First-aid management of tonic-clonic seizures among healthcare personnel: A survey by the Apulian section of the Italian League Against Epilepsy
| Autor: | A. Lalla, E. Carapelle, Michele Germano, Maurizio Elia, L. La Selva, A. La Neve, Tommaso Martino, Alessandra Lalla, G. Boero, M. T. Di Claudio, G. d'Orsi, Giuseppe d'Orsi, S. Internò, G. Pontrelli, Maria Teresa Di Claudio, Vittorio Sciruicchio, T. Francavilla, R. Scarpello, T. Martino, Elena Carapelle, G. Pustorino, Carlo Avolio, S. Patanè, A.N. Polito, V. Durante, C. Avolio |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
medicine.medical_specialty Health Knowledge Attitudes Practice Health Personnel League 03 medical and health sciences Behavioral Neuroscience Epilepsy Emergency telephone number 0302 clinical medicine Seizures Physicians Surveys and Questionnaires Health care Medicine First Aid Humans 030212 general & internal medicine Response rate (survey) Social work business.industry Emergency department Middle Aged medicine.disease Neurology Italy Family medicine Health Care Surveys Anticonvulsants Neurology (clinical) business 030217 neurology & neurosurgery First aid |
| Zdroj: | Epilepsybehavior : EB. 80 |
| ISSN: | 1525-5069 |
| Popis: | Introduction To evaluate the knowledge of healthcare workers about first-aid measures to be performed during and after a tonic–clonic seizure. Methods One hundred and fifty-four healthcare workers (86 physicians) working at 8 tertiary hospitals in the Apulia region, Italy, responded to a questionnaire comprising of 28 questions based on available Italian and international recommendations about what to do during a tonic–clonic seizure. Results One hundred and fifty-four healthcare workers completed and returned surveys with a response rate of 96.25%. There were 55 nurses (35.7%), 86 physicians (55.8%), and 13 healthcare workers with different roles (Electroencephalograph technicians, psychologists, social workers). Among physicians, there were 7 cardiologists, 3 surgeons, 12 infectious-disease specialists, 11 internal medicine specialists, 2 psychiatrists, 2 gynecologists, 27 specialists working in the emergency department, and 22 physicians with different specializations. Nearly 90% of the respondents identified head protection as important first aid, while 100% responded to not keep the legs elevated. To avoid tongue bite, both physicians and other healthcare workers would put something in the mouth (54.0%), like a Guedel cannula (71.0%) fingers (29.5%). Grabbing arms and legs, trying to stop the seizure, would be potentially performed by 11.6% of our sample. Physicians would administer a benzodiazepine during the seizure (65.7%) and during the postictal phase (29.2%), even if the patient is known to have epilepsy (23.7%), and in this case, 11.3% of respondents would administer the usual antiepileptic medications. More than half of respondents would call the emergency telephone number, because of necessary hospitalization in case of tonic–clonic seizure, even if it is experienced by a patient known to have epilepsy. Conclusion Our survey suggests the need for epilepsy educational programs on first-aid management of seizures among healthcare workers. |
| Databáze: | OpenAIRE |
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