First Things First (assess for & treat the following):

  • Observe & describe clinical presentation of seizure
    • See “History & Physical” section
  • Determine if status epilepticus
    • Continuous seizure or recurrent seizures without recovery of consciousness
    • Officially, lasting >30 min, but practically, lasting >5 min
    • See “History & Physical” and “Specific Treatment” sections
  • Protect pt from injuring self (esp. head and limbs)
  • Consider etiology of seizure(s), e.g., hypoglycemia, drug withdrawal, head trauma
  • Support ABCs

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Last updated: May 3, 2010