SEIZURES AND FIRST AID
You may have seen an epileptic seizure and not even realized it. Even if
you aren't a trained health professional, you can still learn some basic first
aid for dealing with seizures.
For people like you who deal frequently with the public, this pamphlet
should help you recognize a seizure when it happens and know how to give basic
first aid - if it's needed.
The term "epilepsy" describes a common neurological condition that
affects about 300,000 Canadians. Being able to recognize seizures is important
because they can sometimes be mistaken for something else.
For example, the convulsion that a generalized tonic-clonic seizure
causes may look like a heart attack and CPR may be used unnecessarily.
A person who appears drunk or high on illegal drugs and is carrying
phenobarbitol (an anticonvulsant drug) may actually be having a seizure.
Seizures happen when a surge of electrical energy passes between cells in a
person's brain. This sudden overload may stay in just one small area of the
brain or it could swamp the whole system. This changes behaviour, affects
consciousness and causes unusual body movements.
About one person in 100 has epilepsy, the cause of which is unknown in
75 percent of the children who have it and half of the adults. This condition is
not contagious at any age.
What different seizures look like depends on which part of the brain was
involved and how much of the total brain area was affected.
GENERALIZED TONIC-CLONIC SEIZURES:
- The ones most people tend to think of when they hear the word
"epilepsy".
- Cause convulsions, which last from two to five minutes.
- Complete loss of consciousness.
- Muscle spasms.
ABSENCE SEIZURES:
- A blank stare lasting only a few seconds.
PARTIAL SEIZURES:
- Involuntary arm or leg movements.
- Distorted sensations or a period of automatic movement in
which awareness is blurred or completely absent.
Since the effects of seizures vary, so does the way you need to react to
them. The fold-out section of this pamphlet describes them in detail and how you
should handle each type.
Posting this on a bulletin board will ensure that people who deal with
the public can easily see it.
Although the chart inside this pamphlet describes basic first aid for a
generalized tonic clonic (convulsive) seizure, some circumstances call for extra
measures.
In water
Remove the person as quickly as possible, while supporting the body and keeping
the head tilted so that it and the face stay above the surface. Once on dry
land, examine the person and begin artificial respiration immediately if he or she
isn't breathing. The person should be taken to the emergency of a local hospital
for a careful medical checkup, even if he or she appears to have fully recovered
from the seizure. Ingesting water can cause heart or lung damage.
In an airplane
If possible, help the person lie across two or more seats with the head
and body turned on one side. Once consciousness has been fully regained, help the person
into a resting position in a single reclining seat.
If there aren't any empty places, recline the seat. Once the
Seizure's rigidity phase has passed, turn the person gently in the seat so that he or she is
leaning towards one side.
You can arrange pillows or blankets to protect the person's head from
hitting unpadded areas of the plane, but make sure the person is sitting at an
angle that keeps the airway clear and breathing unobstructed.
On a bus
Lie the person across a double or triple seat, turn the person on the side and follow
the same steps as indicated above. A person who has fully recovered
from a seizure can stay on the bus until arriving at his or her destination.
- the seizure has happened in water.
- there's no medical I.D. and no way of knowing whether the seizure is
caused by epilepsy
- the person is pregnant, injured or diabetic
- the seizure continues for more than five minutes
- a second seizure starts shortly after the first one has ended
- consciousness doesn't begin to return after the shaking has stopped
If consciousness is regained before the ambulance arrives, the person
should be asked if the seizure was associated with epilepsy and whether he or she
wants to be brought to the hospital.
An uncomplicated convulsive seizure in someone with epilepsy isn't a
medical emergency if it stops naturally after a few minutes without any ill
effects. After resting, the average person can go about his or her business and many
need only limited, if any, help in getting home.
Occasionally a seizure won't stop naturally, and several other medical
conditions can be the cause. These include:
diabetes
brain infections
heat exhaustion
pregnancy
poisoning
hypoglycemia
high fever
head injury
When seizures are continuous or any of these conditions exist, immediate
medical attention is necessary.
- Medical I.D. jewelry or card says "epilepsy", and
- The seizure ends in under five minutes, and
- Consciousness returns without further incident, and
- There are no signs of injury, physical distress or pregnancy.