Treat and release

Question 1

What does IDEAL stand for

Answer 1

I - Include
D- Discuss
E - Educate
A - Assess
L - Listen

Question 2

What are the seizure treat and discharge criteria

Answer 2

• Pt is ≥18 and <65 y/o
• Pt has a history of epilepsy
• Pt is taking their anticonvulsant meds as prescribed
• Pt only had 1 seizure in past 24 hrs
• Seizure pattern and duration in similar to past seizures
• Pt has returned to their normal LOC
• Complete set of vitals (w/ temperature) are within normal range
• Seizure must no be related to hypoglycemia, alcohol or substance abuse, or withdrawl
• Pt must not have received midazolam from medics
• Pt did not injure themselves during seizure
• Pt doesn’t have a fever, preceding illness, or recently started new meds
• pt is not prego

Question 3

What are the treat and discharge criteria that apply to all cases (that last section)

Answer 3

• Responsible adult stays with pt for the next 4 hours
• All of their questions were answered
• The patient of SDM have been advised to follow up with primary health care team
• Clear instruction on when to call 911
• They have access to call 911
• Patient or SDM consents to the discharge

Question 4

What are the hypoglycemia treat and discharge criteria

Answer 4

• The pt is ≥18 and <65 y/o
• Pt has a diagnosis of diabetes
• Hypoglycemia can be explained by insulin administration with inadequate oral intake
• HypoG responsed to single dose of dextrose, glucagon, or oral glucose
• This was a single isolated episdoe of symptomatic hypoG within the past 24 hours
• BGL is ≥ 4 mmol/L after treatment
• Pt has returned to their normal LOC and are asymptomatic
• Complete set of vital singns are within normal limits
• Not an intentional OD
• Pt is not prego
• No seizure or reported history of seizure prior to paramedic treatment
• Not on oral hypoglycemic medication
• HypoG is not considered to be related to an acute medical illness
• HypoG must not be related to alcohol or substance abuse or withdrawal