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is seizure an emergency

by Rossie Lang Published 2 years ago Updated 2 years ago
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Seizures do not usually require emergency medical attention. Only call 911 if one or more of these are true: The person has never had a seizure before. The person has difficulty breathing or waking after the seizure.

What happens right after a seizure?

Common prodrome symptoms include:

  • Changes in mood
  • Trouble sleeping
  • Anxiety
  • Problems staying focused
  • Feeling lightheaded

What are the 6 types of seizures?

What are the six types of seizures?

  • Simple Focal Seizures. Simple focal seizures occur for a short amount of time – typically lasting less than one minute.
  • Complex Focal Seizure.
  • Absence Seizure.
  • Atonic Seizure.
  • Tonic-Clonic Seizure.
  • Myoclonic Seizure.

What is the emergency treatment for seizures?

These are general steps to help someone who is having any type seizure:

  • Stay with the person until the seizure ends and he or she is fully awake. ...
  • Comfort the person and speak calmly.
  • Check to see if the person is wearing a medical bracelet or other emergency information.
  • Keep yourself and other people calm.
  • Offer to call a taxi or another person to make sure the person gets home safely.

Can you have a seizure without shaking?

While shaking of the body is most often associated with seizures, it is possible to have a seizure without shaking, when feeling confusion or fatigue. Some people have symptoms before the seizure. They may see auras or briefly lose touch with their surroundings and stare into space. The person may not remember the episode later.

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Which type of seizure can be considered as an emergency?

Status epilepticus: This is a medical emergency when seizures last too long or occur too close together. This can be life-threatening - everyone should know how to recognize what status epilepticus is and when to call for emergency help.

When should you go to the hospital for seizures?

If you see someone who is having an epileptic seizure, you should call an ambulance or 911 if:The seizure lasts more than five minutes.Another seizure starts right after the first.The person can't be awakened after the movements have stopped.The person has several seizures and doesn't regain consciousness between them.More items...•

How serious is a seizure?

Generally speaking, a generalized tonic-clonic seizure lasting 5 minutes or longer is a medical emergency. If seizures can't be stopped or repeated seizures occur one right after another, permanent injury or death can occur.

How long before a seizure is a medical emergency?

The seizure lasts longer than five minutes. You have multiple seizures in a short amount of time. The person is unconscious, injured or has other symptoms such as trouble breathing.

What does the hospital do for seizures?

An EEG (electroencephalography) or a brain scan may be ordered. Antiseizure medicine may be used to treat a seizure lasting longer than five minutes or for multiple seizures. For a person with epilepsy, a Dignity Health neurologist will prescribe medications to prevent or reduce the frequency of seizures.

Should you let a person sleep after a seizure?

Yes, let him sleep. When he has the seizure make sure he is on the floor where he will not injury himself. If he has been sick and has a lot of mucus make sure he is on his side so that the mucus and saliva does not choke him. Also time the seizure, anything over five minutes call the emt.

What causes sudden seizures?

Anything that interrupts the normal connections between nerve cells in the brain can cause a seizure. This includes a high fever, high or low blood sugar, alcohol or drug withdrawal, or a brain concussion. But when a person has 2 or more seizures with no known cause, this is diagnosed as epilepsy.

What triggers a seizure?

Missed medication, lack of sleep, stress, alcohol, and menstruation are some of the most common triggers, but there are many more. Flashing lights can cause seizures in some people, but it's much less frequent than you might imagine.

How long do seizures usually last?

Most seizures last from 30 seconds to two minutes. A seizure that lasts longer than five minutes is a medical emergency. Seizures are more common than you might think.

Do I call an ambulance for a seizure?

Call 999 and ask for an ambulance if: it's the first time someone has had a seizure. the seizure lasts longer than is usual for them. the seizure lasts more than 5 minutes, if you do not know how long their seizures usually last.

Does seizure cause brain damage?

Prolonged seizures are clearly capable of injuring the brain. Isolated, brief seizures are likely to cause negative changes in brain function and possibly loss of specific brain cells.

Can a doctor tell if you've had a seizure?

Electroencephalogram (EEG) – Using electrodes attached to your head, your doctors can measure the electrical activity in your brain. This helps to look for patterns to determine if and when another seizure might occur, and it can also help them rule out other possibilities.

How long can a seizure last before brain damage?

A seizure that lasts longer than 5 minutes, or having more than 1 seizure within a 5 minutes period, without returning to a normal level of consciousness between episodes is called status epilepticus. This is a medical emergency that may lead to permanent brain damage or death.

Is it normal to have 3 seizures a day?

In general, it's a group of seizures that happen more often than you're used to within a certain span of time. Some experts define a cluster as having two or three seizures within 24 hours, recovering between each one. Others define it as having several seizures and recovery periods within a few hours.

How long do seizures usually last?

Most seizures last from 30 seconds to two minutes. A seizure that lasts longer than five minutes is a medical emergency. Seizures are more common than you might think.

How do you stop continuous seizures?

