¿Necesitas una certificación?

Queremos que se sienta seguro de que está recibiendo la mejor capacitación. Por lo tanto, California Compliant Bloodborne for Body Art está totalmente disponible para que lo veas. Si necesita un certificado de trabajo, regístrese para obtener una cuenta hoy para guardar su progreso.

California Compliant Bloodborne for Body Art

36 videos, 2 horas y 21 minutos

Contenido del Curso

Convulsiones

Video 34 de 36
4 minutos
English
English, Español
Don’t forget to create an account or login to track your progress!
Login | Create Account

Ahora, vamos a cubrir las convulsiones en un adulto y qué hacer cuando ocurren en el lugar de trabajo. Cuando una persona entra en una convulsión, podría haber ocurrido por tantos motivos que es increíble. Por lo tanto, enfocarse en porqué sucedió no es el punto más importante, el hecho es reconocer que sucedió. Vimos que ella entró en lo que llamamos un estado tónico, las manos en garra, apuntando hacia su cuerpo, estaba convulsionando activamente, y luego entró en lo que llamamos un estado postictal o un estado de recuperación relajada. Mientras que la paciente está convulsionando, es importante hacer algunas cosas. Asegúrate de que no se dañe más con cualquier objeto que pueda haber alrededor. Por lo tanto, si hay objetos afilados contra los cuales puede chocarse cuando está convulsionando, o movemos el objeto o movemos al paciente, de modo que no se lastime más. Si parece estar teniendo lo que llamamos un ataque tónico clónico donde se contrae y relaja, contrae y relaja, podría golpearse la cabeza en una superficie dura como un piso de cemento. Es importante proteger su cabeza Y lo podemos hacer acunando las manos para darle simplemente un poco de amortiguación, de modo que mientras convulsiona activamente, no se esté también lastimando la cabeza. Ahora, una vez que un paciente ha salido de la convulsión, debemos evaluar un par de cosas. Una, ¿se ha activado el SEM? Tan pronto como vemos que está en una convulsión, y no sabemos si hay una epilepsia en curso y no tiene ninguna indicación permanente, vamos a llamar al 911. Pero si estamos cerca del paciente, y podemos enviar a alguien a hacerlo, usaremos ese tiempo para evaluarlo para ver si está respirando o no, o si se está moviendo y comenzando a volver a la conciencia. Si este paciente no está respirando y no se mueve, y no responde a nuestros toques y gritos, vamos a ir directo a la RCP y pedir un DEA. Si esta persona empieza a respirar lo que es bastante normal durante el estado postictal, vamos a evaluarlo a ver si es respiración agónica o si está respirando en un modo correctivo. Si comienza a respirar, entonces vamos a pasar a la posición de recuperación para ayudar a mantener las vías respiratorias abiertas mientras se recupera del ataque y esperamos a que llegue el SEM. La forma en que hacemos esto es elevando el brazo más cercano a nosotros sobre su cabeza. Traemos la pierna más alejada y cruzamos las piernas. Tomado su muñeca en la cadera debajo de la cabeza y el cuello, rodamos al paciente sobre su costado. Levantamos la cabeza, sacamos nuestra mano y doblamos su brazo por debajo de su cabeza. Fíjate cómo ahora tiene su cara apuntando hacia el suelo, permitiendo que la gravedad ayude a despejar sus vías respiratorias. Luego levantamos la rodilla como un soporte para evitar que gire completamente Si parece estar mostrando signos de conmoción, como frío, palidez, sudor, pulso rápido, podemos cubrirla con una manta y permitirle que se recupere. Mientras esperamos a que el SEM llegue, estaremos evaluando la respiración y la recuperación, una muestra quizá es que empiece a hablar con nosotros, tal vez pregunte qué pasó, tal vez diga oh mi cabeza realmente duele, pero cualquiera de esas cosas es una buena señal de que se está recuperando de la convulsión. Asegúrate de entender que un paciente convulsivo tiene poco oxígeno, está confundido, tuvo una tormenta eléctrica en su cerebro, y podría estar confundido, incluso podría ser combativo, podría querer tratar de levantarse, no sabe dónde está y eso puede durar unos minutos. Así que simplemente no trates de calmarlo durante una convulsión, no lo detengas, ayuda a sostenerlo y protegerlo durante la convulsión, y ayuda a protegerlo de situaciones más graves como un paro cardíaco mientras esperas que el SEM llegue.

