Please do more videos on everyday medical situations. Every medical RUclipsr focuses on stop the bleed and TC3 when you are far more likely to come across someone having a seizure or heart attack
If I could add anything to the standard curriculum, every kid would learn how to use an AED, perform CPR, help someone who's choking, and deal with common conditions such as seizures and diabetes. The fact that these aren't taught is borderline criminal.
@@PrepMedicA topic I think would be great to cover would be burn treatment. It’s always under discussed on youtube and pracmednz made some good posts about ORT in MASCAL burn situations. I think it would make a good video.
@@PrepMedic hey Sam, just trying to figure out how to get in touch with you for a quick email exchange about career options for me. I’m currently an RN working at a level 1 hospital here in CO, a CO state and NREMT-P, 68W with the Colorado Army National Guard, and part time Ski Patroller at a busy hill here in CO. I could really use some career advice from someone like you, who seems to have insight into the type of work I like to do! If you have an IG or some way to DM you, I’d greatly appreciate it.
Don’t forget prescription related seizures. Fun fact : I found out that I am part of the tiny percentage of people that cannot take tramadol for my pain management due to the very fun surprise (my wife had to deal with ) of full blown seizure. Not overdose- just good ol fashioned- ruin your day , seizure. Woke up and reached for my pistol on my hip when I realized there were 9 strange shapes around me . Complete fight or flight . They were the emts and firefighters that came to my aid. . The closest one lunged on top of me and told me firmly, “ it’s ok! We are here to help you- you had a seizure!” When I took a few breaths everything came back into focus. His hands were in a death grip around both wrists and I had chew dripping down my chin and onto my new shirt . Wife was in tears and to the hospital I went . Not a fun experience . But thankfully, those guys had my best interest before their own. Bonus props - getting me down my stairs in a stretcher around 2 90° corners without scratching the walls .
When I was 10 I was playing street hockey in a new neighborhood with kids I never played with before. So, I had no idea one of the kids had seizures. He started having one and I froze. I hated the feeling of not knowing what to do to help. I kept that feeling with me until I turned 18 and became an EMT.
One thing you didn't go over which I feel is important to cover is febrile seizures. My boy had febrile seizures from the ages of 1-6. Onset by rapid increase in temperature. Most terrifying experiences of my life. They say that febrile seizures don't cause any permanent damage. They look just like grand mal seizures.
@@dzikapanda2431 mostly you just have to let it ride out, unfortunately. And that's true for most seizures. It isn't proven, but prevention has been the only actionable thing I was able to do for my boy. Febrile seizures are caused by a rapid increase in body temperature. For him, it's when he would get sick and get a fever. Id alternate between Tylenol and ibuprofen every two hours when he was sick. Id also get a cold washcloth and press it on his head. Even if it was minor. He's had like 10 or so in his lifetime and they don't get any easier to watch or deal with. And they were incredibly hard on him. What he said about the body essentially resetting is very accurate in describing what the postictal state is like. Afterwards he had zero energy and would breathe hard and deep. And he would whimper too. I imagine it was painful and I wish I could have taken his place. Poor boy... The biggest thing is making sure they can breathe. While febrile seizures may not cause permanent damage, going without oxygen for 2 minutes plus can definitely cause brain damage or even death. I watched my son's lips turn blue during his worst one and I stood there helpless. He's fine now and doesn't have them any more thank Jesus. But recovery position helps afterwards and making sure they can breathe is definitely the priority imo.
Apparently I had febrile seizures a lot as a kid. My sister who's just a couple years older than me tells me she still has vivid memories of how terrifying it was for her to watch.
I've responded to hundreds of seizures for my son. His post ictal phase can be exactly as you described, though sometimes, his cognitive processing returns immediately. We shorten his post ictal phase by triggering the language centers of his brain. Since he knows the lyrics of Linkin Park's In the End, I play it on the phone, and he starts singing along immediately. The intensity and duration of the seizure seem to correspond to how long I need to play the trac. It's observable that he hears and understands my voice even during the tonic colonic seizures. He attempts to cooperate with me even when least expected. If I can't grab a phone to play the trac, he will respond to my rap ... It starts with one thing, l don't know why ...
As an ems provider, my favorite is responding to a seizure call in a public place only to find the pt with a wallet or something else shoved into their mouth. I'll usually ask why they did it and the response is "Oh so they don't swallow their tongue" or something like that. I'll usually tell them to, one, try swallowing their tongue. And two, confirm that to prevent an airway obstruction that isn't possible, they completely obstructed the patients airway
As a Wilderness First Responder, and SAR volunteer, I really enjoy your videos. Particularly as you go into depth with topics. Often in the Field I run into things that I might not have deep training in, but I am the 'most qualified' in the situation and we are out there, and 30min to several hours or days from definitive care. That you don't shy away from giving out info helps me learn things that I wouldn't address in the front country, but might make a real difference out in the field.
