A. Symptoms of grand mal seizures
1. sudden loss of consciousness and falling to the ground.
2. muscle tonicity; arching of the back; clonicity of the limbs after a few minutes
3. Cyanosis of the lips or bruising around the mouth (caused by irregular breathing);
4. some of them will have incontinence.
5.Closed teeth and salivation (if the patient bites the tongue or lips, there will be bloody foam in the mouth).
Second, first aid measures
1.Protect the patient and avoid injury: evacuate bystanders, ensure that there is some space around the patient, and move away objects that may endanger the patient, such as hot water bottles, etc.
2. Use soft objects such as clothes to pad under the patient’s head or hold the patient’s head with both hands to prevent injury.
3. Record the duration of the seizure.
4. check vital signs as soon as the seizure is terminated.
If the patient is breathing on his or her own, place the patient in a stable lateral position as soon as possible; if the patient stops breathing, perform immediate cardiopulmonary resuscitation.
5. checking the patient for trauma.
6. keeping the patient quiet.
7. Accompany the patient until full recovery.
Interpretation of the 2010 CPR guidelines regarding seizures.
1. Two major principles of seizure scene management.
Ensure the airway is open and prevent injury
2. Do not attempt to hold or restrain the patient during a convulsive seizure to avoid skeletal muscle or soft tissue injury.
3, do not try to pry open the patient’s mouth or place any objects between the teeth or in the mouth to avoid dental injury and misabsorption.
4. After a seizure, the patient is often in a non-responsive or confused state for a while, and feeding water and medication at this time can cause accidental aspiration.
Why don’t you try to pry open the patient’s mouth or place any objects between the teeth or in the mouth during a seizure?
If you try to put something in your mouth during a seizure, you will need to pry your mouth open, which can easily cause damage to teeth and soft tissues, and it is not uncommon for rescuers to be bitten. If the placed items are brittle or fragile, it is easy to accidentally inhale into the airway; if the items are hard, such as iron bars, the patient’s convulsions clench the teeth when the force point in a limited number of one or two teeth, more easily damaged.
When a sudden seizure, most patients do not have time to immediately stuff their mouths, the news that patients bite their tongues off is indeed unheard of, and a slight bite to the tongue and lips is highly likely.
Third, when the baby convulsion seizures, we should pay attention to what?
1.Lay the baby flat on the bed or a flat place to prevent falling or bruising.
2.Turn his head to the side and clean up the baby’s saliva or vomit in time to prevent accidental aspiration.
3.Do not put anything into his mouth, as tongue bite rarely occurs; if something is forced into the baby’s mouth, it may lead to the loss of milk teeth, and if by chance the milk teeth fall into the trachea, a foreign body in the bronchus may occur, partially blocking the airway and risking asphyxiation.
4. If the seizure persists for more than 10 minutes and fails to terminate on its own, the child should be immediately taken to the pediatric emergency department of a nearby hospital for first treatment.