Journal of Paramedic Practice, Vol. 2, Iss. 7, 23 Jul 2010, pp 304 - 309
Seizures are a common occurrence in the prehospital arena, however, with numerous conditions causing seizures, prehospital clinicians can be left with a dilemma in the treatment of these patients. Patients who are actively seizing will predominately have their airway maintained, oxygen administered and therapeutic intervention (diazepam) initiated. One form of seizure, non-epileptic attack disorder or psychogenic seizures, are often called 'pseudo' seizures-an acronym synonymous in the ambulance service, this gives connotations that the patient is 'faking it'. However, these patients often have deep psychological trauma that needs careful handling and empathy.
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