Experienced a seizure case a year ago after school and i jumped in to help but ultimately froze up because i didnt know what to do, but this video really helped me gain more info so thank you for taking your time to do this video 🙏
Epileptic here. I'm aware I'm a little late commenting, but I only just found this channel. Something that also bears mentioning is the potential for an "Aura", or "Focal Aware Seizure" which can often precede a full Tonic-Clonic seizure. If someone is aware that they are prone to having seizures, often they can have early warning signs that a seizure is about to occur. While they can be different for everyone, it's important to understand that these early warnings are very useful, and immediate action can prove vital in preventing serious injury during a seizure. Love the channel man. Keep it up.
I used to have epilepsy caused by a brain injury and I became aware of my auras eventually. I'd suddenly experience what felt like total weightlessness for 3 seconds and then "god da-". 16 years ago, I had a partial right temporal lobectomy to remove the lesion. 100% free ever since and no more butt injections.
Thank you. Just had my first (and hopefully only) general tonic seizure 2 weeks ago and it's great to know what's up going forward. The paramedics that showed up were phenomenal and genuinely made me very comfortable during the postictal period. Definitely took a couple hours to feel 80%, days to feel 90% and not going to claim 100% yet. Physically: the worst body/muscle pain I've felt ever in my life, even thought I gave myself a compression Fx (thank God, no), but I am still recovering from that. So, my reason to reply is to give a general thank you to the paramedics out there, ya'll are amazing, and to thank you for your explanation. God bless and prayers for your safety.
Very good advice. I have grand Mal seizures caused by severe head trauma (concussion) from being hit by a car. In my case not only do I have the convulsions but preceding them my body will be on autopilot mode during which I'm not cognitive or aware of my actions, how long I am in this state I'm not sure, at least several minutes. Highly combative and erratic actions and then convulsions. I take keppra daily to control them and am also on my church's security/safety team and have been asked "what should I do when you or someone else is having a seizure?" And all I can tell them is what you have just told us but with the added "don't take it personal" waiver. The placing the person on their side was new to me and sounds most reasonable than the "wooden spoon" technique which is the general response from most people that ask. Thanks sir, this info will definitely be shared by me! 👍✝️🇺🇲💪
Extra hint. A seizure truly stops when the patient starts breathing. Even after a seizure, there can still be some jerkiness as if the pt is seizing. That’s if its a gran mal seizure. Anything that lasts after 5m is called status epilepticus.
Great vid. Speaking as a someone with epilepsy, I would add to not move someone from their recovery position until they regained consciousness. I have a compression fracture in my T6 vertebrae and multiple slipped disc injuries, from the tonic compression of various grand mals. I am fortunately not paralised. Spinal trauma is more common than a lot of people realise with epilepsy and moving them or asking them to move right after a seizure may not be a good idea. I always ask to let me recover first so I can tell if I am in pain, to prevent further injury.
Great stuff Sam, keep it coming. Appreciate the X-Shears review. Just picked up a pair not too long ago and yeah, other than no o2 key they are rock solid and a little more streamlined than the Raptor. Have a Gerber MP 600 I carry with me all the time which would serve as a glass breaker.
Great Tutorial: If i could give you multiple thumbs up I would. I tried, watched on my tablet then switched to my desk top. It didn't work. AS you pointed out time is sometimes of the essence, it takes time for EMS to respond, I think the general first aid training holds: Call 911. One of the best things non trained people can do, after calling 911 and getting the person on the side, is to convince all the lookyloos to stop filming it on their phone. The whole event, if it is happening in public, is embarrassing for the patient. Think about it if it was you, are you going to want to watch it on ticktock? is your family? Many times the person looses bowl and bladder control either during the seizure or in the postictal stage, no one wants to be reminded of that. If there are people who won't cooperate go to the next step: Clear a large area around the patient. No one wants them banging into things around them. When the EMS arrives they are going to show up with at least two people, maybe gurney, and a whole bunch of gear and they are going to need room to work.
l love in the information about the interface between lay responders and EMS. too often I hear "what a doc would tell you" which is usually above my head or not the practice of the responders, but rather the treatment. the more I know about what EMS need/would do, the better I can hand off a patient in the scenario at my level (wilderness first aid/SAR).
Thanks for this great info. My only experience with seizures was in a refugee camp in 2019. A scuffle broke out outside of our (ngo) building and a girl hit her head on the metal gate and went out cold. It was midnight and the doctors left for the day so it was only us and i had no med training except for CPR. While we were waiting for the ambulance she went into a seizure with muscle spasming and gasping for air. Thats one of those sounds that sticks in your head. Another guy and I gave whatever aid we could but i was sure i was watching a death in front of me. After 10min of that hell which felt like hours they showd up and took care of her. She went through fazes of the seizure worsening at point but stabilized by the time they got there. I heard from a buddy that he saw her around after and she was fine but I was sure i was watching someone's last moments. I never want to be unprepared/ useless like i was that night. Thanks for the info you put out man.
