Management of someone with suspected epilepsy
- Urgent referral
- Carer advice
- Driving / Swimming etc
- Include a description of the fit from first hand witness and contact details of the witness
Management of Seizure
- look for epilepsy card/jewelry
- Prevent them from injury by cushioning head / removing harmful objects or moving person to safety
- Don’t restrain them or put anything in their mouth
- When seizure stops check airway and place them in the recovery position
- If it’s a first seizure – emergency admission
- If it’s lasted more than 5mins or more than three seizures in an hour
- may need buccal midaz or rectal diazepam (or IV loraz)
- Call ambulance if:
- prolonged/recurrent seizure
- high risk – so if there’s a history of status epilepticus or repeated seziures
- monitoring is difficult
- Observe them until completely recovered
- Check for any injuries
Record possible seizures with video if possible on phone + record seizure diary
Patient must stop driving until seen by specialist.
They must inform DVLA of the condition.
Advise on swimming / bathing with care to avoid drowning.
(Be aware that this will be a lifestyle change and may impact upon work/hobbies/mental health – may get depressed)
Lots of advice available
- Epilepsy Action — a member-led association which provides information online, in print and through their Epilepsy Helpline (telephone 0808 8005050) for people with epilepsy and their family and carers, including information about:
- Epilepsy and caring for children .
- Entitlements and benefits including Disability Living Allowance (DLA) and Personal Independence Payments (PIP).
- A booklet on work and epilepsy.
- Sudden unexpected death in epilepsy (SUDEP) .
- A leaflet on Contraception, conception and pregnancy counselling.
- Epilepsy Society — an organisation which provides awareness campaigns, information resources, and research for anyone affected by epilepsy in the UK. The helpline (telephone 01494 601400) provides confidential emotional support.
- Epilepsy Research UK — supports and promotes scientific research into the causes, treatments, and prevention of epilepsy, and provides information resources and leaflets.