Queen Elizabeth II Health Sciences Centre, Dalhousie University, Halifax, Nova Scotia, Canada.
Can J Neurol Sci. 2011 Sep;38(5):723-7. doi: 10.1017/s0317167100054093.
The objective of this study was to investigate whether medical television dramas portray proper seizure first aid.
Episodes of the four highest-rated US medical dramas ("Grey's Anatomy," "House M.D.", "Private Practice," and "ER") were screened for the presence of seizures. "Patient" age, sex, semiology, and etiology were recorded. The appropriateness of seizure first aid management was determined by comparison to the Epilepsy Foundation of America (EFA) guidelines.
Among 364 television programs, 65 seizures (in 59 individuals) were identified (30 males; 29 females). Seizures were primary or secondarily generalized tonic-clonic in 53 (81.5%) cases. Other seizure types included complex partial (5, 7.7%), simple partial (1, 1.5%), myoclonic (1, 1.5%), absence (1, 1.5%), and psychogenic (1, 1.5%). On 63 occasions (96.9%), first aid was performed by a health care professional. First aid management was judged appropriate in 21 (32.3%) seizures, inappropriate in 28 (43.1%), and indeterminate in 16 (24.6%). Inappropriate practices included holding the person down (17, 26.2%), trying to stop the involuntary movements (10, 15.4%) and putting something in the person's mouth (11, 16.9%).
The first aid management of seizures performed by actors portraying health care professionals was inappropriate in nearly half of all cases. Inaccurate depiction of seizure first aid management may contribute to misinformation of the general public. The television industry could easily incorporate the simple first aid EFA seizure guidelines as a public service without sacrificing dramatic impact.
本研究旨在探讨医学电视剧是否正确描绘了癫痫发作的急救措施。
筛选了四部收视率最高的美国医学剧（《实习医生格蕾》《豪斯医生》《私人诊所》和《急诊室的故事》）中的剧集，以观察是否有癫痫发作。记录了“患者”的年龄、性别、症状学和病因。通过与美国癫痫协会（EFA）指南进行比较，确定癫痫发作急救管理的恰当性。
在 364 个电视节目中，共发现 65 例癫痫发作（59 例患者）（30 例男性，29 例女性）。53 例（81.5%）为原发性或继发性全面强直阵挛发作。其他发作类型包括复杂部分性发作（5 例，7.7%）、单纯部分性发作（1 例，1.5%）、肌阵挛发作（1 例，1.5%）、失神发作（1 例，1.5%）和心因性发作（1 例，1.5%）。63 次（96.9%）由医疗保健专业人员进行急救。在 21 次（32.3%）癫痫发作中，急救管理被判断为恰当，在 28 次（43.1%）中为不恰当，在 16 次（24.6%）中为不确定。不恰当的做法包括按住患者（17 次，26.2%）、试图阻止无意识运动（10 次，15.4%）和将东西放入患者口中（11 次，16.9%）。
在所有病例中，近一半的情况下，由扮演医疗保健专业人员的演员进行的癫痫发作急救管理是不恰当的。对癫痫发作急救管理的不准确描述可能导致公众误解。电视行业可以毫不费力地将 EFA 简单的癫痫发作急救指南纳入公益服务，而不会牺牲戏剧性的影响。
