When is a seizure a medical emergency?

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.

When should you go to the ER for a seizure?

Call 911 or the local emergency number immediately if:

The seizure lasts five minutes or longer or is repeated. Injuries have resulted from the seizure. The person experiences persistent breathing difficulty. The person having the seizure also has a fever.

What is considered seizure emergency?

A seizure is considered an emergency when it lasts a long time or when seizures occur close together and the person doesn't recover between seizures.

Are seizures always a medical emergency?

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.

Is a seizure a medical emergency if it lasts 5 minutes or longer?

A seizure that lasts more than 5 minutes, or having more than 1 within a 5 minute period is an emergency that requires immediate medical care.

A Guide to Seizure Management for Emergency Medical Responders

How long can a seizure last before brain damage?

If convulsive status epilepticus lasts for 30 minutes or longer it can cause permanent brain damage or even death.

How many seizures a day is too many?

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.

What would cause a seizure all of a sudden?

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.

Is it OK to 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.

Is a seizure a neurological emergency?

A seizure is an episode of neurologic dysfunction caused by abnormal neuronal activity that results in a sudden change in behavior, sensory perception, or motor activity. The clinical spectrum of seizures includes simple and complex focal or partial seizures and generalized seizures.

How long should a seizure last before calling 911?

If the seizure lasts longer than 5 minutes or the person seizing is pregnant (no matter how long the seizure lasts), call 911 or other emergency services immediately. A seizure can be terrifying to watch, especially if you've never seen one before.

When should you call an ambulance after a seizure?

Call for an ambulance if any of these things apply:

The seizure lasts for more than 5 minutes. They have one tonic-clonic seizure after another without regaining consciousness between seizures. They are seriously injured during the seizure. They have trouble breathing after the seizure has stopped.

How do hospitals deal with seizures?

cushion their head if they're on the ground. loosen any tight clothing around their neck, such as a collar or tie, to aid breathing. turn them on to their side after their convulsions stop – read more about the recovery position. stay with them and talk to them calmly until they recover.

How long are you confused after a seizure?

More than 70% of people with epilepsy report post-ictal (after-seizure) complications, including confusion, fear, exhaustion, headache, emotional reactivity, memory problems and behavioral changes. Some last an hour; others can last for days.

Should you go to the hospital after a seizure?

Most seizures last between 30 seconds and two minutes and will not require any emergency medical attention. However, if someone is experiencing a seizure that lasts longer than two minutes, or they lose consciousness and it does not come back right after the seizure, you should call 911 right away.

What are the chances of having a second seizure?

The guideline shows there is strong evidence that for adults who have had a first seizure, the risk of another seizure is greatest within the first two years. The risk ranges from about a one-in-five chance, or 21 percent, to nearly a one-in-two chance, or 45 percent.

What does a seizure feel like in your head?

You're not likely to lose consciousness, but you might feel sweaty or nauseated. Complex focal seizures: These usually happen in the part of your brain that controls emotion and memory. You may lose consciousness but still look like you're awake, or you may do things like gag, smack your lips, laugh, or cry.

What are the 3 most common causes of seizures in adults?

Overall, the most common etiology of adult onset seizures is stroke. Other causes in descending order are idiopathic seizures, CNS infections, metabolic causes, and brain tumors.

What are the 3 main phases of a seizure?

Seizures take on many different forms and have a beginning (prodrome and aura), middle (ictal) and end (post-ictal) stage.

What does a grand mal seizure look like?

Jerking movements affect the face, arms and legs, becoming intense and rapid. After one to three minutes, the jerking movements slow down and the body relaxes, sometimes including the bowel or bladder. The person may let out a deep sigh and return to more normal breathing.

Can seizures damage brain?

Most types of seizures do not cause damage to the brain. However, having a prolonged, uncontrolled seizure can cause harm. Because of this, treat any seizure lasting over 5 minutes as a medical emergency.

What happens if seizures go untreated?

If seizures can't be stopped or repeated seizures occur one right after another, permanent injury or death can occur. People with epilepsy can also die from problems that occur during or after a seizure, such as inhaling vomit.

How far back can an EEG detect a seizure?

EEG: If performed within 24-48 hours of a first seizure, EEG shows substantial abnormalities in about 70% of cases. The yield may be lower with longer delays after the seizure. If the standard EEG is negative, sleep-deprived EEG will detect epileptiform discharges in an additional 13-31% of cases.

Can seizures be life threatening?

Seizures can be fatal, but dying from a seizure is uncommon . Epilepsy is a group of conditions in which people have seizures. However, a person without epilepsy can also have a seizure. Many seizure deaths come from external factors like drowning, falling, or choking that occur during a seizure.

Is a seizure a stroke?

A stroke happens when blood flow to the brain is interrupted. A seizure occurs when the brain experiences a surge of electrical activity.