In my experience dealing with staying calm, it takes a lot of self-talk every day throughout the day, walking through medical/trauma scenarios in your head while telling yourself you will be calm in exigent situations. That works. But also the more scary stuff you see in real life as an EMT/FF the less you react emotionally while on scene and you can think through your skills.
I can be calm if i know what to do. If i have a job to do. I was a random person that gave aid to a seizure with no medical training and it was the worse feeling ever. I thought the person was dying in my arms...
im going to start watching all of these common medical emergencies videos every month as a refresher. not being an Emt anymore and just a commercial dive medic which is a fairly niche skillset, its nice to keep all of this ready to go in the back of my mind.
I used to work at a bar/restaurant as a host or in the dishpit, there was another guy there who did dishes on some days. Well, unbeknownst to everyone, he had a history of seizures. One day, he collapsed and hit his head on the side of the pit. It was rounded so there was no skull damage, but he was unconscious. Absolutely terrifying situation, but fortunately one of the cooks had been a nurse previously and they knew what to do while they waited for the ambulance. My only interaction was explaining to customers that there was an additional wait due to the incident. Fortunately all of them were sympathetic, no customer interaction horror stories that day thankfully.
Ok, I haven't watched the video yet, but I just want to say: DO NOT HOLD ME DOWN! Holy fuck. The number of people who decide to go WWE mode as soon as I fall down is insane.
My good friend was just talking with a group of local fire fighters. They said since the clot shot roll out their call out volume has gone parabolic. Their main calls now are heart and stroke related, the firefighters said there is no question for them as to why they are so busy with heart and stroke calls…..they said it’s the clot shot 100%.
Or just the fact that they had a significantly lower load during lockdown so their reference is out of whack thinking lockdown numbers were normal numbers. People are out and about now.
@@ericbartha6313 Yeah, like studies showing a COVID infection increases the risk of heart attacks or stoke, not the vaccine like this post is suggesting.
As a medic student, we had a call that was reported as a possible seizure. But I discovered the guy was haulciating (side effect of Levodopa). He believed he was on top of a ladder and about to fall...was not a seizure, he was simply panicking trying to reach out to grab something to catch himsilf.
If I don’t have a nasal pharyngeal airway, can the head be tilted back to open the airway? I’m really glad you’re doing these step-by-step overviews for non-professional responders.
Upward chin tilt is always worth a try. The way it naturally pulls on the tongue and throat anatomy does tend to open the airway. The problem may be that the seizure may require that you keep performing the tilt to bring the head back into position. This is not a replacement for the recovery position (which is mainly intended to prevent aspiration - breathing-in of vomit or any other fluids which may end up in the mouth) but something to do along with it.
On your point with fact-checking and scope of practice. For anyone within the UK and the British Isles (Ireland, Scotland, Walse etc). I recommend the Saint Johns Ambulance App for your mobile phone. It is an app that when in a situation like this. When you open the app it gives you a list of first-aid scenarios. When you press one it shows you a simple step-by-step guide to do this. Anyone Like me who is a Cadet with this organization should Have this in my opinion as we are used to being with adult Members but this app can help if you forget or are stressed. This is not an app only for members and cadets but for the public as a whole. And as Sam said check if I am right as the app is WHO and UK/Irish Law approved. Hope this helps. Have a good day/night!
I saved my younger brother's life the first time he had a seizure. It scared the life out of me. Had I been asleep because I worked nights. He would have choked on his vomit and it probably would have been drastically worse.
Hey, Sam: Would it be possible for you to review the my Medic Medic Pro? Also, is it possible for someone who has cerebral palsy to obtain an Emergency Medical Responder certification?
Following an mva, individual going through the tonic phase, bilateral chest movement observed should you still move the person out of the car and into the recover position?
I don’t know what it’s called but my friend told me about a treatment their sibling with epilepsy got. It’s an implant (I think) in their head and wrist and when you touch them together, the seizure just stops. Absolutely bonkers
My daughter is 2 and recently began experiencing unknown cause seizures. Very sporadic, every few months instead of daily. She went into status epilepticus while at the hospital three months ago. Ive never been so scared and thinking that was the end for her while a full team of docs started working to stop the seizures. Eventually stopped about 20 minutes later with a post-ictal period of 2.5 days and hospital admission for close observation. Several tests later and no cause has yet been found. Luckily also no permanent damage done that we can tell, for her it seems like it never happened as of today. This video timing and info is great for me. She now takes twice daily keppra for two years and then we'll evaluate from there. I have an emergency rectal rescue med with us at all times like you stated, but honestly don't have any use experience on a toddler if we ever actually need it. Any recommendation on how/where to train for that?
