Seizure
General adult Assessment
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Consider Cervical Stabilization
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Yes
Pateint actively
seizing?
No
Patient have a
history of
seizures?
No
Is Patient ≥ 20 weeks
pregnant or ≤ 6 weeks
post partum
Yes
Obstetrical
Emergencies
Protocol
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Yes
No
Blood glucose testing
Reassess and monitor VS
Blood glucose testing
Ventilation Management
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Vascular Access
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Cardiac monitor
MIDAZOLAM
0.1 mg/kg up to
max 5.0 mg IM/IN/IV/IO
OR
DIAZEPAM
5.0 mg IM/IV/IO
No
BG <60 mg/dl?
Yes
D10
25g IV
(250ml of 10% solution)
may repeat x 1 in 5 min
GLUCAGON
1.0 mg IM
for no IV access
Yes
BG <60 mg/dl?
No
Persistant (status)
or
recurrent seizures?
No
Reassess and
monitor VS
Yes
Glucose test / retest
Ventilation Management
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Vascular Access
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Cardiac monitor
MIDAZOLAM
0.1 mg/kg up to
max 5.0 mg IM/IN/IV; may
repeat dose at 0.05 mg/kg
OR
DIAZEPAM
5.0 mg IM/IV
Continue General adult Assessment
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