2019 EMT Refresher Instructor Manual

SEIZURE

Situation: 9-year-old, dispatched to school as altered mental status

B.3.D

Scene Size-up: Safety:

Scene is safe

BSI:

Gloves

Patients: 1 Mechanism/Nature: NOI – Seizure Resources: ALS

Primary Assessment: General Impression: Patient sitting in chair staring at wal Mental Status: Alert Airway: Patent Breathing: 12 per minute Circulation:

Palpable pulse at wrist, warm/dry, no severe bleeding

Medic Alert: “Petit Mal Seizures”

Desired Response: Primary then focused secondary

Physical Exam: Head:

Unremarkable

Neck:

Unremarkable

Chest :

Unremarkable Breath sounds clear

Vita ls: 1 Pulse: 90

2

3

92

88

Abdomen:

Unremarkable

BP:

104/80

108/76

110/72

Pelvis:

Unremarkable

Resp: 12

12

12

Extremities:

Unremarkable

SPO2: 95

96

96

Posterior :

Unremarkable

SAMPLE: (bystander)

OPQRST: O:

N/A N/A N/A N/A N/A

S: A:

He was taking then stopped mid-sentence

P: Q: R:

None

M:

Phenobarbitol

P: L: E:

Seizures

S: T:

Oatmeal 2 hours ago

20 minutes

was in class when he stopped responding

OTHER: SEIZURE WILL STOP AFTER 20 minutes