Late reply, but I was diagnosed with Epilepsy at a young age. Seizures persisted until I was about 6, and then stopped. Mine were also very sporadic, typically if I was sick with something else. Sometimes it's something that happens to kids and they grow out of it. The upside is that there are medications available that can help. I was prescribed Lamotrigine (Lamictal). Hoping for the best for you and your daughter.
I missed it it you covered NEADs (Non Epileptic Attack Disorder) which does present like Generalized Seizures or Focal Seizures. Folks who have NEAD should wear a medical alert bracelet or medallion.
After you rolled the person in recovery position: Please controll the breathing often and in detail. Many non-professional people think its a seizure but in real is the short "seizure like period" because of a lack of oxygen in the brain followed by cardiac arrest.
I keep a pretty good trauma/first aid kit in my vehicles with contents based on your videos and other resources. Thoughts on items for overdoses? I hear theres a OTC med now. What about narcan? Also what about an epi pen for allergic reactions? Should only have that if someone in my group has allergies? What are risks for good samaritan using such things on others?
The OTC med is NARCAN generic name is Naloxone, In a number of states, California and New York being the front runners, it has been legal for a pharmacist to prescribe, provide and instruct in its use for quite a while now. To date I have not seen the OTC packaged product on the market. Epi-pens are not over the counter and if someone having an allergic reaction gives you one of their own to use on them, cool. To use one you have prescribed and you have had a documented need, you may have a leg to stand on. If you've no history of anaphylactic allergy response or no history of an allergy that can cause one: you will have to make a whole lot of medical decisions you may have to defend in court, if not a criminal one then a civil one. Good Samaritan laws vary from state to state but are generally written around what any reasonable and prudent person would do in the same situation. It is important to know and understand your states good Samaritan laws
@@hahmtae-jin4142 There are no absolute contraindications to epipen and very few relative contraindications. If you give it to someone who is not actually in anaphylaxis, the worst thing that will happen is a mildly elevated heart rate and blood pressure for a while. That could be a problem in someone with severe heart issues but should be OK for everyone else.
@@sbreheny I'm sorry, I guess I didn't make myself clear enough on that. I figured by not mentioning side effects, contra indications and dangers everyone would know I wasn't referencing those. I was referring to LEGAL complications that the person rendering aid might encounter, and they do exist . The good Samaritan laws do not cover every thing, and in some situations, nothing. Thus my comment about knowing and understanding your states good Samaritan law.
There is no preferred nare in the real world. Put it in, it’s not rocket science. Even the bevel direction is pretty inconsequential. Also, that is a pre-lubricated NPA. It comes good to go in the package.
@@PrepMedic I know the REAL WORLD I took EMT Class in 1981, NREMT-P in 1990, NCLEX in 2000. So 40 plus years in EMS - Volunteer EMT, to Paramedic, and finally to ER RN tends to have me know a few things. Too each their own, hard to tell if that demo had a pre-lubed NPA. But, as they say "Any port in a storm".
Should there be padding put around the head of a patient who is having a seizure? I read a little bit about care for them, and that's been suggested as a way to prevent more head trauma.
like the other guy said be careful with airway. i think i also read somewhere that be careful holding their head stationary if their body is flailing so you dont cause a neck injury from twisting
Didn't know they changed the name of Pseudo Seizures, that's great lol....Probably not gonna report to the RN that pt experienced a PNES on scene though...
Please do more videos on everyday medical situations. Every medical RUclipsr focuses on stop the bleed and TC3 when you are far more likely to come across someone having a seizure or heart attack
I have a ton of videos like this: heart attack, child cpr, adult cpr, abdominal trauma, stroke, eye trauma, splinting etc…
If I could add anything to the standard curriculum, every kid would learn how to use an AED, perform CPR, help someone who's choking, and deal with common conditions such as seizures and diabetes. The fact that these aren't taught is borderline criminal.
@@PrepMedicA topic I think would be great to cover would be burn treatment. It’s always under discussed on youtube and pracmednz made some good posts about ORT in MASCAL burn situations. I think it would make a good video.
@@PrepMedic hey Sam, just trying to figure out how to get in touch with you for a quick email exchange about career options for me. I’m currently an RN working at a level 1 hospital here in CO, a CO state and NREMT-P, 68W with the Colorado Army National Guard, and part time Ski Patroller at a busy hill here in CO. I could really use some career advice from someone like you, who seems to have insight into the type of work I like to do! If you have an IG or some way to DM you, I’d greatly appreciate it.
@@ashurean My school taught us how to use AEDs, perform CPR, and the Heimlich maneuver. Small town Kansas.
Don’t forget prescription related seizures. Fun fact : I found out that I am part of the tiny percentage of people that cannot take tramadol for my pain management due to the very fun surprise (my wife had to deal with ) of full blown seizure. Not overdose- just good ol fashioned- ruin your day , seizure.
