Seizures in public places in New York City.

Neugebauer, Richard; Oppenheimer, Gerald M.; Susser, Mervyn

doi:10.2105/ajph.76.9.1115

Cited by 4 publications

(2 citation statements)

References 17 publications

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“…In New York City alone in 1977, 4,000 people received out-of-hospital care for seizures. 8 The fact that this subpopulation of patients who refused transport in general did well in the subsequent 72 hours is consistent with results of other studies. Vilke and colleagues looked at the outcome of heroin overdose victims who refused EMS transport after out-of-hospital therapy.…”

Section: Discussionsupporting

confidence: 91%

Short‐term Outcome of Seizure Patients Who Refuse Transport after Out‐of‐hospital Evaluation

Mechem

Barger

Shofer

et al. 2001

Academic Emergency Medicine

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Abstract. Objective: To determine the short-term outcome of patients with a known seizure disorder who have a seizure, are evaluated by out-of-hospital care providers, and refuse transport. Methods: This was a prospective study conducted over a 15-month period. Philadelphia Fire Department paramedics contacted a medical command physician whenever they encountered a patient with a known seizure disorder who had had another seizure and was refusing transport. After confirming that the patient had the mental capacity to refuse care and understood the associated risks, the physician recorded the patient's name, address, and telephone number. Beginning three days later, a registered nurse attempted to reach the patient by telephone and administer a brief questionnaire about his or her medical outcome. Patients not reached by telephone were sent a certified letter. The names of patients lost to follow-up were compared with medical examiner records to confirm that they had not died during the follow-up period. Results: Of 63 patients enrolled in the study, 52 (82.5%) were reached in follow-up. Of these, three (5.8%) had another seizure within 72 hours and recontacted 911. One of these patients (1.9%) was hospitalized. Twenty (38.5%) patients contacted their primary care physicians. There were no deaths, including patients lost to follow-up. Conclusions: Most patients (94.2%) who were evaluated by out-of-hospital care providers for a seizure and refused transport had no further seizure activity in the subsequent 72 hours. However, because there is a risk of recurrence, out-of-hospital care providers and medical command physicians should ensure that patients understand the risks of refusal.

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Section: Discussionsupporting

confidence: 91%

Short‐term Outcome of Seizure Patients Who Refuse Transport after Out‐of‐hospital Evaluation

Mechem

Barger

Shofer

et al. 2001

Academic Emergency Medicine

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“…This may be especially likely if the episode includes associated confusion with aggressive or psychotic features. In New York City, the frequency of police aid to persons experiencing seizures in public in 1977 was examined as an index of uncontrolled seizures, and to assess variations in seizure frequency by age, sex, and ethnicity [15]. This study involving 5500 people screened for history of violence during their seizures found only 7 who exhibited significant aggression during their seizures.…”

Section: Introductionmentioning

confidence: 99%

Epilepsy-related knowledge, attitudes, and practices among Zambian police officers

Mbewe¹,

Haworth

Atadzhanov

et al. 2007

Epilepsy & Behavior

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Purpose-In Zambia, where emergency medical services are very limited, the police are frequently called to the scene for unaccompanied people experiencing seizures or people who have exhibit disturbed behaviors during a seizure. Police officers receive no formal medical training to manage such encounters. We developed and administered a police-specific survey to assess their knowledge, attitudes, and practices (KAP) regarding epilepsy in Zambia. Results-The response rate was 87.5% (n=175). Police were familiar with epilepsy with 85% having witnessed a seizure. Although 77.1% recognized epilepsy as a brain disorder, almost 20% blamed spirit possession, 13.9% associated epilepsy with witchcraft and over half the respondents believe epilepsy is contagious. When asked how they would treat someone brought in for peace disturbance during a seizures, most police provided supportive or neutral responses, but 8% reported taking harmful actions (arrest, detain, handcuff, restrain) and 14.3% indicated that people with epilepsy in police custody require quarantine. Methods-InConclusions-A significant number of police officers in Zambia lack critical knowledge regarding epilepsy and self-report detrimental actions towards people with seizures. In regions of the developing world where the police provide emergency medical services, police officers need to be a target for educational and social intervention programs.

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Prehospital seizure management: Triage criteria for the advanced life support rescue team

Abarbanell

1993

The American Journal of Emergency Medicine

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Seizures in public places in New York City.

Cited by 4 publications

References 17 publications

Short‐term Outcome of Seizure Patients Who Refuse Transport after Out‐of‐hospital Evaluation

Short‐term Outcome of Seizure Patients Who Refuse Transport after Out‐of‐hospital Evaluation

Epilepsy-related knowledge, attitudes, and practices among Zambian police officers

Prehospital seizure management: Triage criteria for the advanced life support rescue team

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