Seizures
30
December

By Adem Lewis / in , , , , , , /


Now, let’s cover seizures for the adult in
what to do when it happens in the workplace. So, when a person goes into a seizure, they
could have gone into that for so many different reasons its unbelievable. So, to focus on
why it happened is not the bigger point, the fact is, is recognizing that it did happen.
We saw that she went into what we call a tonic state, hands were gripped, they were pointed
towards her body, she was seizing actively, and then went into what we call a postictal
state or a relaxed recovery state. While the patient is actually seizing, its important
to do a few things. Make sure that whatever is around them is not going to actually harm
them more. So, if there are sharp objects that they can actually bump into when they
were seizing, we want to either move the object or either move the patient, so that they don’t
get her further. If they seem to be having what we call a tonic clonic seizure where
their contracting and relaxing, contracting and relaxing, they might be hanging their
head on a hard surface like a cement floor. It is important for us to protect their head
which we can do by cupping their hands to just give them a little cushion in, so that
while they’re actively seizing, they’re not also causing a head injury. Now, once a patient
has come out of seizure, we need to assess a couple things. One, has EMS been activated?
As soon as we see that they are in a seizure, and we don’t know that there is an ongoing
epileptic they don’t have any standing rules, we’re gonna call 911. But if we are near the
patient, and we can send somebody to do that, we will be using that time down to assess
them for whether or not they’re breathing, or whether they are moving and beginning to
come back to consciousness. If this patient is not breathing and not moving, and doesn’t
respond to our taps and shouts, we’re gonna go right into the CPR and call for an AED.
If this person starts to breathe which is fairly normal during the postictal state,
we’re going to assess them to see is this agonal respiration’s or are they breathing
more in a corrective measure. If they are beginning to breathe, then we’re gonna go
ahead and do the recovery position to help them keep their airway opening clear while
they recover from the seizure, and we wait for EMS to arrive. The way that we do this
is we elevate the arm closest to us up over their head. We bring the farthest leg away
over, and we cross their legs. Grabbing their wrist in their hip underneath their head and
neck, we roll the patient onto their side. We lift their head, untuck their hand, and
bend their arm up underneath their head. Notice how they now have a face that’s pointing towards
the ground, allowing gravity to help clear their airway. We then bring their knee up
as a kickstand to help protect them all the way over. If they seem to be showing signs
of shock, like cool, pale, sweaty, rapid pulse, we can cover them with a sheet quarter blanket,
and allow them to recover. While we’re waiting for EMS to arrive, we’re gonna be assessing
for breathing and for recovery, a sign maybe they’re talking to us, maybe they’re saying
what happened, maybe they’re saying oh my head really hurts, but any of that stuff is
good signs, that they’re recovering out of the seizure. Make sure you understand that
a seizure patient is low on oxygen, they’re confused, they had an electrical storm in
their brain, and they might be confused, they could even be combative, they might wanna
try to get up, they don’t know where they’re at, and that can last for a few minutes. So
just don’t try to hold them them down during a seizure, don’t stop them from seizing, just
help support them and protect them during the seizure, and help protect them for more
serious situations like cardiac arrest while we await EMS to arrive.


5 thoughts on “Seizures

  1. hello my name is Sophie and here is my epilepsy story
    when I was a baby i had a febrile seizures i stopped breathing and turned blue my mom gave me mouth to mouth and by the time the EMTS arrived i stopped seizing . In pre k i would get angry and punch any thing that was in front of me that is when it was suggested that my parents should take me to a therapist. he took one look at me and said that I was having seizures he then referred me to a neurologist. At the at the age of 5 I was diagnosed with childhood absence epilepsy but have been seizure free since the age of thirteen and so was taken of meds which caused massive weight gain a hand tremor and memory loss. The point is meds are good up until a point an then it becomes a pill no pun intended. my triggers are flashing lights, specifically the transition from the out doors to inside a classroom getting too hot photo and recently sleep deprivation. my parents were told to treat me as a normal child and to see how fare I would develop and look at me now I have graduated high school with honors though I did hope for a regents diploma but after taking the algebra common core regent seven times starting out with a 40 and ending up with a 57 oh well. I start collage in July not august as you can infer I was not expected to do much of what I just mentioned
    The effects of my seizures is that i have orthotic because due to my seizures that i had straight feet at birth i also have a sensory processing disorder. i have low gross motor control and other motor issues as well.
    After my father died, it seems I have had a relapse if that is possible. i still have my absence seizure but it is not enough to put me on meds . i have been getting driving lesson and have 10 -20 seizures in the drivers seat. i take omega 3 cod liver oil liquid form as i can not swallow pills this helps decrease the too -small -to -medicate -seizures i have very small seizures that show up on the EEG as misfired neurons and the Dr. called them "flurries" so here is what my flurries are typically like i will become very spacey i can not interact with my surroundings i also felt locked in to place. i am completely aware my vision becomes like a tunnel and thing start to move or vibrate on there own an absent seizure lasts 1 second but these flurries can last 5-10 minutes.

  2. Thank you 🙂 Most people need to know this. Unfortunately, not a lot of people don't know what to do when a person is having a seizure.

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