Woke up and reached for my pistol on my hip when I realized there were 9 strange shapes around me . Complete fight or flight . They were the emts and firefighters that came to my aid. . The closest one lunged on top of me and told me firmly, “ it’s ok! We are here to help you- you had a seizure!” When I took a few breaths everything came back into focus. His hands were in a death grip around both wrists and I had chew dripping down my chin and onto my new shirt . Wife was in tears and to the hospital I went .
Not a fun experience . But thankfully, those guys had my best interest before their own.
Bonus props - getting me down my stairs in a stretcher around 2 90° corners without scratching the walls .
Good reaction for both you and he. Otherwise, the postictal situation sounds about the same. My first ride in the ambulance. Pray never again.
When I was 10 I was playing street hockey in a new neighborhood with kids I never played with before. So, I had no idea one of the kids had seizures. He started having one and I froze. I hated the feeling of not knowing what to do to help. I kept that feeling with me until I turned 18 and became an EMT.
One thing you didn't go over which I feel is important to cover is febrile seizures. My boy had febrile seizures from the ages of 1-6. Onset by rapid increase in temperature. Most terrifying experiences of my life. They say that febrile seizures don't cause any permanent damage. They look just like grand mal seizures.
And in my experience ran from 30 seconds to 3 minutes. Seemed like a lifetime tho. Scary when it's your boy...
So what can you do if someone is experiencing febrile seizures?
@@dzikapanda2431 mostly you just have to let it ride out, unfortunately. And that's true for most seizures. It isn't proven, but prevention has been the only actionable thing I was able to do for my boy. Febrile seizures are caused by a rapid increase in body temperature. For him, it's when he would get sick and get a fever. Id alternate between Tylenol and ibuprofen every two hours when he was sick. Id also get a cold washcloth and press it on his head. Even if it was minor. He's had like 10 or so in his lifetime and they don't get any easier to watch or deal with. And they were incredibly hard on him. What he said about the body essentially resetting is very accurate in describing what the postictal state is like. Afterwards he had zero energy and would breathe hard and deep. And he would whimper too. I imagine it was painful and I wish I could have taken his place. Poor boy... The biggest thing is making sure they can breathe. While febrile seizures may not cause permanent damage, going without oxygen for 2 minutes plus can definitely cause brain damage or even death. I watched my son's lips turn blue during his worst one and I stood there helpless. He's fine now and doesn't have them any more thank Jesus. But recovery position helps afterwards and making sure they can breathe is definitely the priority imo.
Apparently I had febrile seizures a lot as a kid. My sister who's just a couple years older than me tells me she still has vivid memories of how terrifying it was for her to watch.
I've responded to hundreds of seizures for my son.
His post ictal phase can be exactly as you described, though sometimes, his cognitive processing returns immediately.
We shorten his post ictal phase by triggering the language centers of his brain.
Since he knows the lyrics of Linkin Park's In the End, I play it on the phone, and he starts singing along immediately.
The intensity and duration of the seizure seem to correspond to how long I need to play the trac.
It's observable that he hears and understands my voice even during the tonic colonic seizures. He attempts to cooperate with me even when least expected.
If I can't grab a phone to play the trac, he will respond to my rap ... It starts with one thing, l don't know why ...
That’s the most interesting thing I’ve read today. I’m glad you’ve found things to help even just a little
I love Linkin Park even more now. Keep being an amazing dad! :)
Wow
goosebumps reading this
😅
As an ems provider, my favorite is responding to a seizure call in a public place only to find the pt with a wallet or something else shoved into their mouth. I'll usually ask why they did it and the response is "Oh so they don't swallow their tongue" or something like that. I'll usually tell them to, one, try swallowing their tongue. And two, confirm that to prevent an airway obstruction that isn't possible, they completely obstructed the patients airway
As a Wilderness First Responder, and SAR volunteer, I really enjoy your videos. Particularly as you go into depth with topics. Often in the Field I run into things that I might not have deep training in, but I am the 'most qualified' in the situation and we are out there, and 30min to several hours or days from definitive care. That you don't shy away from giving out info helps me learn things that I wouldn't address in the front country, but might make a real difference out in the field.
Experienced a seizure case a year ago after school and i jumped in to help but ultimately froze up because i didnt know what to do, but this video really helped me gain more info so thank you for taking your time to do this video 🙏
Epileptic here. I'm aware I'm a little late commenting, but I only just found this channel. Something that also bears mentioning is the potential for an "Aura", or "Focal Aware Seizure" which can often precede a full Tonic-Clonic seizure. If someone is aware that they are prone to having seizures, often they can have early warning signs that a seizure is about to occur. While they can be different for everyone, it's important to understand that these early warnings are very useful, and immediate action can prove vital in preventing serious injury during a seizure. Love the channel man. Keep it up.
