From the perspective of a neurologist, I think it is necessary to explain two points about this statement.
Ambulances are always ready at the first time. Do you want to put something in your mouth when epilepsy patients get sick? There is no research evidence to support or oppose this practice. Epilepsy is a syndrome, and patients' conditions often vary greatly. Several papers should be written for all kinds of diagnosis of epilepsy subclasses, not to mention the fact that patients' conditions vary widely in practice.
1. For patients who often have grand mal (this type is what we often call "claw wind"), it is best not to go out alone at ordinary times, and it is best to take some urgently needed items with you, such as a tongue depressor wrapped in gauze, in case of emergency.
2. For some epileptic patients, there are often premonitions before the attack, such as sudden discomfort in the stomach (the feeling of rising stomach gas), deja vu, auditory hallucinations, hallucinations, and phantom sniffing. Pay special attention when these premonitory symptoms appear. Find a safe place to squat or sit down as soon as possible, and bite the soft things in your mouth. Once in grand mal, try to reduce the number of bites.
3, grand mal, patients often bite the bullet, if there is no suffocation or poor breathing, you don't have to force something into your mouth, masticatory muscles will be stiff and twitching during the attack, and the strength will be great. In this case, even if you want to stuff, it's actually hard to stuff.
Moreover, never try to pry the patient's mouth open with your fingers or hard objects. This is wrong and dangerous. If you pry it by hand, it is easy to be bitten, and the bite force is very strong when you attack. If the mouth is pried open with a hard object, it will cause damage to the patient's lips, teeth, tongue and other tissues. Once the tooth falls off or the broken tissue breaks and bleeds, it may lead to aspiration of teeth or blood, which is not worth the loss.
Second, "generally, you don't need to call 120 or take it to the hospital, because ambulances also cost money. Only in some special circumstances, such as long attack time, high frequency, difficulty breathing, etc., can they be sent to the hospital. " I think this view is really nonsense.
Is life or money important at present?
Many epileptic patients come out alone, or in the subway, or on the bus, or at work, or on the side of the road ... when they were in The Great Sage, their looks were still "scary". How do ordinary people judge whether the attack time is long or short? Is the frequency high or low? Are you choking? Any complications? Whether there will be status epilepticus ... and so on, you need to call 120, and the patient will be sent to the hospital for judgment by a specialist.
Moreover, even family members may not fully understand the patient's physical health. If grand mal's patients have a persistent state, even family members who know the condition will find it difficult to deal with this situation.
So calling 120 is the wisest choice.
In fact, the misunderstanding you need to know about epilepsy is 1: Hold the patient's hands and feet during the seizure.
During the seizure, if there are many oral secretions, you can tilt your head slightly to one side (in fact, this is also very difficult, because most grand mal patients basically tilt their heads backwards). Don't try to forcibly hold the patient's hands, feet and limbs to reduce the twitching of the limbs. This is not only useless, but also harmful. When I had a big attack, the strength of limb muscle twitching was great, and forcibly restraining limb twitching could easily cause soft tissue injury or fracture of patients. Don't pour anything into your mouth during the attack to prevent suffocation.
Myth 2: Pinch people.
Epilepsy is an abnormal discharge of brain cells. When the whole brain cell discharges synchronously, there will be a big attack. Human body is a term of Chinese medicine. According to western medicine anatomy, only the skin tissue under the nose and above the lips has nothing to do with the discharge of brain cells (at least it has not been found yet).
What should I do when I am in big mal? 1, to prevent suffocation
When in grand mal, try to let the patient lie flat, unbutton his collar and turn his head to one side as far as possible, which is beneficial to the outflow of oral secretions from the outlet and avoid suffocation caused by flowing into the trachea.
2, to prevent knock against
As a result of falling, grand mal is likely to cause injuries to other parts of his body, such as head impact. Patients with premonitory symptoms should lie down as soon as possible; For patients with recurrent epilepsy, protective equipment can be worn when necessary to prevent injury after falling.
3. Epilepsy patients have more and more frequent seizures, and the seizures become more and more serious or last longer. They need to see a doctor immediately, adjust the dosage and types of antiepileptic drugs, and evaluate other methods for treating epilepsy when necessary, such as surgical resection of epileptic foci and vagus nerve electrical stimulation technology.
As a neurologist, we often meet patients who are sent to the emergency room by good people. Under our treatment, they recovered, returned to their jobs and returned to their families. If you meet an epileptic, I hope you can lend a helping hand. Your kindness saved not only one person, but also many beautiful families.
Today's dry goods are shared here. I hope they are valuable to you. Let's build a scientific and healthy lifestyle together. I am Dr. Susu, and I am a high-quality health science popularization person with temperature, knowledge and emotion. Welcome to follow me. All popular science content and remarks have nothing to do with medical institutions.