousness monitor vitals keep in recovery position

7. Refer if: Seizure for more than 5 min or repeated seizure Patient unconscious Patient injured Cause of seizure is unknown Associated diseases Patient is aggressive Seizure occurred in water

8. Evaluation for underlying cause blood investigations: CBC,RFT,LFT,CALCIUM,MAGNESIUM,BLOOD SUGAR CT head EEG Lumbar puncture

9. SEIZURE VS HYSTERIA NOTE IT DOWN

10. Questions ?