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The team prepare to leave

5
0.1
Alright Cam are you happy with system of ventilation? Good rise and fall, yep. We’ll do a quick secondary assessment again. Oxygen levels are good, 100%. Heart rate is steady at 90, he’s still completely unresponsive.
16.6
So let’s have a quick look. His eyes are deviating to the left now, his arms started shaking. Right ok. So it looks like he’s going into another seizure. Yes. We’ve given two doses of benzodiazepines, and we can’t give anything else. So you maintain the airway, I’ll phone the hospital now, to do a pre alert check. Hi guys, it’s Lee here, I’ve got a medical alert for you. We have a seven year old, male, currently in respiratory arrest, post admission of diazemuls. Sats currently are 100%, heart rate is 89. BM is 5.4. Temperature is 36.7. He’s also now gone into a focal left sided seizure. So we are querying status epilepticcus. We are currently around about 15 minutes from the hospital.
60.6
We’ll see you there.

The paramedics have done a complete assessment of Oscar and have control of his airway and breathing. They have established that he is ‘U’ on the AVPU score.

As there are no other immediate interventions required, they decide that this is an appropriate time to move him to the ambulance.

It was all going so well!

Once Oscar is in the ambulance, however, he begins to have another seizure. Does this change your treatment plan?

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Emergency and Urgent Care for Children: a Survival Guide

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