Intubation post GM seizure: when ?

[Bjorn, Pret]

Agreed.  Simple seizures should be placed in a recovery position and
watched.  Bear in mind that they've survived x many years with a seizure
disorder which has hopefully not required repeated intubation.  The post
ictal phase is transient, and as such carries no indication for
intubation.  

Pret Bjorn RN
Bangor, ME USA

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of Mathias Kalkum
Sent: Saturday, May 17, 2008 5:56 AM
To: Trauma & Critical Care mailing list
Subject: Re: Intubation post GM seizure: when ?


Ivan,

you are still confusing me. What are we talking about? Are we talking 
about GM seizures after trauma (be it head or whatever)? Are we talking 
about GM seizures after poisoning? Or are we talking about epilepsy?

In the first two entities our treatment has to take into account the 
underlying pathology, in the later we have to simply accept that 
postictal sleep is by no means what you like to call coma. Please do not

make analogies where there are none (or, at least, show us the data!).

Take care!

Mathias
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