Community Forum Archive

The Epilepsy Community Forums are closed, and the information is archived. The content in this section may not be current or apply to all situations. In addition, forum questions and responses include information and content that has been generated by epilepsy community members. This content is not moderated. The information on these pages should not be substituted for medical advice from a healthcare provider. Experiences with epilepsy can vary greatly on an individual basis. Please contact your doctor or medical team if you have any questions about your situation. For more information, learn about epilepsy or visit our resources section.

Seizures and Restraints

Sat, 11/27/2004 - 11:25
Can someone help me out here? This past weekend, I wound up at the hands of the EMTs of my area. My ride to the ER was a literal nightmare.My question is: Is it just this area of NJ or is it nationwide that EMTs believe that it's acceptable to use restraints on the patient of a seizure call? ALMOST EVERY SINGLE TIME they respond they seem to think that it's not only okay, but required, even when told not to by family or friends. At least in this instance, they didn't use the police officers' handcuffs! Usually were it not for the restraints, the aches and pains would be ending by now. My back feels like it was used for a trampoline, my shoulders feel as if they were dislocated and replaced and I have bruises that cannot be explained by any stretch of the imagination as resulting from a seizure.Any suggestions on enlightening them?

Comments

RE: Seizures and Restraints

Submitted by mexican_fire on Fri, 2004-06-18 - 18:13
As an EMT, I am going to jump on this one.The restraints are used for both ours and your safety. It is NOT meant to be a viscious act on our part.We restrain patients who are combative, so they don't hurt us inavertantly from their seizure, and to keep you from moving around, so we can get the IV line in and get medication started to get things calmer, and to protect you from getting hurt during yoru seizure. Don't look at it in a negative way.If patients start resisting restraints, and start taking swings at us, then the law will step in, and subdue the situation. Most people let themselves be restrainded, because they are too tired to fight it, and they know it is for their good.I have lived in 4 states, and the protocol for using restraints has not changed.Yes, a seizure can too cause muscle spasms and bruises. I can tell you this for a fact from studying the section in my Advanced Medical Life Support textbook when I was in college, and from getting banged around from my own seizures. I have bruised the entire surface of my hands, so it is one big bruise, bumped my head and had a goose egg, and pulled muscles in my legs, neck, and shoulders.It can be painful after one for a few days.Nancy--NREMT-B

RE: RE: Seizures and Restraints

Submitted by Karolwf on Wed, 2004-11-24 - 04:55

Nancy-

I understand what you are trying to say -- but I have SPS and CPS and I don't fight unless I think I am being hurt which usually is the case. I have been pinched and pounded in the chest to get me to become "aware" or wake up and all it does it cause me to fight more-- I am scared and I panic but I am not out to hurt anyone. Restraints do not have to be used if the EMT would just stay calm and talk in a reasurring voice to most of us and we would be okay. I understand that some of us have severe grand mals and jerk alot but restraints could be used with care and compassion not handcuffs and yelling and screaming and shouting orders as if we were criminals -- I have to disagree with you on that -- if a person is not aggressive and can be handled with care then restraints are not necessary-- I do agree you need to defend yourself and take care of yourself but you could also back away and let the person calm down-- the seizure usually doesn't last that long.

 

Karol

Nancy-

I understand what you are trying to say -- but I have SPS and CPS and I don't fight unless I think I am being hurt which usually is the case. I have been pinched and pounded in the chest to get me to become "aware" or wake up and all it does it cause me to fight more-- I am scared and I panic but I am not out to hurt anyone. Restraints do not have to be used if the EMT would just stay calm and talk in a reasurring voice to most of us and we would be okay. I understand that some of us have severe grand mals and jerk alot but restraints could be used with care and compassion not handcuffs and yelling and screaming and shouting orders as if we were criminals -- I have to disagree with you on that -- if a person is not aggressive and can be handled with care then restraints are not necessary-- I do agree you need to defend yourself and take care of yourself but you could also back away and let the person calm down-- the seizure usually doesn't last that long.

 

Karol

RE: RE: RE: Seizures and Restraints

Submitted by LeeMc on Thu, 2004-11-25 - 12:55

Back in the 70's (when we were still working on a diagnosis and getting my seizures under control) I occasionally had seizures at work.  I shared an office  with others but they were out in the field more then me so I was most often alone.  I usually came out of a seizure and found myself on the floor or something.  Nobody was called and probably nobody but me ever knew.....

