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As a health and safety officer on site, how do you best react to a seizure case during working hours?

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Question added by derick flamze , HSE ENGINEER , NATIONAL GULF CONSTRUCTION GROUP
Date Posted: 2016/11/23
Aristotel Cabais
by Aristotel Cabais , Project Nurse , Zaid AlHussain and Brothers Group

1. Ensure the safety and security of patient.

2. Take note the time of seizure (start and end).

3. Put the patient on a sidelying position (recovery position) after the seizure.

 

Note:

Dont force anything on the mouth of the patient (drinking/ eating) while the patient is having seizure.

Dont try to stop the seizure by holding the patient because it may cause injury.

Dorna Ghotb
by Dorna Ghotb , internal manager , QA TECHNIC

I act in accordance with the instructions and procedures related to emergency conditions.

Vladimir Galenco
by Vladimir Galenco , Drilling Supervisor , Saudi Aramco

It's all about taking precautions. For someone having a generalized tonic-clonic seizure:

Give them room. Keep other people back.

Clear hard or sharp objects, like glasses and furniture, away.

Cushion their head.

Loosen clothing around their neck, if you can safely.

Don't try to hold them down or stop their movements.

Baijumon Thomas
by Baijumon Thomas , Security Specialist , Carnival,UK

Inform the emergency medical team and follow the Emergency medical plan

Make sure the victim is in safe enviorment and try to put the victim in recovery position so that nothing will choke his throat and he can breath easly.

Abu Bakar Taha
by Abu Bakar Taha , Principal Consultant / HSE Coach , MENTOR SOLUTION CONSULTANCY SDN BHD

Sound the emergency / fire alarm. Mobilise First Aid team to site. Apply good and clear communication between all the Emergency response team. Relocate the victim to a safe location or transfer to the site clinic.

1. call emergency responder 

2. Apply first aid Such as aCPR

Amr Rakha
by Amr Rakha , CPR, AED and Basic First Aid Instructor , GTSC

Protect person during seizure.

Move objects away that he may bump in to. Do not restrain the person. Allow seizure to take its course. Do not put anything in the mouth, including your finger. Activate EMS if the person: Is injured during the seizure, Has no history of seizure, or Continues to seize for more than 10 minutes. If response and breathing are absent after a seizure stops begin CPR and get an AED if one is available. Once a seizure stops, Provide continual reassurance as person improves. Provide privacy to minimize embarrassment. Continue to monitor until person returns to normal. 

Hydayath  Pulikkandy
by Hydayath Pulikkandy , HSSE Supervisor , QATAR VINYL COMPANY

Follow the emergency procedure, help the victim to give whatever the FA possible

Joselito Maglaqui
by Joselito Maglaqui , HSSE Systems & Assurance Engineer - Currently looking for a job , Shell Philippines / Brunel - Finished contract

If an event like this occur then follow the flow or steps that are in the emergency plan. The plan is usually posted in the worksite and I am sure this has been tested during drills. So being an HSE it is a tall order that you must know the contents of the emergency plan.

Muhammad shahbaz
by Muhammad shahbaz , HSE Manager , Saudi Electricity Company

Hold his head, call emerfency available doctor 

Tonic-clonic (convulsive) seizures

Tonic-clonic seizures are the type of seizure most people recognise. They used to be called grand mal seizures. Someone having a tonic-clonic seizure goes stiff, loses consciousness, falls to the floor and begins to jerk or convulse. They may go blue around the mouth due to irregular breathing. Sometimes they may lose control of their bladder or bowels, and bite their tongue or the inside of their mouth.

Here’s how to help if you see someone having a tonic-clonic seizure.

Do:

  • Protect them from injury (remove harmful objects from nearby)
  • Cushion their head
  • Look for an epilepsy identity card or identity jewellery – it may give you information about their seizures and what to do
  • Time how long the jerking lasts
  • Aid breathing by gently placing them in the recovery position once the jerking has stopped (see picture)
  • Stay with the them until they are fully recovered
  • Be calmly reassuring
  • recovery position
  • Don't:
  • Restrain their movements
  • Put anything in their mouth
  • Try to move them unless they are in danger
  • Give them anything to eat or drink until they are fully recovered
  • Attempt to bring them round

Call for an ambulance if:

  • You know it is their first seizure or
  • The jerking continues for more than five minutes or
  • They have one tonic-clonic seizure after another without regaining consciousness between seizures or
  • They are injured during the seizure or
  • You believe they need urgent medical attention
Focal seizures

You may also hear this type of seizure called a partial seizure. Someone having a focal seizure may not be aware of their surroundings or what they are doing. They may have unusual movements and behaviour such as plucking at their clothes, smacking their lips, swallowing repeatedly or wandering around.

Here’s how to help if you see someone having a focal seizure.

Do:

  • Guide them away from danger (such as roads or open water)
  • Stay with them until recovery is complete
  • Be calmly reassuring
  • Explain anything that they may have missed

Don't:

  • Restrain them
  • Act in a way that could frighten them, such as making abrupt movements or shouting at them
  • Assume they are aware of what is happening, or what has happened
  • Give them anything to eat or drink until they are fully recovered
  • Attempt to bring them round

Call for an ambulance if:

  • You know it is their first seizure or
  • The seizure continues for more than five minutes or
  • They are injured during the seizure or
  • You believe they need urgent medical attention

 

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