A sudden or temporary alteration in the mental status caused by massive electrical discharge in a group of nerve cells in the brain.
Generalized jerky muscle movement.
A medical disorder characterized by recurrent seizures.
A seizure lasting longer than 5 minutes or consecutive seizures with no period of responsiveness between them
Must provide aggressive airway ventilation
Generalized Tonic-clonic Seizure
A common seizure that produces unresponsiveness and a generalized jerky muscle activity. Also known as grand mal seizure
Typically involves both cerebral hemispheres and the reticular activating system(wake/sleep)
An unusual sensory sensation that may precede a seizure episode by hours or only a few seconds.
Signs and symptoms of generalized tonic-clonis seizure and stages
Loss of consciousness
Tonic phase(muscle rigidity)
Postictal state-the recovery period that follows the clonic phase of a generalized seizure. In a postictal state the patient only commonly appears weak, exhausted, and disoriented and progressively improves.
Assessing patients without any response
Maintain airway-do not insert OPA, the patient might become conscious again
Provide PPV if the patient is severely cyanotic, the seizure has lasted for more than 5min from the time of onset, or breathing doesn't become adequate following the episode
Note the skin temperature and color
Ensure presence of a pulse
A brief Period of unresponsiveness caused by a lack of blood flow to the brain.
The difference between syncope and seizure is that syncope:
1. Usually begins in a standing position
2. The patient remembers feeling faint or light-headed
3. The patient almost becomes responsive almost immediately after becoming supine