What is included in parent education about pediatric first seizure?

Updated: Aug 16, 2018
  • Author: Shelley R Waite, MD; Chief Editor: Amy Kao, MD  more...
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Answer

Answer

Inform the patient's family about the following:

  • Steps to be taken in the event of a second seizure

  • Seizure precautions

  • Appropriate follow-up

  • Organizations that can provide more information

In the event of a second seizure

If a child has a second seizure, place the child in a lateral decubitus position to allow gravity to pull secretions and the tongue out of the airway. Attempt to keep the neck straight to keep the airway most open. Place no objects in the child's mouth.

Most seizures last for less than 2 minutes; however, if a seizure lasts longer than 5 minutes, the child should be transported to an emergency department for administration of medications to stop the seizures. If the seizure is the second unprovoked seizure (eg, no fever, drug exposure, or proximate head trauma), contact the patient's primary physician or neurologist, because anticonvulsant therapy is frequently indicated.

Seizure precautions

Children with the possibility of a having a second seizure should not engage in activities that are potentially harmful. They should not be allowed to take unsupervised baths (because of the risk of drowning) or to climb higher than 5 feet. Supervised swimming, bike riding (helmeted), and playing video games are considered by most neurologists to be safe activities.


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