O'Hara Kathryn A
Virginia Commonwealth University, School of Medicine, Richmond, VA 23298-0211, USA.
J Child Neurol. 2007 May;22(5 Suppl):30S-7S. doi: 10.1177/0883073807303066.
In most circumstances, first aid for seizures aims to protect the individual from harm during a seizure. Many people harbor misconceptions about or simply do not know how to respond to a seizure. Guidelines for seizure first aid from the Epilepsy Foundation are readily available and widely distributed, yet data from surveys and studies illustrate a deep unmet need in seizure first aid education. Lack of knowledge increases the potential for inappropriate or inadequate responses by parents, teachers, coworkers, and the public at large to repetitive or prolonged seizures, and the associated discomfort about how to provide first aid also can contribute to the general stigma associated with epilepsy. Clinicians play a key role in educating patients, parents, caregivers, and the community about how to respond to an individual who is having a seizure. This article reviews the data regarding seizure first aid knowledge among the various groups that may be called on to respond to a repetitive or prolonged seizure, highlights important goals of seizure first aid (including the prevention of status epilepticus) that should be relayed to these groups, and discusses the positive impact of seizure first aid education.
在大多数情况下，癫痫发作的急救旨在在发作期间保护个体免受伤害。许多人对癫痫发作存在误解，或者根本不知道如何应对。癫痫基金会的癫痫发作急救指南很容易获取且广泛传播，但调查和研究数据表明，癫痫发作急救教育存在严重未满足的需求。知识的缺乏增加了父母、教师、同事和广大公众对反复或长时间发作做出不适当或不足反应的可能性，而且对于如何提供急救的相关不适感也可能导致与癫痫相关的普遍污名化。临床医生在教育患者、父母、护理人员和社区如何应对癫痫发作的个体方面起着关键作用。本文回顾了可能被要求应对反复或长时间癫痫发作的不同群体中有关癫痫发作急救知识的数据，强调了应向这些群体传达的癫痫发作急救的重要目标（包括预防癫痫持续状态），并讨论了癫痫发作急救教育的积极影响。
