Seizures; Roadside to Resus

The Resus Room

Simon Laing

Science, Emergencymedicine, Medicine, Health & Fitness, Em, Ae

4.8 • 678 Ratings

🗓️ 15 January 2020

⏱️ 64 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

Seizures are defined as a “paroxysmal electrical discharge of the neurones in the brain resulting in a change of function or behaviour”. All of us involved in Emergency Care will encounter patients with seizures which can occur for a number of reasons, with Epilepsy affecting 1 in 100 people in the UK.

Being able to identify the cause, terminate ongoing seizures and provide ongoing investigation and care is complicated and of paramount importance, as some of these episodes carry with them a high morbidity and mortality rate.

In this episode of Roadside to Resus we run through the following;

The scale of the problem
Causes of seizures
Definition of status epilepticus
Different forms of seizures
Clinical assessment
Investigations
Antiepileptic’s
Management& guidelines; both Pre and In-hospital
RSI for status epilepticus
Follow up and guidance

As always we’d love to hear any thoughts or comments you have on the website and via twitter, and make sure you take a look at the references and guidelines linked below to draw your own conclusions.

Enjoy!

Simon, Rob & James

Transcript

Click on a timestamp to play from that location

0:00.0	Welcome to the recess room podcast.
0:03.5	Five, four, three, two, one, fire.
0:12.5	So hi, and welcome back to the recess room podcast.
0:16.1	I'm Simon Lang.
0:17.4	I'm Rob Fenwick.
0:18.5	And I'm James AIDS.
0:19.5	And we're back with another roadside to
0:21.8	Rhesus on seizures. Yep, just another tiny topic to start us off for the year then.
0:27.6	It'll be brilliant. There weren't too many difficult questions on Twitter either,
0:31.2	so I think this is going to be fine.
0:35.0	There was some in-depth stuff there, so I hope you're picking up on all the complicated stuff james excellent
0:39.9	yeah i must say we're showing a high degree of dedication to this not only is the final of
0:46.4	the apprentice on whilst we're recording but also i'm struggling with my voice following our
0:51.1	christmas night out last night i'm sure you're only invited to provide the entertainment anyway, Simon, your singing voice.
0:57.3	It's nice of you to think that I was invited.
1:00.8	Were you the plus one for your other half?
1:02.9	You can always get into these events if you try harder then.
1:07.1	Anyway, let's get cracking with this.
1:08.8	Okay, well, before we get into it, a huge thanks to S.J. Trem, the Scandinavian Journal of Trauma,
1:14.1	resuscitation and emergency medicine.
1:16.1	They're our partners in crime with this podcast, and they make it all possible.
1:20.7	Go over and have a look at their website and all of the free open access articles on the sorts of topics we cover here on the podcast.
	...

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