Kaspar Robert, Buckner Robert E, McMahon Joseph P, Etienne Mill, Larsen Alan A, Duckworth Josh
5501st USAH, 2010 Harry Wurzbach Highway, San Antonio, TX 78209-6027, USA.
Mil Med. 2013 Aug;178(8):907-13. doi: 10.7205/MILMED-D-12-00526.
Patients with seizures can present a common and challenging problem for medical providers in the deployed environment. Unfortunately, there is a paucity of controlled clinical trial data that can be used to formulate evidence-based guidelines for management. In an attempt to aid the non-neurologist deployed provider in the care of patients presenting with seizures, the authors describe two cases illustrative of common presentations. Thereafter, the authors address many facets of the management questions commonly raised by such cases and offer suggestions regarding such issues as initial pharmacologic management, the need for admission and evacuation, seizure precautions, differentiation from syncope and nonepileptic seizures, addressing patient and command concerns regarding evaluation and duty restrictions, and obtaining online management assistance.
癫痫患者对于身处部署环境中的医疗人员来说，是一个常见且具有挑战性的问题。遗憾的是，缺乏可用于制定循证管理指南的对照临床试验数据。为了帮助在部署环境中工作的非神经科医疗人员护理癫痫患者，作者描述了两个常见病例。此后，作者探讨了此类病例通常提出的管理问题的多个方面，并就初始药物治疗、入院和后送需求、癫痫预防措施、与晕厥及非癫痫性发作的鉴别、解决患者及指挥部门对评估和职责限制的担忧，以及获取在线管理协助等问题提供了建议。