I used to have epilepsy caused by a brain injury and I became aware of my auras eventually. I'd suddenly experience what felt like total weightlessness for 3 seconds and then "god da-". 16 years ago, I had a partial right temporal lobectomy to remove the lesion. 100% free ever since and no more butt injections.
Big fan of the channel, this one is really timely as a family member has just been diagnosed with epilepsy. 👏🏻
Thank you. Just had my first (and hopefully only) general tonic seizure 2 weeks ago and it's great to know what's up going forward. The paramedics that showed up were phenomenal and genuinely made me very comfortable during the postictal period. Definitely took a couple hours to feel 80%, days to feel 90% and not going to claim 100% yet. Physically: the worst body/muscle pain I've felt ever in my life, even thought I gave myself a compression Fx (thank God, no), but I am still recovering from that.
So, my reason to reply is to give a general thank you to the paramedics out there, ya'll are amazing, and to thank you for your explanation. God bless and prayers for your safety.
Very good advice. I have grand Mal seizures caused by severe head trauma (concussion) from being hit by a car. In my case not only do I have the convulsions but preceding them my body will be on autopilot mode during which I'm not cognitive or aware of my actions, how long I am in this state I'm not sure, at least several minutes. Highly combative and erratic actions and then convulsions. I take keppra daily to control them and am also on my church's security/safety team and have been asked "what should I do when you or someone else is having a seizure?" And all I can tell them is what you have just told us but with the added "don't take it personal" waiver. The placing the person on their side was new to me and sounds most reasonable than the "wooden spoon" technique which is the general response from most people that ask. Thanks sir, this info will definitely be shared by me! 👍✝️🇺🇲💪
Extra hint. A seizure truly stops when the patient starts breathing. Even after a seizure, there can still be some jerkiness as if the pt is seizing. That’s if its a gran mal seizure. Anything that lasts after 5m is called status epilepticus.
Absolutely great video thanks for sharing this information with us
Great vid. Speaking as a someone with epilepsy, I would add to not move someone from their recovery position until they regained consciousness. I have a compression fracture in my T6 vertebrae and multiple slipped disc injuries, from the tonic compression of various grand mals. I am fortunately not paralised. Spinal trauma is more common than a lot of people realise with epilepsy and moving them or asking them to move right after a seizure may not be a good idea. I always ask to let me recover first so I can tell if I am in pain, to prevent further injury.
Great video! I have had some decent experience with this issue of seizures and epilepsy.
Great stuff Sam,
keep it coming.
Appreciate the X-Shears review.
Just picked up a pair not too long ago and yeah, other than no
o2 key they are rock solid and a little more streamlined than the Raptor. Have a Gerber MP 600 I carry with me all the time which would serve as a glass breaker.
Great Tutorial: If i could give you multiple thumbs up I would.
I tried, watched on my tablet then switched to my desk top. It didn't work.
AS you pointed out time is sometimes of the essence, it takes time for EMS to respond, I think the general first aid training holds: Call 911.
One of the best things non trained people can do, after calling 911 and getting the person on the side, is to convince all the lookyloos to stop filming it on their phone.
The whole event, if it is happening in public, is embarrassing for the patient.
Think about it if it was you, are you going to want to watch it on ticktock? is your family?
Many times the person looses bowl and bladder control either during the seizure or in the postictal stage, no one wants to be reminded of that.
If there are people who won't cooperate go to the next step: Clear a large area around the patient.
No one wants them banging into things around them.
When the EMS arrives they are going to show up with at least two people, maybe gurney, and a whole bunch of gear and they are going to need room to work.
l love in the information about the interface between lay responders and EMS. too often I hear "what a doc would tell you" which is usually above my head or not the practice of the responders, but rather the treatment. the more I know about what EMS need/would do, the better I can hand off a patient in the scenario at my level (wilderness first aid/SAR).
Nice video, good refresher.
Thanks for this great info. My only experience with seizures was in a refugee camp in 2019. A scuffle broke out outside of our (ngo) building and a girl hit her head on the metal gate and went out cold. It was midnight and the doctors left for the day so it was only us and i had no med training except for CPR. While we were waiting for the ambulance she went into a seizure with muscle spasming and gasping for air. Thats one of those sounds that sticks in your head. Another guy and I gave whatever aid we could but i was sure i was watching a death in front of me. After 10min of that hell which felt like hours they showd up and took care of her. She went through fazes of the seizure worsening at point but stabilized by the time they got there. I heard from a buddy that he saw her around after and she was fine but I was sure i was watching someone's last moments. I never want to be unprepared/ useless like i was that night. Thanks for the info you put out man.
I stumbled across a kid having a seizure at my high school last year, and some of this knowledge would have been nice to know, but now I do.
Man. Its gonne be really hard to stay calm but. Good to know as always
In my experience dealing with staying calm, it takes a lot of self-talk every day throughout the day, walking through medical/trauma scenarios in your head while telling yourself you will be calm in exigent situations. That works.
