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Cakewalk Seizure Run

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What you are describing, is probably, I'm guessing, on the order of a petite-mal seizure...

Most seizure runs, dealing with epilepsy, are cakewalks...

Vitals, depend solely on how upset the patient is about it all.. In fact, the seizure, might even have passed relatively unnoticed at first.

Epileptics, that KNOW they are epileptics, generally take even the furnature flipping grand mal seizures in stride... They know the drill... seize... consult with their doctor for an exam and POSSIBLE adjustment of medications... (The patient calls their private doctor and makes and appointment, etc... in other words, routine visit to their doctor) and that's USUALLY that.

Put in the context of Emergency!...

Roy and Johnny show up... speak with the patient, ask questions, gain VERBAL permission from the patient to conduct a reading of vitals...

Then they meet the crossroads...

Do they advise the patient to contact their private doctor and call themselves available and go home?

Or do they contact Rampart, and do the follow up to the hospital with patient transport?

THAT question, is answered in the patient interview...

Has the patient been taking their meds properly?
How many times has this happened today?
How does the patient feel?
WHAT does the PATIENT want to do?

(Remember... the PATIENT, if conscious and coherent and sane, has the final say.)

The answers to those questions, will tell the tale.

My best guess, based on limited facts... you're talking about the cakewalk run... They'll talk with the patient, speak in calm, professional, RELAXED tones, (Very conversational, since this isn't a life and death emergency)

And they'll probably give the patient the option.

"It doesn't sound life threatening to us... BUT... if you would like to go to the hospital, just to be on the safe side, we'll be more than happy to accomodate you. It's your choice sir... would you like to go to the hospital, or simply to call your physician and take it up with him?"

If the patient votes for the hospital, then they'll contact Rampart, and MAYBE... MAYBE... depending on the mood of the doctor, be told to start an IV of either D5W or Normal Saline (Sugar water or salt water, in layman's terms), at a rate of TKO...(To Keep Open, which only flows enough fluid to keep the IV line from clogging up at the catheder.*g*) and transport. Likely it would be a transport without lights or sirens, and obeying all posted speed limits and traffic signals.

If the patient elects to call his own doctor, (Which most of the time, epileptic patients will), then Roy and Johnny will call LA County and declare themselves available, then turn to the patient and say,

"Sir, we think you'll be fine... but if you seize again, or start not to feel well... please feel free to call us back immediately. We'd rather come and not be needed, than to be needed and not be called in time."

That's the quick and dirty on epileptic patients that ARE under the care of a doctor.

Some thoughts on patient care related matters, in writing stories...

It struck me... you might consider trying to lay your hands on a textbook used to train EMT's and Paramedics, to help you along, as well as using the board here.*s*

The textbook I used in my EMT training, was...

"Emergency Care-Fifth Edition" by Brady publishing.*s*

If you would like to know where you can find one of those textbooks... I offer the following options...

1.) Contact your local fire or ems unit... (Use the NON EMERGENCY or ADMINISTRATIVE phone number please... do NOT dial 911.*s*) and ask about it. They might be able to help you get your hands on at LEAST an outdated training manual, and might even point you to where you can buy the latest and greatest training manual.)

2.) I offer this website, as a possible reference where you, or others interested, can obtain training manuals, that are up to date, and in use across the USA.

http://www.ourdesigns.com

Look under EDUCATION and choose the BRADY manuals... BELOW the shopping cart form, there are descriptions of the books and what they contain... you CAN get, a Paramedic, AND a BASIC EMT manual, plus other references there... They aren't exactly cheap... the EMT textbook, went for something like $54.00 plus shipping and handling... but they are authentic and in use around the country. (It's a Fire and EMS store, for firefighters and other emergency responders)

I have met the people that own that store showroom, as well as the website... and they are reputable, and are involved in the fire service in my local community.

Good luck in your story writing!*s*

Paul Schewnene
Retired FF/EMT



Posted on Jan 24, 2001, 1:02 AM

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  1. Thanks!. Sarah, Jan 24, 2001
    1. V/S and meds for seizure pt. , Jan 25, 2001
      1. Continuous full-body seizures. Cathy Brown, May 15, 2002

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