Critical Care Guidelines
Pre-hospital goals of seizure management are focused on maintenance of airway patency, oxygenation, ventilation and treatment of seizures mindful of specific etiologies.
Supplemental oxygen as required (maintain SpO2 > 90%)
Establish IV or IO access
Attempt to arrest seizures with anti-convulsants, consider:
- In unstable patients refractory to conventional treatments contact EPOS and consider use of neuromuscular blockade and intubation to maintain physiologic norms (i.e. SpO2, CO2, and MvO2 etc.).
Secure airway if required
- Refer to procedural guidelines: Anesthesia
- Refer to procedural guidelines: Mechanical Ventilation
In patients seizing for an extended duration prior to neuro-muscular blockade consider checking electrolytes.