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Epilepsy / Seizure Awareness Training
Train the Trainer
For Emergency Responders
Your Name Agency Public Safety Experience What you expect to get from this training
Introduction
Epilepsy & Seizure Risk Management
Starts with First Responders
https://www.youtube.com/watch?v=uQHM0N3C-mQ
Epilepsy Foundation PSA
Training with a purpose 1 in 26
Develop awareness of sign and symptoms Develop understanding of types of Epilepsy Develop knowledge of Partial Seizures Develop Knowledge of Generalized Seizures Develop knowledge of Epilepsy Syndromes Develop Knowledge of First Aid Steps
Objectives
Epilepsy
*1 in 10 people will have a seizure in lifetime
*200,000 people in U.S. will be diagnosed this year
*100,000 estimated number of soldiers served in Iraq
* 25 to 50,000 people will Die of seizure and related causes
Epilepsy Quick Facts
• 2.7 Million Americans have epilepsy
• 468,000 are children
• 50 million people suffer from Epilepsy worldwide
• 1 in 26 Americans will develop in lifetime
Epilepsy Quick Facts
How you can really make a difference?
http://www.epilepsy.com/learn/about-epilepsy-basics
Epilepsy 101
Temporal Lobe Epilepsy Frontal Lobe Epilepsy Parietal Lobe Epilepsy Occipital Lobe Epilepsy Primary Generalized Epilepsy Idiopathic Partial Epilepsy Symptomatic Generalized Epilepsy Progressive Myoclonic Epilepsy Reflex Epilepsy
Epilepsy Syndromes
Febrile Seizures Benign Rolandic Epilepsy Juvenile Myoclonic Epilepsy Infantile Spasms Lennox-Gastaut Syndrome Childhood Absence Epilepsy Benign Occipital Epilepsy Mitochondrial Disorders Landau-Kleffner Syndrome Rasmussen Syndrome Hypothalamic Hamartoma & Epilepsy
Epilepsy Syndromes in Children
These seizures are dramatic cannot be missed due to their sudden and forceful nature.
The seizure may begin with an aura or simple partial seizure or they begin with a complex partial that continues and changes into the secondary generalized seizure.
The secondary generalized part begins usually with stiffening of the muscles. Air being forced past the vocal cords causes a cry or groan. The person loses consciousness and falls to the floor. The tongue or cheek may be bitten, so bloody saliva may come from the mouth. The person may turn a bit blue in the face.
After the tonic phase comes the clonic phase. The arms and usually the legs begin to jerk rapidly and rhythmically, bending and relaxing at the elbows, hips, and knees. After a few minutes, the jerking slows and stops.
Bladder or bowel control sometimes is lost as the body relaxes. Consciousness returns slowly, and the person may be drowsy, confused, agitated, or depressed.
These seizures generally last 1 to 3 minutes.
A tonic-clonic seizure that lasts longer than 5 minutes is a medical emergency.
It may be difficult to distinguish these seizures from primary generalized tonic-clonic seizures, especially if they occur during sleep or are not seen by anyone else. Most convulsive seizures during sleep are secondarily generalized seizures that do begin as partial seizures.
Simple Generalized Seizure
Simple partial seizures are usually divided into categories depending on the type of symptoms the person experiences
Partial Seizure
These cause a change in muscle activity. For example, a person may have abnormal movements such as jerking of a finger or stiffening of part of the body.
The movements may spread, either staying on one side of the body or extending to both sides. Other examples are weakness, which can even affect speech, and coordinated actions such as laughter or automatic hand movements.
Motor seizures:
These cause changes in any one of the senses.
People with sensory seizures may smell or taste things that aren't there; hear clicking, ringing, or a person's voice when there is no actual sound; or feel a sensation of "pins and needles" or numbness.
Seizures may even be painful for some patients. They may feel as if they are floating or spinning in space.
They may have visual hallucinations, seeing things that aren't there (a spot of light, a scene with people). They also may experience illusions—distortions of true sensations. For instance, they may believe that a parked car is moving farther away, or that a person's voice is muffled when it's actually clear.
Sensory seizures:
These cause changes in the part of the nervous system that automatically controls bodily functions.
These common seizures may include strange or unpleasant sensations in the stomach, chest, or head; changes in the heart rate or breathing; sweating; or goose bumps.
Autonomic seizures:
These seizures change how people think, feel, or experience things.
They may have problems with memory, garbled speech, an inability to find the right word, or trouble understanding spoken or written language.
They may suddenly feel emotions like fear, depression, or happiness with no outside reason.
Some may feel as though they are outside their body or may have feelings of déja vu ("I've been through this before") or jamais vu ("This is new to me"— even though the setting is really familiar).
Psychic seizures:
http://www.epilepsy.com/get-help/services-and-support/training-programs/first-responder-training
First Responders
Epileptic Seizure now what?
TRUST
T- Turn patient over on their side
R – Remove things from around them
U- Place something “Soft” under their head
S-Stay Calm
T- Time the episode – If the seizure last more than “5” minutes, call 911
“TRUST” in it’s Simplest terms
Questions?
http://www.epilepsy.com/ http://thevillageiscoming.blogspot.com/ http://www.efva.org/ http://www.cdc.gov/epilepsy/law-enforcement.htm [email protected]
Credits
Benny M. Burrell - Retired Police Officer [email protected]
