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Seizures Z. Rozkydal
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Seizures Involuntary contractions of muscles in the body
May results in loss of consciousness Most common cause is epilepsy Further: head injury, brain damaging disease shortage of oxygen, meningitis, encefalitis tumors, intracerebral bleeding delivery trauma
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Epilepsy - Grand mal: generalised seizures
Petit mal: several seconds seizure Akinetic convulsion - Absence seizures: stiffness of the body, switch off
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Symptoms Aura: sensitive, sensoric, visceral, psychogenic symptoms
Sudden loss of consciousness Rigid, arching his back Breathing- noisy and difficult Convulsive movement Saliva may appear in the mouth- bloodstained Possible loss of bowel control Later on- muscles relax, normal breathing, he is again conscious, but not aware of the action he feels tired, falls into a deep sleep
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First aid Make space around the casualty
Remove potentionally dangerous thigs To protect him from injury Protect the casualty´s head Loosen tight clothing After convulsion have ceased open the casualty´s airway Check the breathing If he is breathing- get him into recovery position Record vital signs Transport
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Seizures in children Raised body temperature- febrile seizures
They are alarming but not dangerous if properly dealt with Usually between 3. months- 3. years of age Appears in 4 % of children Short simple convulsions Generaliased convulsions for several minutes Sometimes beginning of child ´s epilepsy
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Signs Shaking, arched back Hot flushed skin Sweating
Twitching of the face Breath holding Possible vomiting Loss of bowel and bladder movement Loss of consciousness
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First aid Soft padding around the child to avoid injury
Cool the child – cold water or compresses Free airways Cold fluids, panadol suppositoria Record vital signs
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Infant´s seizures: hypoglycaemia hypocalcaemia low magnesium, low natrium Metabolic disorder: Hypercalcaemia (hyperparathyreoidismus, malignancy in bones) Hypocalcaemia (hypoparathyreoidismus)
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