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Civilian Emergency Platform
DEVELOPMENT FIXTURE — Person with known seizure disorder having prolonged or repeated seizure, or first unusual seizure.
DEVELOPMENT FIXTURE — NOT EXPERT REVIEWED — NOT FOR PUBLIC DISTRIBUTION
DEVELOPMENT FIXTURE — Generalized tonic-clonic over 5 min, clusters without recovery.
DEVELOPMENT FIXTURE — First ever seizure in person with epilepsy unusual trigger — still call.
Scene hazards: Aspiration, Postictal confusion wandering
DEVELOPMENT FIXTURE — Start phone timer.
DEVELOPMENT FIXTURE — Roll gently on side if possible during clonic phase pauses.
DEVELOPMENT FIXTURE — After stop — check breathing, speak calmly.
DEVELOPMENT FIXTURE — Administer prescribed rescue med if caregiver trained — else 112.
DEVELOPMENT FIXTURE — Call 112. Known epilepsy, seizure duration [X] min, injury yes/no.
DEVELOPMENT FIXTURE — Bring seizure action plan document if available.
DEVELOPMENT FIXTURE — ER if prolonged or cluster per neurologist plan.
DEVELOPMENT FIXTURE — Head injury during convulsion — scan consideration.
DEVELOPMENT FIXTURE — Do NOT restrain limbs.
DEVELOPMENT FIXTURE — Do NOT give food drink until fully alert.
MYTH: DEVELOPMENT FIXTURE — All seizures need immediate ambulance
REALITY: DEVELOPMENT FIXTURE — Many brief known seizures end safely — call if over 5 minutes, injury, or breathing trouble after.
DANGER: DEVELOPMENT FIXTURE — Conversely, waiting too long in status epilepticus.
DEVELOPMENT FIXTURE — Status epilepticus kills — timer drives 112 decision.
DEVELOPMENT FIXTURE — VNS or buccal midazolam may be in care plan — not universal.