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First aid for convulsive and hysterical conditions
Causes and signs of convulsive conditions.
Cramps are involuntary muscle contractions. They can occur with neurological and infectious diseases, with some poisoning and impaired water-salt metabolism.
Epilepsy - translated from Greek - seizure, "epileptic disease", a disease manifested by convulsive seizures.
Symptoms of an epileptic seizure:
1. A sudden loss of consciousness with a characteristic scream before falling, without external provoking reasons. Sometimes a seizure is preceded by precursors (aura) - incorrect perception of objects, auditory and olfactory hallucinations. The aura lasts a few minutes.
2. Cramps that cover the muscles of the limbs, neck, trunk. The head hits the floor hard, the tongue jerks back and forth.
3. Foamy discharge from the mouth, often with an admixture of blood due to a bitten tongue.
4. Wide pupils that do not respond to light, while preserving the pulse on the carotid artery.
5. Involuntary urination.
The seizure lasts no more than 5 minutes, then the consciousness gradually clears up and the patient sinks into a deep sleep. After awakening, he does not remember what happened. During a seizure, the patient may die from cerebral edema, impaired cardiac function or respiratory paralysis. Death can also occur from injuries incompatible with life - a fall from a height during an attack, a collision with vehicles, if the attack occurred on the roadway, etc.
First aid. Turn the patient on his side and press his shoulder girdle to the floor.
Place a bundle of clothes or a pillow under your head. This will protect the patient’s hands, feet and head from bruises, as well as prevent tongue dropping, aspiration (inhalation) of saliva and blood if the tongue is bitten.
Attention! It is unacceptable to press to the floor or turn only the patient's head.
Protecting the tongue from bite. If help is provided by one person and he does not have an assistant, then it is better not to do this. Firstly, no one was dying from a bitten tongue. Secondly, a tooth that can become a foreign body of the respiratory tract can break about the handle of a metal spoon.
If a wooden stick is used for these purposes, then the patient will gnaw it and it will already become a foreign body. The safest thing is to use a handkerchief or any tissue folded in several layers, and stick it in the corner of the mouth between the teeth, this is enough.
After the end of the seizure, do not wake the patient and call an ambulance.
A hysterical seizure looks very similar to an epileptic one, but differs significantly from it. The most important difference is that a hysterical seizure always occurs in the presence of spectators and convulsions are designed for them. During a seizure, convulsive movements, laughter, crying, shouting of individual words are observed, tantrums bend in an arc on the floor (hysterical arc), tear clothing and hair on oneself, hit the floor, but no injuries occur. Consciousness is preserved, pupils react to light, foamy discharge from the mouth does not happen. Also, there is no bite of the tongue and involuntary urination. The seizure lasts longer, the more it attracts the attention of others. For the appearance of a hysterical seizure, there is always some external reason or desire to achieve some result.
A hysterical seizure develops in people with a weakened nervous system under the influence of psychological trauma and is a defensive reaction of this person to a situation that he cannot bear. Therefore, recommendations of others such as "pull yourself together" can only lead to a deterioration.
Symptoms: various seizures, paralysis, twitching of certain muscle groups, violation of sensitivity.
First aid. 1. Remove viewers and not create an excited atmosphere around him. 2. You can splash cold water in your face or drop something unexpectedly with a roar. 3. Do not hold the patient and try to persuade him. In such conditions, he calms down faster and the attack goes away. After the cessation of seizures, sleep and a state of stupidity do not occur. In a calm state, consult a patient with a psychiatrist.
! It is unacceptable to persuade the patient to stop the tantrum; insult the patient, try to bind him; follow the patient’s demands and show sympathy for his actions.
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First aid for convulsive and hysterical conditions
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