ETT post GM seizure: when ?

[Ivan Hronek]

Let's try and vote for the best answer to the following question (please b brief if poss.):
What should we go by in the "post-ictal" state after a GM seizure when deciding to intubate to prevent aspiration ? Time (how long) ? GCS ? Reaction to antiseizure drugs ? 6th sense ?
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Some pertinent literature:
Marx: Rosen's Emergency Medicine: Concepts and Clinical Practice, 6th ed.:
 Preparation should be made for endotracheal intubation in case anticonvulsant drugs fail to terminate the seizure.
 
 http://www.merck.com/mmpe/sec16/ch214/ch214a.html
Ivan Hronek MD                                                                              
SFMC, Los Angeles, CA                                                
http://health.groups.yahoo.com/group/Anesthideas/                           
Winston Churchill                                                                                                
  An appeaser is one who feeds a crocodile, hoping it will eat him last.       
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