What to do if you have a seizure?

Hello, first of all, protect the tongue, before the seizure, put the pressure plate wrapped with gauze between the upper and lower molars of the patient, so as not to bite the tongue, if it cannot be put in before the seizure, wait for the patient's ankylosis to open the mouth and then put it in, do not force it in the clonic period, so as not to hurt the patient. During the attack, the patient is placed on his back with his collar loosened and his head turned to one side to facilitate the discharge of respiratory secretions and vomitus, and to prevent choking and choking caused by the flow into the trachea. There is more respiratory secretion during a major attack, which can easily cause respiratory obstruction or aspiration pneumonia, do not stuff anything in the mouth during convulsions, and do not administer medicine to prevent suffocation.

It is best to go to a regular hospital** to reduce seizures.

Liu Keyuan, an expert from the Tianjin Armed Police Corps Hospital, reminded that when epilepsy first started, we should let the patient lie on his side, or directly turn his head to one side, in order to prevent secretions such as saliva from entering the respiratory tract, hindering the patient's breathing, and not causing suffocation; In addition, the patient's chin is firmly held up and his mouth is closed, so as to prevent the patient from biting his tongue and prevent unnecessary danger.

In general, the onset of the disease stops in 1-3 minutes, and these measures can be used without the need to be sent to the hospital, but when these conditions occur, they must be delivered to the hospital in time. Including: scratches on a certain part of the patient, trauma; The patient is pregnant, or has diabetes; In addition, the patient's seizure lasted more than 5 minutes; These situations are dangerous and have to be handled by the hospital.

Epilepsy Department of Tianjin Armed Police Corps Hospital].

1. During a seizure, the patient suddenly falls to the ground and faints. If someone is found to have a seizure, it is important to remove hard objects from the patient's side to prevent injury when the patient falls. If possible, it is best to hold the patient to prevent trauma during the seizure.

2. Epilepsy patients are prone to bite their tongue because their consciousness is no longer under their control when they have a seizure. Therefore, when the patient has a seizure, it is necessary to pay attention to protect the patient's tongue, and you can use a pressure plate wrapped in gauze for the patient to bite. It should be noted that epilepsy enters the clonic phase and should not be forcibly inserted into the pressure plate so as not to injure the patient.

3. During seizures, some patients may foam at the mouth, if the vomit and saliva cannot flow out of the mouth in time, it is easy to cause the blockage of the respiratory tract, affect the patient's breathing, and even suffocation. Therefore, during a seizure, it is necessary to help the patient breathe, such as untying the patient's tie, coat button, belt, etc., to help the vomit expel it.

4 For patients with generalized convulsions during the attack, do not force the limb to compress to avoid sprains or fractures.

The first aid measures in the event of a seizure mainly include removing the patient from the dangerous environment in time to prevent the patient from falling injuries, fractures, abrasions and other accidents. In the case of an acute seizure, patients with epilepsy should also be promptly cleared of secretions in the patient's mouth to prevent suffocation or choking. Prompt administration of sedative medication can quickly alleviate the symptoms of epilepsy.

Oxygen inhalation may be given when possible.

After the acute phase of epilepsy, the relevant examination of EEG should be further improved, and the appropriate oral drug should be selected after the diagnosis is confirmed. Patients with epilepsy should also pay attention to further scan of the head to rule out secondary epilepsy. Minimally invasive shoulder arthroscopic ligamentocystolysis of adhesion contracture can be performed to restore symptoms of frozen shoulder.

Maintain a healthy and regular lifestyle, ensure adequate sleep, and avoid conditions that can easily induce seizures, such as staying up late, overwork, excessive tension, anxiety, and emotional agitation. In the process of oral anti-epileptic drugs**, you should follow the advice of a professional doctor, take a full course of treatment for a long time**, avoid missing drugs and reducing drugs without permission, and must regularly review blood routine, liver and kidney function, etc. In the case of daily seizures, it is necessary to be accompanied by personnel throughout the process, especially when there is a generalized tonic-clonic seizure, the patient should be placed in a flat and safe position, so that his head is gently tilted to one side, keep the airway open, and avoid suffocation, aspiration, etc.; Avoid pulling or opposing the patient's limb that is in severe tonic-clonic spasm to avoid fractures, joint dislocations, etc.

