PMP in epileptic seizures.

Getting into an attack

Support a falling person with your hands, lower him right here on the floor or sit him down on a bench.

· If a person is in a dangerous place, for example, at a crossroads or near a cliff, raising his head, taking him under the armpits, move him a little away from the dangerous place.

The beginning of the attack

· Sit down next to the person and hold the most important thing – the person’s head, it is most convenient to do this by squeezing the head of the person lying between your knees and holding it from above with your hands. The limbs can not be fixed, they will not make amplitude movements, and if initially a person lies comfortably enough, then he will not be able to inflict injuries on himself. Other people are not required nearby, ask them to move away.

Main attack phase

· While holding the head, prepare a folded handkerchief or part of the person’s clothing. This may be required to wipe the saliva and if the mouth is open , then you can insert a piece of this matter, folded in several layers, between the teeth, this will prevent biting the tongue, cheeks or even damaging the teeth against each other during cramps.

If the jaws are tightly closed, do not try to open the mouth by force (this most likely will not work and may injure the oral cavity)

· With increased salivation, continue to hold the person’s head, but turn it to the side so that saliva can drain to the floor through the corner of the mouth and does not enter the respiratory tract. It’s okay if a little saliva gets on your clothes or hands.

Exit from attack

Remain completely calm, an attack with respiratory arrest can last several minutes, remember the sequence of symptoms of an attack, so that you can describe them to your doctor later.

· After the end of convulsions and relaxation of the body, it is necessary to put the victim in a recovery position – on his side, this is necessary to prevent the root of the tongue from sinking.

· The victim may have medicines, but they can be used only at the direct request of the victim, otherwise criminal liability for causing harm to health may follow. In the vast majority of cases, the exit from the attack should occur naturally, and the right medicine or mixture of them and the dose will be selected by the person himself after leaving the attack. Searching a person in search of instructions and medicines is not worth it, as this is not necessary, but will only cause an unhealthy reaction from others.

In rare cases, the exit from the attack may be accompanied by involuntary urination, while the person still has convulsions at this time, and consciousness has not fully returned to him. Politely ask other people to move away and disperse, hold the person’s head and shoulders, and gently prevent him from getting up. Later, a person will be able to cover himself, for example, with an opaque bag.

Sometimes at the exit from an attack, even with rare convulsions, a person tries to get up and start walking, if you can keep spontaneous impulses from side to side of a person, and the place is not dangerous, for example, in the form of a road nearby, a cliff, etc., let the person , without any help from you, get up and walk with him, holding him tightly. If the place is dangerous, then until the complete cessation of convulsions or the complete return of consciousness, do not allow him to get up.

Guidelines for independent work of students

1. When working in pairs on a phantom, provide PMP for stroke, heart attack, epileptic seizure.

2. In pair work, solve a situational problem using reference literature (compose a written answer in a notebook).

3. Prepare to check the completed task.

Situational tasks

Task #1

In the electric train, the condition of one of the passengers suddenly worsened. There were severe pains behind the sternum, radiating to the left arm, neck, a feeling of lack of air, dizziness, weakness. The face is pale, frightened; pulse 50 per minute, weak filling, rapid breathing.

Solve the problem by answering the questions.

1. What is the cause of the severe condition?

2. By what signs can this condition be assumed?

3. What is the first aid?

4. What medications can be taken before the ambulance arrives?

5. In what position should the patient be transported?

Task #2

The man standing in the bus suddenly fell down, the muscles of the limbs, neck, face contract randomly. Convulsions are accompanied by a sharp turn of the head to the sides, a foamy liquid is released from the mouth. The face is cyanotic, puffy, breathing is noisy, increased. After 2-3 minutes, the convulsions stopped, breathing became even, like that of a sleeping person.

Solve the problem by answering the questions.

1. What disease does the man suffer from?

2. Why is an attack dangerous?

3. What is the first aid?

4. Is hospitalization of this patient necessary?

5. What can be recommended to a man?

Task #3

An elderly man suffering from hypertension suddenly felt a severe headache, dizziness, nausea, loss of sensation on one side of the body. On examination, there is a drooping of the corners of the mouth on one side, confusion of speech, visual impairment, asymmetry of the pupils.

Solve the problem by answering the questions.

1. What happened to the man?

2. What reasons could lead to this condition?

3. What is first aid?

4. Can the victim drink in this state?

5. In what case can the patient be transported?

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