Many medications are used in the treatment of epilepsy and seizures, including:Carbamazepine (Carbatrol, Tegretol, others)Phenytoin (Dilantin, Phenytek)Valproic acid (Depakene)Oxcarbazepine (Oxtellar, Trileptal)Lamotrigine (Lamictal)Gabapentin (Gralise, Neurontin)Topiramate (Topamax)Phenobarbital.More items...•

What Facts Should I Know about Seizure Emergencies?

Seizures can cause symptoms, such as mild loss of attention, violent muscular contractions, and even death.

What is a seizure injury?

A first seizure. A significant change from that person's usual seizure pattern in terms of seizure type, seizure length, or associated symptoms.

How long does it take for a seizure to stop?

Generally, a seizure should be considered an emergency in these situations: Seizures that do not stop within a few minutes. Prolonged confusion remains after the seizure (more than 10-15 minutes). The person is not responsive after a seizure. The person has trouble breathing.

How long does a seizure last?

Treatment is needed to begin soon as continual seizures lasting 20-30 min. may result in damage to the brain. Once seizures are controlled, the underlying cause is sought. Additional medications depend on the underlying causes and the recommendations from a neurologist.

What is the first seizure?

A first seizure is a reason to visit the doctor or a hospital's emergency department. For a person with a seizure disorder, a change in seizure patterns or more frequent seizures are reasons to seek medical care. Many people with recurrent seizures may have a seizure and awaken fully. Immediate medical attention is not often needed if ...

What does it mean when you have a generalized seizure?

Common generalized seizures often begin when the person cries out or makes some sound. This may be followed by several seconds of abnormal stiffening, progressing to abnormal rhythmic jerking of the arms and legs. The eyes are generally open, but the person is not responsive or alert.

What is the outlook for someone with a seizure?

The outlook for someone with seizures usually depends on the cause of the seizure. Investigation by a doctor is usually needed to discover the cause or at least exclude some causes.

How long should you stay with a seizure patient?

Stay with the person until the seizure ends and he or she is fully awake.

How many people have a seizure?

About 1 out of 10 people may have a seizure during his or her lifetime. That means seizures are common, and one day you might need to help someone during or after a seizure.

What happens if you have a seizure in water?

The person has another seizure soon after the first one. The person is hurt during the seizure. The seizure happens in water. The person has a health condition like diabetes, heart disease, or is pregnant.

How to stop a seizure from hurting?

This can prevent injury. Put something soft and flat, like a folded jacket, under his or her head. Remove eyeglasses. Loosen ties or anything around the neck that may make it hard to breathe. Time the seizure.

How to help someone after a syringe?

Once they are alert and able to communicate, tell them what happened in very simple terms. Comfort the person and speak calmly. Check to see if the person is wearing a medical bracelet or other emergency information. Keep yourself and other people calm.

What is the name of the seizure that causes a person to cry out?

First aid for generalized tonic-clonic (grand mal) seizures. When most people think of a seizure, they think of a generalized tonic-clonic seizure, also called a grand mal seizure. In this type of seizure, the person may cry out, fall, shake or jerk, and become unaware of what’s going on around them.

Do you call 911 for a seizure?

Seizures do not usually require emergency medical attention. Only call 911 if one or more of these are true: The person has never had a seizure before. The person has difficulty breathing or waking after the seizure. The seizure lasts longer than 5 minutes. The person has another seizure soon after the first one.

Convulsive status epilepticus

This term is used to describe the more common form of emergency situation that can occur with prolonged or repeated tonic-clonic (also called convulsive or grand mal) seizures. Most tonic-clonic seizures end normally in 1 to 2 minutes, but they may have post-ictal (or after-effects) symptoms for much longer.

Nonconvulsive status epilepticus

This term is used to describe long or repeated absence or complex partial seizures.

Acute repetitive seizures or clusters

Seizures of any type may occur in groups or clusters over a number of hours or days. A person usually recovers between seizures and the clusters will end on their own.

How to treat a dog with seizures?

In 2016, the American College of Veterinary Internal medicine published a consensus statement on this very subject. If the dog fits into any of these criteria, medication to suppress seizures should be initiated: 1 When seizures occur in “clusters,” that is, more than 3 seizures within a 24-hour period. 2 When two or more isolated seizures occur within a six month period. 3 If a seizure has lasted 5 minutes or more. 4 If the seizures or their post-ictal disorientation periods are particularly severe. 5 If the dog has a visible structural lesion on a CT, MRI or even a radiograph. 6 If the dog has a history of brain injury or trauma. 7 It should be noted that the German Shepherd dog, Border collie, Australian shepherd, Golden retriever, Irish setter, and Saint Bernard breeds are notorious for difficulty in seizure control. It is best not to wait for frequent seizures in these cases as each seizure makes the next more difficult to control. Often medication is started in these individuals after the first seizure. The more seizures the patient experiences, the more difficult control becomes in the future.

Can Seizure Medication be Discontinued Eventually?

While there is some risk to discontinuing seizure medications, this may be appropriate for some patients. Dogs should be completely seizure-free for at least a year before contemplating stopping treatment. In breeds for which seizure control is difficult, it is probably best never to stop medication (German Shepherds, Siberian Huskies, Keeshonds, Golden retriever, Irish Setter, St. Bernard). Phenobarbital is a medication that cannot be suddenly discontinued; if you are interested in discontinuing seizure medication, be sure to discuss this thoroughly with your veterinarian.

