2015 Trumbull Memorial Hospital Demo

Seizure Seizure

Universal Patient Assessment

Clinical Considerations Seizure may be caused by:  Hypoxia  Head trauma  Toxicity  Electrolyte imbalance  Eclampsia  CNS disturbance (CVA/TIA)

Protect patient’s head but do not restrain patient.

Adult Airway Protocol

Cardiac Monitor

Clinical Considerations If eclampsia is the suspected cause, see Eclampsia / Preeclampsia Protocol

Consider the need for rapid transport or ALS response.

Check BGL

Abnormal

Clinical Considerations  The IM route is chosen for speed of seizure termination.  DO NOT wait to start an IV before giving Versed.  Give Versed IM, then attempt the IV/IO.  DO NOT give Versed IV at these doses.

Normal

Hypoglycemia Protocol

If actively seizing:

Versed 10mg IM only  May repeat once in 3-5 minutes at 5mg if necessary.  Versed should be given IM regardless of IV presence.

Adult IV/IO

Clinical Considerations Seizures are common and not necessarily a life threat. Status Epilepticus is a life threat.

 Duration > 5 minutes  > 2 seizures without

consciousness between them  Repeated seizures for > 30 minutes

36

EMR

EMT

AEMT

Paramedic

Extended