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EMR
EMT
AEMT
Paramedic
Extended
Seizure
Seizure
Universal Patient Assessment
Protect
patient’s head but do
not restrain patient.
Adult Airway Protocol
Cardiac Monitor
Consider the need for rapid
transport or ALS response.
Check BGL
Hypoglycemia Protocol
If actively seizing:
Versed
10mg IM only
May
repeat
once in 3-5 minutes
at 5mg if necessary.
Versed should be given IM
regardless of IV presence.
Adult IV/IO
Clinical Considerations
Seizure may be caused by:
Hypoxia
Head trauma
Toxicity
Electrolyte imbalance
Eclampsia
CNS disturbance
(CVA/TIA)
Clinical Considerations
If eclampsia is the suspected
cause, see
Eclampsia /
Preeclampsia Protocol
Abnormal
Normal
Clinical Considerations
The IM route is chosen for
speed of seizure termination.
DO NOT wait to start an IV
before giving Versed.
Give Versed IM, then
attempt the IV/IO.
DO NOT give Versed IV at
these doses.
Clinical Considerations
Seizures are common and not
necessarily a life threat.
Status Epilepticus
is a life threat.
Duration > 5 minutes
> 2 seizures without
consciousness between them
Repeated seizures for > 30
minutes