When siezures became more frequent and more intense others did begin to notice.  After the second ambulance call the local EMTs knew who I was and what the problem was.  They treated me appropriately.  I then informed all of my co-workers of my problem, what we were doing to get it under control and what they should do if I had another seizure.  I also asked them to call my husband before they called an ambulance. 

Provided with some information they were less alarmed and waited a few minutes before making any 911 calls.  By that time everything was usually over and there was no need for an ambulance.  However one day one of the office girls upstairs saw me sitting on the front steps of the building (waiting for my husband to pick me up) and witnessed me go in to a seizure.  She called 911 without asking anyone.  The ambulance arrived at the same time as my husband.  They asked him if he thought I needed to be taken in.  He said no since he could see that the seizure was passing by then.  He had to sign a paper for them refusing the ambulance (a liabilty release).  There was no charge because we did not call for the service.

Don't get pissed at the folks who are trying to help you! They are doing the best they know how with the information that they have....and they may not have all the information they need for treating seizures..........We can all can become advocates for each other by using our heads and providing these people (EMT, Fire and LEO) with the information that they need to recongnise and properly deal with people who have had or who are having an epileptic seizure.

Go to the local Emergency Service centers and introduce yourself so they know who you are.  Ask to speak at one of their monthly safety meetings and then get information prepared for handout to their staff (Local Epilepsy Center should have plenty).  Give them accurate facts and information.  Let them ask questions and provide ideas for solutions to problems experienced by us when we are treated by them. 

Don't forget family and friends either.  They are the ones who feel the most helpless and scared because of their closeness to us.  Teach them and give them instructions.  You can even have the information typed up for them to follow - or for them to provide to emergency personel if they are called.  Carry a copy of those instructions with you too in an easy to find place - like by your ID.

It's easier to head it off at the start then to try to control an out of control moment - so get people educated and then thank them for being there to help you and for being willing to hear you and learn more.

Later........................Lee

 

 

 

Back in the 70's (when we were still working on a diagnosis and getting my seizures under control) I occasionally had seizures at work.  I shared an office  with others but they were out in the field more then me so I was most often alone.  I usually came out of a seizure and found myself on the floor or something.  Nobody was called and probably nobody but me ever knew.....

When siezures became more frequent and more intense others did begin to notice.  After the second ambulance call the local EMTs knew who I was and what the problem was.  They treated me appropriately.  I then informed all of my co-workers of my problem, what we were doing to get it under control and what they should do if I had another seizure.  I also asked them to call my husband before they called an ambulance. 

Provided with some information they were less alarmed and waited a few minutes before making any 911 calls.  By that time everything was usually over and there was no need for an ambulance.  However one day one of the office girls upstairs saw me sitting on the front steps of the building (waiting for my husband to pick me up) and witnessed me go in to a seizure.  She called 911 without asking anyone.  The ambulance arrived at the same time as my husband.  They asked him if he thought I needed to be taken in.  He said no since he could see that the seizure was passing by then.  He had to sign a paper for them refusing the ambulance (a liabilty release).  There was no charge because we did not call for the service.

Don't get pissed at the folks who are trying to help you! They are doing the best they know how with the information that they have....and they may not have all the information they need for treating seizures..........We can all can become advocates for each other by using our heads and providing these people (EMT, Fire and LEO) with the information that they need to recongnise and properly deal with people who have had or who are having an epileptic seizure.

Go to the local Emergency Service centers and introduce yourself so they know who you are.  Ask to speak at one of their monthly safety meetings and then get information prepared for handout to their staff (Local Epilepsy Center should have plenty).  Give them accurate facts and information.  Let them ask questions and provide ideas for solutions to problems experienced by us when we are treated by them. 

Don't forget family and friends either.  They are the ones who feel the most helpless and scared because of their closeness to us.  Teach them and give them instructions.  You can even have the information typed up for them to follow - or for them to provide to emergency personel if they are called.  Carry a copy of those instructions with you too in an easy to find place - like by your ID.

It's easier to head it off at the start then to try to control an out of control moment - so get people educated and then thank them for being there to help you and for being willing to hear you and learn more.

Later........................Lee

 

 

 

Sign Up for Emails

Stay up to date with the latest epilepsy news, stories from the community, and more.