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EMERGENCYMANAGEMENT OF

SEIZURES

Dewi Nareswari
Causes of Seizures (Triggers)
Afebrile Seizures:
• Dehydration
• Oxygen deprivation eg. anaemia
• Stress—emotional or physical
• Metabolic conditions—hypoglycaemia,
hyperglycaemia, ↓Ca, ↑K, ↓Mg, ↓Na,
↑Urea, ↑Creatinine
• Medications e.g. pentazocine, aminophylline,
insulin
Febrile causes: Infections eg. Malaria, Meningitis,
Tuberculosis, encephalitis

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Classification (ILAE)
Management
• Stabilization: A, B, C
• An IV line should be established, if possible
blood samples collected for sugar, calcium,
magnesium, electrolytes, blood cell count
• If situation permits, rapid screening ofblood
sugar should be done
• A quick history taken while resuscitative
measures are being instituted may reveal the
cause of the seizure

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Thank You

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