First Aid skills. What to do if someone is fitting (aka tonic clonic seizure, epilepsy, grand mal). скачать в хорошем качестве

First Aid skills. What to do if someone is fitting (aka tonic clonic seizure, epilepsy, grand mal).

This re-enacted training video shows how to manage a tonic-clonic seizure. Seizures can have many causes: meningitis, brain tumour, head injury, poisoning, oxygen deprivation, heat stroke, to name a few. If the seizures repeat but the cause is unknown, they are referred to as epileptic seizures. First Aid management of someone having a seizure is the same. Always start with assessing the dangers. D-Dangers. Protect yourself from danger, then consider the safety of others and finally the patient. So if the patient is somewhere dangerous, like the edge of a railway platform, you may feel safe to ask people to stand away from the edge and then drag the patient away from the edge. However, if they had fallen onto the tracks, you would not jump down onto the tracks. If you recognise that the patient is going to have a seizure, help them onto the ground to prevent injury from a fall. The patient's head can be banging against the hard floor, so protect their head by cradling it in your hands. Do not use a pillow that would force the chin towards the chest - you are compromising the airway. If they are wearing a tie, or there is anything else that is tight around the neck, then it can be slackened. Make a note of the time. We NEED to know how long the seizure lasts. Most seizures will last between 30 seconds and 2 minutes. 5 minutes is an excessive time for a seizure. Once the seizure has stopped the patient is likely to be in a sleepy state (medically this is known as being post-ictal). We MUST perform a Primary Survey. Check for any new Dangers. Check for a Response. Open the Airway. Assess the Breathing. Check the Circulation. Warning: Some seizures are triggered when the heart stops beating and the brain is now deprived of oxygen. This person is now in cardiac arrest. If the patient is not breathing normally it's VITAL that you start the resuscitation protocol. Call 999, start CPR while someone goes for a defibrillator. Use the defibrillator at the earliest opportunity. After a seizure many patients have an airway problem either due to a floppy tongue, saliva, or blood from biting their tongue. Vomit would also be an airway risk. If the person has airway problems they will need to be put into the Recovery Position. After a seizure some patients regain consciousness quickly but are in a very confused post-ictal state. You may have to take action to stop them from walking out in front of a bus! The ambulance or police service can help in these situations. Some people will ALWAYS need to go to hospital:- If this is their first seizure. If the seizure lasts more than 5 minutes. If the seizure stops but then they have a second seizure If they have injured themselves. If there is anything that puts you outside your comfort zone, e.g. an airway problem, or they are still unresponsive 5 minutes after the seizure stopped. If the person is with a partner/guardian/parent/carer who is willing to take responsibility for the patient, then it may be that they leave the scene and go home to complete their recovery there.