Peds...

[Just Plain Ruff]

breathe for him, intubate if you have to but for god's sake breathe for him. ha ha . Transport and let the doctor gods take care of him.

[katbemeEMT-B]

While recently at an EMS Conference I attended a break out session on pediatric seizures given by a neurologist from the Mayo Clinic in Rochester, MN. He talked about a similar case study. The first thing is to assess the ABC's, first impression will do. Along with basic vitals and application of O2 get a glucose and treat as indicated, GCS, and temp. If there is no improvement after initial interventions contact MC and consider ALS intercept (if you are a BLS service). Transport immediately continuing to monitor ABC's and treating as needed. The objective with an ped. pt that is potentially unstable, unstable, or critical is immediate transport. All other interventions can be done en-route. If there is no hx to suggest trauma or previous seizure activity consider other etiology such as fever, CNS infection, ETOH or drug ingestion, disease, or injury although there are no obvious signs of trauma. The parents are not present so it will be difficult to get an adequate hx. This is why transport is so important. If the seizure activity continues en-route, anti-seizure med should be admin with MC clearance. It sounds as though this child was in Status Epilepticus which could be the first of many seizures or an isolated incident. The only ones to make a proper diagnosis is the docs at the hospital once they are able to stabilize him, run more tests, and get a better hx from the parents. In the case presented at the conference the pt was diagnosed with a Partial Complex seizure disorder as she had several more of the same types of seizures in the days that followed. She was treated with anti-seizure meds to control future episodes and now lives a normal life as an eleven year old.