In this lesson, you'll learn how to treat an adult patient who goes into a seizure or has just come out of one.

A person can go into a seizure for too many reasons to mention. As you are concerned, why it happened isn't important. Being able to recognize that it did happen is the key.

For you to know if a seizure took place, ideally you or someone else saw the patient go into a tonic state that exhibited the following signs:

  • Hands are gripped and pointed inward
  • The patient is actively seizing
  • The patient ends the seizure in the postictal state (relaxed recovery)

How to Treat a Patient who is Actively Seizing

There are a few important things that you can do when a person is suffering from a seizure to help protect them from further harm. First, is there anything around the patient that could injure them, such as sharp objects? If there is, remove the threat from the scene or move the patient to a safer area.

If the patient is having a zootomic clonic seizure – in which they are fluctuating between contracting and relaxing – they could bang their head on the ground. To protect their head, simply cup your hands together and place them underneath the patient's head.

Warning: Never hold down a seizing patient or try to stop the seizure in any way. Just support and protect the patient during the seizure. Then, once the seizure is over, assess for more serious situations like cardiac arrest.

How to Treat a Patient after a Seizure

Pro Tip #1: There are several things to do post-seizure, but the most important is calling 911 and activating EMS if it hasn't already been done. As soon as you determined that the patient had a seizure, and you don't know if the patient is an ongoing epileptic, call 911 immediately.

After EMS has been activated, begin to assess the patient for a couple of things.

Is the patient moving and breathing normally again?

Are they beginning to return to consciousness?

If the patient isn't moving or breathing normally, and isn't responsive to your taps and shouts, go right into CPR and retrieve or find an AED.

If the patient is beginning to breathe normally again, does the breathing appear to be agonal respirations or more corrective breathing? To help keep the patient's airway open and clear, put them into the following recovery position.

  • Elevate the arm closest to you and bring it up over the patient's head before placing it on the ground.
  • Bring the patient's furthest leg over their other leg so that their legs are crossed.
  • Grab the wrist of the furthest arm and the hip together, while placing your other hand under the head and neck and roll the patient toward you and onto their side.
  • Support the head while you place the patient's outstretched arm under their own head and with the chin pointing down, allowing gravity to help clear the airway.
  • Bend the patient's top leg to a 90-degree angle at the knee, essentially creating a kickstand to help protect the patient from rolling over.

Pro Tip #2: A person who has just experienced a seizure – essentially an electrical storm in the brain – will be low on oxygen. As a result, they may be confused or combative and this will likely last a few minutes.

While waiting for EMS to arrive, continue to assess the patient for breathing and recovery signs, like talking. Any signs that the patient is becoming more responsive are good signs.

If the patient begins showing signs of shock – cool, pale, sweaty skin and a rapid pulse – cover him or her with a sheet, coat, or blanket and keep them as warm and comfortable as possible while waiting for EMS to arrive.

A Word About Pediatric Seizures

A seizure is a disorder in the brain's electrical system, which is sometimes marked by loss of consciousness and often by uncontrollable muscle movement, also referred to as convulsions.

In children, febrile seizures are the most common type of seizure. These seizures occur with a rapidly-rising or excessively-high fever, typically higher than 102° F. Children with febrile seizures may exhibit some or all of the following signs and symptoms:

  • Sudden rise in body temperature
  • Jerking of the head and limbs
  • Loss of bladder or bowel control
  • Confusion
  • Drowsiness
  • Crying out
  • Becoming rigid
  • Holding the breath
  • Rolling the eyes upward

To assess what type of seizure the child has had and why, it's important to ask good questions:

  • Has the child ever had seizures before? If so, is the child on medications for them? If not, is there a family history of seizures?
  • Does the child have diabetes? If so, what type of insulin/medication is being used and when was the last time it was given?
  • Has the child started taking any new medications lately? If the child takes medications, is it possible there may have been an overdose? Could the child have taken someone else's medication by accident?
  • Could the child have ingested anything poisonous?
  • Has the child had a recent injury, particularly a head trauma?
  • Has the child seemed sick or had a high fever, stiff neck, or headaches?
  • What did the seizure look like? Did it involve the child's whole body, or only one half of the body?
  • Did it start in one area and progress to the rest?
  • Did the child fall when the seizure began and if so, was it possible the child's head struck an object or the floor?

These are just some of the questions you can use to help decipher what type of seizure the child had and why.