Seizures & Epilepsy

Seizures & Epilepsy

Epilepsy is just one cause of seizures – others include lack of oxygen to the brain, cardiac arrest, heady injury or raised body temperatures.

Signs & Symptoms

  • Some casualties experience an ‘aura’ sensation before a seizure. Someone who has experienced seizures before might therefore be aware that they are about to have one.
  • Initial stage – the body becomes rigid and the casualty falls. The casualty’s back may then arch and there may be blueness at the lips.
  • Second stage – limbs start to jerk, eyes might roll back, and the teeth might clench with saliva coming out of the mouth. The casualty might lose some bowel and/or bladder control.
  • Recovery stage – following the convulsions the casualty will likely remain unresponsive for a few minutes, with responsiveness gradually returning. The casualty might feel tired.

Treatment

  1. Assist the casualty to the floor.
  2. Try to find out if it has happened before (alert bracelet or someone who may know the person).
  3. Remove any danger, for example furniture nearby.
  4. Loosen tight clothing around the neck, never put anything in the casualty’s mouth or try to restrain the casualty.
  5. Protect the head with your hands or fold up a coat or towel to place by the side of the head.
  6. Time the seizure duration.
  7. Check airway & breathing after the seizure, use the recovery position if they are unconscious.
  8. Call 999/112 if:
    • It is the first seizure they have had
    • The seizure is over 5 minutes duration
    • The casualty has repeated seizures
    • Any injuries have been sustained
    • They haven’t regained consciousness.

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