Moderate pinching does not improve seizures.

In the event of a seizure, do not panic, immediately move the patient to a safe place and lie down on the ground; unfasten the collar, buttons and belts of the patient; Tilt your head to one side to prevent suffocation; Remove oral secretions and vomit in a timely manner and remove dentures; Do not give any medication and water to the patient to prevent choking and even choking.

During a seizure, the patient should immediately lie flat, do not walk or stand, avoid falling, and remove the patient's glasses, dentures, necklaces and other items to avoid local damage. If the patient has vomit in the mouth, the patient's head should be tilted to one side to facilitate the passage of vomit and avoid suffocation.

Condition analysis: During seizures, it is mainly necessary to avoid accidental injuries, such as fall injuries, tongue bites, suffocation, fractures, etc., do not put hard objects in the mouth, and do not over-press the limbs, and should seek medical attention as soon as possible, and be given anti-epileptic drugs by professional doctors to control seizures. In particular, some continuum of epilepsy can only be effectively controlled after seeking medical attention.

Seizures, don't go to the stilts.

Many people panic when they see someone having a seizure fall ill and don't know what to do. Here are a few key points for proper management of seizures, which I hope will be widely understood.

Stay calm and don't be afraid.

Prevent patient injury. For example, moving the patient away from the pool, high place, staircase, helping to remove glasses, removing sharp objects near the patient, placing soft objects under the patient's body, etc.; If the patient has a seizure while standing, the patient should be supported and guided to prevent the patient from suddenly falling to the ground or walking to a dangerous area.

Do not attempt to hold down the patient's body while the patient is having convulsions.

Do not put any objects in the patient's mouth and do not attempt to give water, medicine, and other food; In particular, do not put your finger in the patient's mouth.

Notice how long the seizure lasts. If the seizure persists (>5 minutes), an ambulance should be called immediately.

Many people are not immediately conscious after the seizure, and because there is a lot of discharge from the mouth or vomiting is possible, the patient can be moved to a lateral position or the head can be turned to one side to prevent suffocation or aspiration.

Wait for the person to wake up before leaving (usually takes 5 to 10 minutes) or help contact family.

When the patient has a seizure, if possible, you can contact the patient's family or doctor in time with a mobile phone, etc., and operate under their guidance. The vast majority of seizures stop on their own after 1 to 2 minutes, and there is nothing others can do to stop them.

Note: Methods such as applying pressure on acupuncture points in the human center are ineffective, and all that can be done is to wait for the seizure to end while ensuring the patient's safety. If the seizure persists, an ambulance should be called so that medication can be applied as soon as possible to stop the seizure.

What first aid measures do I need to take in case of a seizure?

Seizures are mostly transient and usually resolve spontaneously for less than 5 minutes. In general, unless status epilepticus requires urgent treatment, there is no need to rush to the hospital for emergency treatment. When the patient has a seizure, especially a generalized tonic-clonic seizure, care should be taken to protect against falls, burns, etc.

Some family members use too much force to pinch the local part of the person**; or fear of biting the tongue and forcing fingers or chopsticks into the patient's mouth, these are undesirable and sometimes even cause other injuries. Do not force the patient to give medication during the attack, as this can cause choking and choking. The patient can lie flat, loosen the collar, turn the head to one side, and standardize the operation at home, and inhale standardized medical oxygen for the patient.

Seizures come first. Hit the patient's tooth with something to prevent him from biting his tongue and then press the person's middle. Dial 120.

The patient may bite the tongue at the onset of the disease, so the family should arrange the veil in the patient's mouth, which can be inserted before the attack or when the mouth is opened during the tonic period, and must not be placed during the spasmodic period to avoid causing harm to the patient. At the onset of the disease, the patient should be placed on his or her back, with the neckline loosened, and the head turned to the side to facilitate the discharge of vomit and secretions, so as to prevent it from flowing into the trachea and causing asphyxia. During a major attack, patients have a lot of airway discharge, which may cause airway obstruction or aspiration pneumonia, so do not stuff or administer medicine during convulsions to prevent suffocation.

Do not forcibly hold down the patient when the patient has convulsions, which is likely to cause additional injury.