What Facts Should I Know about Seizure Emergencies?
What’s a seizure’s medical definition?
Seizures are uncontrolled electrical activity in the brain that can result in symptoms ranging from low attention loss to violent muscle contractions that can lead to death. Everyone has the seizure potential. Several people often have them. Disorders of the seizure vary enormously. Many people have only occasional seizures, and others have seizures on a daily basis or more often. A seizure is another term that is often used in place of seizure.
Many forms of seizures occur. Seizure symptoms can range from simple blank gazing to spasticity and muscle jerking loss of consciousness.
When are you going to the ER for a seizure?
In these cases, a seizure must generally be considered an emergency:
- seizures that do not end in just a few minutes.
- After the seizure, there is extended distress (more than 10-15 minutes).
- After a seizure, the person is not responsive.
- The person is having difficulty breathing.
- During the seizure, the person is injured.
- The seizure is a coma for the first time.
- There is a significant change in the seizure type or character from the normal seizure pattern of that person.
Seizures Emergencies Symptoms Because of unknown reasons, most people have seizures. Some people have seizures that affect normal brain functioning from some cause. These can involve tumors of the brain, tumors, fever, birth accident, injury, or trauma.
- Certain problems that may affect brain function and cause seizures to include medications or medicines, alcohol, low blood sugar, or other chemical anomalies.
- In some people, rapidly flashing lights, high stress, or lack of sleep can lead to seizures.
- Children seizures are a special category of seizures that are dealt with slightly differently.
Seizures Signs of Emergencies Typical generalized seizures often start when the person cries out or sounds. This can be accompanied by several seconds of unusual stiffening, progressing into irregular rhythmic jerking of the arms and legs.
- Generally, the eyes are open, but the person is not alert or sensitive.
- The person may not seem to breathe. Nevertheless, they normally breathe properly for the short duration of the seizure. After an episode, the individual always breathes deeply.
- He or she will slowly return to consciousness for a few minutes.
- It is normal to have incontinence or lack of urine.
- People will often be combative immediately after a widespread seizure (a seizure affecting the whole brain).
There are many other forms of seizures, including sporadic irregular one-legged motions, staring periods, and unusual stiffening without the rhythmic jerking.
When to Seek Medical Care for a Seizure
This is a reason for visiting the doctor or the emergency department of the hospital. A shift in seizure frequency or more frequent seizures are explanations for seeking medical care for a person with a seizure disorder.
Many people with repeated seizures can undergo a seizure and completely awakened. If the person is fully awake and has not suffered injury and is known to have recurrent seizures, immediate medical attention is not often needed.
- A seizure that lasts more than 5 minutes or a series of seizures between them without complete recovery
- Injuries sustained during a seizure
- Persistent confusion or unconsciousness
- A first seizure
- A significant change from the usual pattern of seizure of that person in terms of the type of seizure, length of the seizure, or related symptoms
Seizures Emergencies Diagnosis
Every questionable seizure should be diagnosed by a doctor.
Not all of the following diagnostic tests are needed for each form of seizure, and many are not necessary for the emergency department upon the first evaluation. Some may later be treated as an outpatient with a primary care doctor.
These procedures may be included in the evaluation and treatment needed:
- Blood tests
- Imaging (head CT scan or MRI)
- Spinal tap
- EEG (electroencephalogram or a brain wave tracing)
- Medications to stop or prevent seizures
Seizures Emergencies Treatment
Emergency treatment usually involves IV (oral medication in some people) medication such as lorazepam; this type of medication (phenytoin or fosphenytoin) may also be used with other medications. Treatment is needed to start as soon as continuous seizures can result in brain damage lasting 20-30 min. The underlying cause is looked after once seizures are managed. Additional drugs depend on a neurologist’s underlying causes and recommendations.
Seizures Emergencies Self-Care at Home
Home care is appropriate when it is known that a person has seizures, when the seizure is brief, and when the person recovered uneventfully. The patient is usually treated by a neurologist and may need to be notified to that doctor. Some suggestions, however, can help prevent seizure-related injuries as follows:
- Prevent injuries.
- Cushion the head.
- Loosen any tight neckwear.
- Turn the person on his or her side after the end of the seizure. This can help drain any moisture or secretions from the mouth of the person and avoid choking or aspiration.
- Do not try to hold the person down or hold him back.
- Do not put anything in the mouth of the person or try to separate the teeth.
- Observe the following items: seizure length, type of movement, the direction of any turning of the head or eye, amount of time to return to alertness and full consciousness.
Seizures Emergencies Follow-up
In many cases, hallucinations are ongoing problems. Holding any follow-up appointments or examinations is important. Some patients are referred for follow-up to a neurologist.
- It is important to avoid driving or engaging in any other potentially dangerous activity until the seizures are well controlled that can cause harm or harm to others if a seizure occurs suddenly.
- Most states require mandatory seizure reporting to state license offices for drivers and other regulatory agencies.
- Most people with seizure medications are doing very well and decide to stop taking their anti-seizure medication at some point in time. It may be risky for themselves and others to make this decision. If their doctor tells them to do so, patients should not discontinue the medicine.
Seizures Emergencies Prevention
One approach to prevention is taking prescribed medicine on a regular basis for many people with recurrent seizures.
A common cause of recurrent seizures is the failure to take anti-seizure medications as prescribed. Some medical conditions or interactions with other medicines can cause the anti-seizure medication to fail temporarily, even if taken properly.
If the cause of the seizure is discovered, treating that condition and addressing anything that caused the seizure is important.
Seizures Emergencies Prognosis
Generally, the outlook for someone with seizures depends on the seizure’s origin. A doctor’s examination is usually required to determine the cause or at least exclude certain causes.
- For example, most seizures associated with medications, narcotics, or minor head trauma resolve without specific treatments and do not suggest a recurrent seizure or epilepsy disorders.
- Most other seizure conditions can be effectively managed under the supervision of your doctor or a physician known as a neurologist with correct drugs.
- Despite medication and other therapies, some seizure disorders are difficult to control. This is a rare situation.
- Non-epileptic seizures or false seizures are classified as a subset of seizures. These are not epileptic seizures at all, but rather a condition in which somebody has seizures that appear to be realistic due to underlying stress or psychological disorder. Such predictions are very useful and are entirely related to solving the underlying condition of the patient through therapy, not anti-seizure medications. In these situations, this probability should be taken into account:
- If there is no cause for seizures,
- if the seizures can not be verified despite proper evaluation,
- if the seizures are resistant to appropriate medical therapies