How to prevent a seizure?from webmd.com

When a seizure occurs, an observer should use common sense to prevent injuries: 1 Cushion the person's head. 2 Loosen any tight neckwear. 3 Turn the person on their side. 4 Do not hold the person down or restrain the person. 5 Do not place anything in the mouth or try to pry the teeth apart. The person is not in danger of swallowing their tongue. 6 Do not attempt to move the person unless they are in immediate danger (like in a body of water) 7 Observe seizure characteristics -- length, type of movements, direction of head or eye turning. These characteristics may help the doctor diagnose the type of seizure.

How to deal with a seizure at work?from mayoclinic.org

Meet with your supervisor and talk about your se izure disorder and how it affects you. Discuss what you need from your supervisor or co-workers if a seizure happens while at work. Consider talking with your co-workers about seizure disorders — you can widen your support system and bring about acceptance and understanding.

What is status epilepticus?from epilepsy.org.uk

Status epilepticus (sometimes just called status) is seizure activity that lasts too long. It happens when a seizure doesn’t stop in the usual time, or when someone has seizures one after another without recovering in between. Status epilepticus can happen with any type of seizure.

What is the best medication for epileptic seizures?from verywellhealth.com

Phenytoin and phenobarbital are approved for treatment of status epilepticus, and levetiracetam and benzodiazepines are often used as well. 7. Neonatal seizures: Neonatal seizures can manifest with minimal obvious symptoms, although they are usually associated with electroencephalogram (EEG) evidence of seizure activity.

What is the term for a device that detects seizure activity?from mayoclinic.org

Responsive neurostimulation . During responsive neurostimulation , a device implanted on the surface of your brain or within brain tissue can detect seizure activity and deliver an electrical stimulation to the detected area to stop the seizure.

How long should you stay with a seizure patient?from cdc.gov

Stay with the person until the seizure ends and he or she is fully awake.

How to stop a seizure from hurting?from cdc.gov

This can prevent injury. Put something soft and flat, like a folded jacket, under his or her head. Remove eyeglasses. Loosen ties or anything around the neck that may make it hard to breathe. Time the seizure.

What to do if you have a seizure for the first time?

If you experience a seizure for the first time, seek medical advice.

How long does a seizure last?

Most seizures last from 30 seconds to two minutes. A seizure that lasts longer than five minutes is a medical emergency. Seizures are more common than you might think. Seizures can happen after a stroke, a closed head injury, an infection such as meningitis or another illness.

What is it called when you have seizures that appear to involve all areas of the brain?

Seizures that appear to involve all areas of the brain are called generalized seizures. Different types of generalized se izures include:

How many hours apart can you have two seizures?

It can cause changes in your behavior, movements or feelings, and in levels of consciousness. Having two or more seizures at least 24 hours apart that aren't brought on by an identifiable cause is generally considered to be epilepsy. There are many types of seizures, which range in symptoms and severity. Seizure types vary by where in the brain ...

What is a temporary confusion spell?

Temporary confusion. A staring spell. Uncontrollable jerking movements of the arms and legs. Loss of consciousness or awareness. Cognitive or emotional symptoms, such as fear, anxiety or deja vu. Doctors generally classify seizures as either focal or generalized, based on how and where abnormal brain activity begins.

What is a focal seizure?

Focal seizures. Focal seizures result from abnormal electrical activity in one area of your brain. Focal seizures can occur with or without loss of consciousness: Focal seizures with impaired awareness. These seizures involve a change or loss of consciousness or awareness that feels like being in a dream.

What happens if you fall during a seizure?

If you fall during a seizure, you can injure your head or break a bone. Drowning. If you have a seizure while swimming or bathing, you're at risk of accidental drowning. Car accidents. A seizure that causes loss of either awareness or control can be dangerous if you're driving a car or operating other equipment.

How to prevent seizures when you leave your house?from cdc.gov

Keep your medications with you. Taking your medications on time can help prevent seizures. When you leave your house, carry a 3-day supply of your medications in a safe and waterproof location. This way, if you are stranded from your home you will not have to miss a dose.

What are the triggers of seizures?from cdc.gov

If possible, know what triggers your seizures. For some people with epilepsy, seizures can be triggered by flashing lights, sounds, lack of sleep, stress, or other triggers. Talk with your health care provider about what triggers your seizures and how you might avoid them during a crisis.

How to help someone with epilepsy?from cdc.gov

Preparing People with Epilepsy 1 Talk with people now (such as your family, neighbors, co-workers, school personnel, and friends) about what to do if you have a seizure. 2 Teach people how to help you in case you have a seizure. 3 Keep a list of important phone numbers handy, including your health care provider and pharmacy.

What to do if you miss a dose of epilepsy medication?from cdc.gov

Keep yourself safe and teach others how to help you. If you miss just 1 dose of medication, you can lose control of your seizures. Keep your medications with you.

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