Is it safe to say that every single individual who begins having a seizure (out of hospital) should have EMS called and be taken to the Emergency Department?
No.
But specific, safe, guidelines and training for EMS personnel has to occur before implementation. A system has to be created, follow by training. The system has to be re-evaluated at regular intervals and updated with new validated evidence-based practice. This system has to be arrange in such a way that data can be collected to assess the system.
Arnulfo A. Garcia MHS, PA-C, EM-CAQ
Some safe practice should be done before go to EMS. These based on evidence- based guidelines, at the same time call EMS.
Yes definitely, all those with seizures should be managed immediately with EMS to prevent hypoxic brain damage and morbidity. No chances to be taken assuming that seizure activity well be self limiting and won't recur.
the answer is no... not all seizures need transported to the emergency department... the most expensive community safety net of all.... because in many instances the receiving facility may feel compelled to do the "million dollar workup" and give the most frequent and frustrating answer "we have no answer for WHY the seizure happened"
...many seizures are the benign way a brain resets itself.... it depends on what has CAUSED the seizure, and upon whether airway, breathing, and circulation are maintained without difficulty.... for instance, none of our kids have ever been taken in to the emergency department for any of their seizure behaviors.... and all have continued their productive and over-achiever lives just fine!!! we DID assess and address their FEVER... since in their case it was the apparent cause and NOT recurrent or progressive... another EXCELLENT reason to network with your EMS folks..... "KNOW US BEFORE YOU NEED US!!!" feel free to Google "Meredith Addison emergency nurse" and let's network to "GET E.R. DONE!!!"
As a registered paramedic and associate tutor with Robert Gordon Uni I am keen to explore who you are collaborating with on this piece of research? I am assuming you are using JRCALC and are you aware that the Welsh Ambulance Services NHS Trust's (WAST) response , in collaboration with welsh Assembly Government (early 2000's) created an assess and refer scheme and have build upon this over the years. Once of the evidence based referral pathways later created was for resolved epileptic seizure. They developed a training program and strict criteria for when and how an individual could be left at home by a WAST paramedic. I am sure you may already have come across this information, bit thought I'd post in case you hadn't :-) Kind regards and good luck Yvette
I answer yes. In Thailand, seizures is an emergency condition to save airway and reduce the excitement of caregiver.
Hello Thitdhi yes it is in the uk too but the referral scheme I mentioned always had an emergency response from the ambulance service and used only qualified and well trained paramedic's to make clinical decisions. Is just that the outcome for everyone want always a trip to the emergency department . I hope that helps clarify my comments . Also only trying to suggest more sources for you to explore if you hadn't already 👍 Good luck with the study 🍀
sidebar to the mention with Paramedics and Scotland... STAG (Scottish Trauma Advisory Group) is one I have been keen to network and connect with from WAY out here in the rural Hoosier Cornfields of Indiana
No, plenty of people live with epilepsy or other seizure conditions and do not require transport to hospital after each seizure.
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