Epilepsy, febrile seizures, these first aid methods are all wrong

In your life, you must have read a lot of news like this:

The man’s bus has epilepsy, and the driver is in danger. He uses chopsticks to rescue him! God! Passenger seizures are critical! The iron police used a handful of vegetables to make him safe! The man’s high-speed railway has epilepsy, and the flight attendant turns into a first-aid.

These seemingly positive energy reports actually spread some wrong medical knowledge.

Don’t do this …

According to official statistics, there are currently about 9 million epilepsy patients in China, of which 5 million to 6 million patients are in a state of seizure from time to time. The mechanism of the epileptic seizure is due to abnormal discharge of brain cells, leading to dysfunction of nerve function. The patient usually presents with sudden loss of consciousness, eyes turned up, closed jaws, foaming at the mouth, and general twitching.

This situation always makes us worry: Will TA bit his tongue? Would you like to put a chopsticks and a towel to protect it?

In fact, such worries are completely unnecessary-very few patients will bite their tongues during a seizure. After all, the tongue is behind the teeth, it is not easy to bite! Otherwise, we should say “spit red foam” when we describe the patient’s symptoms. In the unlikely event of a bite, it is only a small damage to the tip of the tongue or the corner of the mouth, which does not pose a danger to the patient.

On the contrary, this old concept of trying to stuff things in your mouth adds a lot of risks to patients and rescuers.

During a seizure, the patient’s teeth are tightly closed and the occlusion is very tight. In order to put something in our mouth, we may need to pry hard, and during the process of violent prying, the patient’s teeth, oral mucosa may be damaged, or even cause bleeding. If blood flows back, it may also cause suffocation.

In an anxiety, everyone stuffed the patient’s mouth with various things, such as slippers, remote control, and even someone bravely extended their fingers …

But have you thought about it? If this patient has any blood-borne diseases, then you … and, have you considered how the patient feels? When the TA attack ends, she is awake and finds one (or two) bloody fingers in her mouth …

There was another unlucky boy in Dongguan. After waking up with a seizure, he felt that he was having trouble breathing every day. When he went to the hospital, he found a pen cap in his bronchus! It turned out that when he had a seizure, his colleague “kindly” stuffed a pen into his mouth.

You see, people might have taken medicine at home, but now they have to go to the hospital for surgery …

You say that it is not safe to stuff your fingers or pens, is it okay to stuff a soft towel?

A man in Shenzhen was stuffed with a towel when he had an epileptic seizure, but it was too tight. When the emergency personnel arrived, he found his heart stopped suddenly due to suffocation …

Therefore, do not stuff fingers, pens, towels, or anything in patients with epilepsy!

Others say that pinching people will make epilepsy patients wake up as soon as possible. In fact, most seizures will end within 5 minutes. The patient usually undergoes a “seizure seizure → quiet → sober” process. There is currently no research showing that pinching can stop or shorten the time of seizures.

Therefore, it is useless to pinch people!

In addition, when an epilepsy patient has a seizure, there are many people who want to hold the patient and prevent them from convulsing. But in fact, such forced compression or restraint may easily lead to bone or soft tissue damage in patients.

Therefore, do not force the patient to restrain during the epileptic seizure!

Of course, don’t try to give water or medicine to patients with major seizures.

At this time, the patient’s teeth are tightly closed, the consciousness is lost, and the whole body is twitching. If you want to feed the medicine, you must forcefully open your mouth. At this time, the risk of inhalation and suffocation is very high. Therefore, do not feed anything when the patient has a seizure or when the convulsion has just ended and she is not awake. If the patient is completely awake, he can take some antiepileptic drugs according to the past situation.

Just in case, there is a reminder: the patient with a seizure is a living person and does not need to do CPR.

Can do this …

However, don’t you do nothing to see the patient suffering so much? Yes, you can let the patient pump safely and quietly for a while!

Safely pump:

o Remove sharp objects around the patient;

o Place clothing or cushions on the patient’s head;

o Evacuate bystanders and accompany patients.

Quietly pump:

Do not shout at the patient, do not restrain the patient, do not pinch people, do not feed water or medicine, do not stuff the patient’s mouth, and do not do cardiopulmonary resuscitation.

What should I do if my child is hot?

This may be a concern for many parents.

Febrile convulsions, a common neurological disease in infants and young children, mainly occur in children from 3 months to 6 years old, with an incidence of about 2% to 5%. Although the incidence rate is not high, this situation is not uncommon considering the huge population base of our country.

Febrile convulsions usually occur when the body temperature rises rapidly, and the child manifests as loss of consciousness, gaze in both eyes, stiffness or twitching of the limbs, which is very similar to a seizure and makes parents panic.

Because febrile convulsions often occur within 24 hours of a child’s fever, some parents may think: I don’t let the child burn, will the TA stop smoking?

But the fact is-antipyretic drugs cannot prevent febrile seizures nor reduce their risk of recurrence. Moreover, antipyretics have corresponding adverse reactions and should be used as usual. While dealing with convulsions, we must actively find out the cause of fever and formulate corresponding treatment programs to prevent repeated seizures.

Therefore, when a child has a febrile seizure, our first aid method is the same as a seizure. Let the child pump safely and quietly for a while to be a calm, scientifically literate father and mother.