FND RAP

First Aid Rapid Action Plan for seizure management. 

If on a University of Chichester campus immediately call for a  First Aider on 01243 816363 quoting your location, name and the name of the casualty if known and nature of the injury/event.  If off campus please ask for support from a first aider where available, and follow the information on the students support card re guidance for calling an ambulance.

The below information provides additional support for academics/students/members of the public and first aiders supporting a  UoC student during a seizure event.

You will have most likely reached this link from QR code on a students individual support card - please read this page in conjunction with the information on that card to fill any gaps in this documents generic information.

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Stay Calm and offer reassurance
 
Timing

•    Note start time of seizure 1 and end time, time that the student becomes aware. 
•    Note start and end time of subsequent seizures.

Keep person safe 

•    Support to place of safety if possible. 
•    Remove any objects that may cause harm.
•    Cushion head with a jumper or scarf.  
•    Assess breathing and colour during an episode. 
•    If necessary gently place student onto their side. 
•    Consider need for a blanket or shade, shelter if they are outside. 
•    Do not restrict or restrain as this may increase risk of injury.

Stay with the person

•    Stay with student until they are fully able to respond and communicate their wishes/ needs
•    Maintain dignity by minimising onlookers and disruption. 
•    Keep environment as calm as possible as student may be able to hear.   
•    Reassure the student and update them on what has happened once they have recovered.
•    Post seizure support and encourage the Student to sit down at the side of the session. until recovered.
 

Keep a Record

•    Record pattern and duration of seizure activity.   
•    First Aider to Complete first aid report form. 1 report for seizure episode, single or cluster
•    Academic staff to record how the student / students were supported to minimise disruption and anxiety. 

Academic staff/ First Aider are welcome to contact student health studenthealth@chi.ac.uk following incident if they would like support or information regarding Seizures, have concerns or would like to reflect on management of incident. 

Guidance For Calling an Ambulance 

It is ultimately at the discretion of the first aider or responsible person to decide whether an ambulance is required.

IF IN DOUBT CALL AN AMBULANCE

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Call 999 if:

•    A seizure is prolonged more than 5 minutes with additional concerns re breathing and circulation. Complexion/lips appear blue.
•    A seizure is more than 5 mins, and the student is a known Epileptic. 
•    Seizure activity is prolonged more than 15 minutes, with no signs of recovery. 
•    If the Student requests that an ambulance is called.
•    The student remains confused for more than 20 mins post seizure.
•    The student has injured themselves seriously and requires emergency treatment.

Instructions for calling an Ambulance

•    Call 999 for the ambulance service and ask for a paramedic ambulance immediately. Note time.
•    Inform them that the student is having a seizure.
•    It is important to state “a paramedic” is needed, as they carry medication.
•    Give the student’s location, room no in halls and the University address. 
•    Ensure 01243 816363 has been informed that an ambulance has been called and the location of the student, so that the ambulance can get to the student as soon as possible.
•    Ask for a first aider to be sent to your location if not already present.
•    Stay with the student at all times and ensure the student is kept as warm and comfortable as possible. Offer reassurance.