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Seizures

What is a Seizure?

       A Seizure is a miscommunication between the nerve cells and the brain.  When a seizure occurs normal brain functions are impaired and sometimes brain damage can occur.  There are two kinds of seizures, General (tonic-clonic or ‘grand-mal’) and Partial (temporal lobe).  General seizures affect small areas of the brain while Partial seizures affect the whole brain. Seizures usually last only a few minutes (in between 1 and 10) and must run their course before they end.

Causes:

Seizures can be caused by:

  • High fevers (especially in infants and young children) these are known as “fever fits”
  • Epilepsy
  • Brain injury, strokes
  • Infection
  • Poison
  • Snakebites (or bites from other venomous creatures)
  • Shock
  • Heat stroke
  • Vaccinations
  • Reactions or overdoses to medication or drugs
  • Diabetes
  • Trauma
  • Reye’s syndrome

Treatment:

Symptoms and treatment are as follows:

General

  • The person may yell or cry out
  • Stiffen
  • Difficulty breathing (look for pale or bluish skin)
  • Jerking motions
  • Falling
  • May last 1-4 minutes

Treatment

  • Remain calm
  • Move all sharp edged objects out of the persons way to help keep them from injuring themselves
  • Monitor their breathing
  • Do NOT try to restrain the person, you cannot stop the seizure
  • Do not force anything into the persons mouth or give them anything to eat or drink

Once the seizure has subsided

  • Help the person lay down and place something soft under their head
  • Turn them to one side so they don’t risk choking on their saliva
  • Remove tight or restricting clothing and jewelry
  • The person will probably feel confused and disoriented.
  • They will also be very tired, let them sleep but stay with them until they have awoken and are fully awake and alert/aware.
  • Do not give them anything to eat or drink until they have fully recovered

Partial

  • The person may experience convulsions (violent shaking and seizing, uncontrollable jerks and twitches)
  • Glassy stare
  • May give no response, or an inappropriate response when questioned
  • May sit, stand or walk around aimlessly
  • Make lip smacking or chewing noises
  • Appear to be drunk, drugged, disorderly, or even psychotic.
  • Fidgety
  • Crying out
  • Falling over
  • Losing consciousness
  • Body may stiffen

Treatment

  • Remain calm, and call 911 (this may not always be necessary in the case of epileptics, but is always necessary if the person is diabetic)
  • Move all harmful objects out of the persons way, or try to direct them away from them vocally (if they are not convulsing)
  • Do NOT try to restrain the person
  • Observe their behavior, in more severe cases this may become very important information
  • Be very gentle with the person, and do not be too physical with them

Once the seizure has subsided

  • The person will be very sleepy, let them sleep
  • They may have a headache
  • Give them no food or drink until after they have rested and are fully alert and recovered
  • The person may be confused and disoriented
  • Turn them to one side so they don’t risk choking on their saliva
  • Remove tight or restricting clothing and jewelry

Call 911 if

  • If this is a first time
  • If the seizure lasts more than 5 minutes
  • If the person has one seizure after another

  • If the person is pregnant, injured, diabetic, or has requested an ambulance
  • If the person is not breathing correctly within one minute after the seizure. If needed begin CPR.