But also the more scary stuff you see in real life as an EMT/FF the less you react emotionally while on scene and you can think through your skills.
I can be calm if i know what to do. If i have a job to do. I was a random person that gave aid to a seizure with no medical training and it was the worse feeling ever. I thought the person was dying in my arms...
im going to start watching all of these common medical emergencies videos every month as a refresher. not being an Emt anymore and just a commercial dive medic which is a fairly niche skillset, its nice to keep all of this ready to go in the back of my mind.
Great video!
I used to work at a bar/restaurant as a host or in the dishpit, there was another guy there who did dishes on some days. Well, unbeknownst to everyone, he had a history of seizures. One day, he collapsed and hit his head on the side of the pit. It was rounded so there was no skull damage, but he was unconscious.
Absolutely terrifying situation, but fortunately one of the cooks had been a nurse previously and they knew what to do while they waited for the ambulance. My only interaction was explaining to customers that there was an additional wait due to the incident. Fortunately all of them were sympathetic, no customer interaction horror stories that day thankfully.
Ok, I haven't watched the video yet, but I just want to say: DO NOT HOLD ME DOWN! Holy fuck. The number of people who decide to go WWE mode as soon as I fall down is insane.
Should cover each of the types of sezures
My good friend was just talking with a group of local fire fighters. They said since the clot shot roll out their call out volume has gone parabolic. Their main calls now are heart and stroke related, the firefighters said there is no question for them as to why they are so busy with heart and stroke calls…..they said it’s the clot shot 100%.
Agree and I’m a paramedic over here in the DFW area. Exponentially higher
17% excess mortalities in Australia since the shots.. authorities baffled 🤔
Or just the fact that they had a significantly lower load during lockdown so their reference is out of whack thinking lockdown numbers were normal numbers. People are out and about now.
@@asterisk606we have actual data on these things, no? Instead of just conjecture?
@@ericbartha6313 Yeah, like studies showing a COVID infection increases the risk of heart attacks or stoke, not the vaccine like this post is suggesting.
As a medic student, we had a call that was reported as a possible seizure. But I discovered the guy was haulciating (side effect of Levodopa). He believed he was on top of a ladder and about to fall...was not a seizure, he was simply panicking trying to reach out to grab something to catch himsilf.
If I don’t have a nasal pharyngeal airway, can the head be tilted back to open the airway?
I’m really glad you’re doing these step-by-step overviews for non-professional responders.
What do you mean head tilted back ? What’s the point when you can put the in recover position .
You think to much .
@@zendonteh9521 Nope! In our country there’s an epidemic of people that don’t think enough.
@@zendonteh9521 Is this a drinking game where you take a shot if you can get me to repeat my question?
Upward chin tilt is always worth a try. The way it naturally pulls on the tongue and throat anatomy does tend to open the airway. The problem may be that the seizure may require that you keep performing the tilt to bring the head back into position. This is not a replacement for the recovery position (which is mainly intended to prevent aspiration - breathing-in of vomit or any other fluids which may end up in the mouth) but something to do along with it.
Turn them to the left, correct? Great video. Love your content!
On your point with fact-checking and scope of practice. For anyone within the UK and the British Isles (Ireland, Scotland, Walse etc). I recommend the Saint Johns Ambulance App for your mobile phone. It is an app that when in a situation like this. When you open the app it gives you a list of first-aid scenarios. When you press one it shows you a simple step-by-step guide to do this. Anyone Like me who is a Cadet with this organization should Have this in my opinion as we are used to being with adult Members but this app can help if you forget or are stressed. This is not an app only for members and cadets but for the public as a whole. And as Sam said check if I am right as the app is WHO and UK/Irish Law approved. Hope this helps. Have a good day/night!
I'm a adult st John's member glad to see you're getting the app out there! Have a fab day!
Sam's got that Top Gun mustache goin on.
I saved my younger brother's life the first time he had a seizure. It scared the life out of me. Had I been asleep because I worked nights. He would have choked on his vomit and it probably would have been drastically worse.
Hey, Sam:
Would it be possible for you to review the my Medic Medic Pro? Also, is it possible for someone who has cerebral palsy to obtain an Emergency Medical Responder certification?
Following an mva, individual going through the tonic phase, bilateral chest movement observed should you still move the person out of the car and into the recover position?
Should have went a little more in detail on oxygen administration. Such as why it is given, flow rates, and typical duration.
I don’t know what it’s called but my friend told me about a treatment their sibling with epilepsy got. It’s an implant (I think) in their head and wrist and when you touch them together, the seizure just stops. Absolutely bonkers
My daughter is 2 and recently began experiencing unknown cause seizures. Very sporadic, every few months instead of daily. She went into status epilepticus while at the hospital three months ago. Ive never been so scared and thinking that was the end for her while a full team of docs started working to stop the seizures. Eventually stopped about 20 minutes later with a post-ictal period of 2.5 days and hospital admission for close observation. Several tests later and no cause has yet been found. Luckily also no permanent damage done that we can tell, for her it seems like it never happened as of today. This video timing and info is great for me.
