Seizure

Bleep triage

How fast

Go now

Drop what you're doing unless it's sicker.

Go now if

  • Still seizing, or a second seizure
  • Not waking up afterwards
  • Pregnant or recently delivered

Ask on the phone

  1. Still fitting? Since when?
  2. Known epilepsy? Missed medication?
  3. Glucose? Head injury?
Every bleep: the basics
  • Name, ward, bed, age, why they're in hospital.
  • Full set of obs and the NEWS2 score — and what it was before.
  • Resuscitation status (DNACPR / ReSPECT) and ceiling of care.

Ask the nurse to start

  • Time it. Recovery position, oxygen, suction.
  • Capillary glucose; IV access; get the benzodiazepine ready.

Call your senior if

  • Seizing at 5 minutes, or after two benzodiazepine doses — and anaesthetist.

When you get there

Sources (1)

For healthcare professionals, as an aid to clinical judgement — not a substitute for it. Follow your local policy and ask a senior when in doubt.