Seizures

Question 1

What are seizures?

Answer 1

• Sudden attack of altered behaviour, consciousness, sensation or autonomic function
• Causes by a transient disruption of brain function

Question 2

What are the 3 major groups of seizures?

Answer 2

• Focal onset
• Generalised onset
• Unknown onset

Question 3

Key findings to know for seizures?

Answer 3

• Time of onset
• What caused the seizure if known? Mechanism of injury
• Associated symptoms
• PmHx e.g. epilepsy, infection
• Medication compliance
• Allergies

Question 4

Treatment for seizures?

Answer 4

• Midazolam
• Supportive measures e.g. Oxygen
• Protect pt from injury
• Consider reversible causes e.g. hypoglycaemia, hyperthermia

Question 5

Adult Midazolam dose for seizures?

Answer 5

• IM: 5mg, repeat 5min, 15mg max dose

- IV: 2.5mg, repeat 5 min, 15mg max dose

Question 6

Paediatric Midazolam dose for Seizures?

Answer 6

• IM/IV/IO: 0.15mg/kg, repeat 5min, max dose 0.45mg/kg (up to 15mg total)