She now takes twice daily keppra for two years and then we'll evaluate from there. I have an emergency rectal rescue med with us at all times like you stated, but honestly don't have any use experience on a toddler if we ever actually need it. Any recommendation on how/where to train for that?
I carried a nazel med for 2 year's hoping I'd never need it when I did I was so vary glad I had it. And reamemberd how to use it.
Late reply, but I was diagnosed with Epilepsy at a young age. Seizures persisted until I was about 6, and then stopped. Mine were also very sporadic, typically if I was sick with something else. Sometimes it's something that happens to kids and they grow out of it. The upside is that there are medications available that can help. I was prescribed Lamotrigine (Lamictal). Hoping for the best for you and your daughter.
I missed it it you covered NEADs (Non Epileptic Attack Disorder) which does present like Generalized Seizures or Focal Seizures.
Folks who have NEAD should wear a medical alert bracelet or medallion.
After you rolled the person in recovery position:
Please controll the breathing often and in detail.
Many non-professional people think its a seizure but in real is the short "seizure like period" because of a lack of oxygen in the brain followed by cardiac arrest.
I keep a pretty good trauma/first aid kit in my vehicles with contents based on your videos and other resources.
Thoughts on items for overdoses? I hear theres a OTC med now. What about narcan? Also what about an epi pen for allergic reactions? Should only have that if someone in my group has allergies? What are risks for good samaritan using such things on others?
The OTC med is NARCAN generic name is Naloxone, In a number of states, California and New York being the front runners, it has been legal for a pharmacist to prescribe, provide and instruct in its use for quite a while now. To date I have not seen the OTC packaged product on the market. Epi-pens are not over the counter and if someone having an allergic reaction gives you one of their own to use on them, cool. To use one you have prescribed and you have had a documented need, you may have a leg to stand on. If you've no history of anaphylactic allergy response or no history of an allergy that can cause one: you will have to make a whole lot of medical decisions you may have to defend in court, if not a criminal one then a civil one. Good Samaritan laws vary from state to state but are generally written around what any reasonable and prudent person would do in the same situation. It is important to know and understand your states good Samaritan laws
@@hahmtae-jin4142 There are no absolute contraindications to epipen and very few relative contraindications. If you give it to someone who is not actually in anaphylaxis, the worst thing that will happen is a mildly elevated heart rate and blood pressure for a while. That could be a problem in someone with severe heart issues but should be OK for everyone else.
@@sbreheny I'm sorry, I guess I didn't make myself clear enough on that. I figured by not mentioning side effects, contra indications and dangers everyone would know I wasn't referencing those. I was referring to LEGAL complications that the person rendering aid might encounter, and they do exist . The good Samaritan laws do not cover every thing, and in some situations, nothing. Thus my comment about knowing and understanding your states good Samaritan law.
Thanks!
I needed this info
Think that fellow needs review which is the preferred nare to insert npa into? And, perhaps consider using KY jelly. I know it is a demo, but still.
There is no preferred nare in the real world. Put it in, it’s not rocket science. Even the bevel direction is pretty inconsequential. Also, that is a pre-lubricated NPA. It comes good to go in the package.
@@PrepMedic I know the REAL WORLD I took EMT Class in 1981, NREMT-P in 1990, NCLEX in 2000. So 40 plus years in EMS - Volunteer EMT, to Paramedic, and finally to ER RN tends to have me know a few things. Too each their own, hard to tell if that demo had a pre-lubed NPA. But, as they say "Any port in a storm".
Then there is febrile seizures.... they are probably most scary sz's for anyone to see a kiddo with a sz's.
Get some.
Should there be padding put around the head of a patient who is having a seizure? I read a little bit about care for them, and that's been suggested as a way to prevent more head trauma.
Just be careful to prevent it from ending up blocking their airway (e.g. they could roll over onto a pillow)
like the other guy said be careful with airway. i think i also read somewhere that be careful holding their head stationary if their body is flailing so you dont cause a neck injury from twisting
@venture2466 That's a good point as well.
Could you do a series on how movies and tv misrepresent first aid in different scenarios?
Great video... Just wish you would give "the fetus" more validation by calling it a baby!
It’s a fetus, just like a baby is a baby and a toddler is a toddler.
Didn't know they changed the name of Pseudo Seizures, that's great lol....Probably not gonna report to the RN that pt experienced a PNES on scene though...
Ww
why don't you call a baby a baby? why using the lingo of "fetus?"
Because that’s the medically correct term Fetus is an unborn child
Sam, please lose the moustache. Help yourself, help us. :)
Steal their wallet while they’re twitching, obviously.