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echo: ems
to: STEPHEN KIRKPATRICK
from: GARY SAFFER
date: 1996-10-15 07:25:00
subject: SEIZURE DISORDERS

SK>From what I've seen, it appears that regardless of what condition the
SK>person  is in (in the middle of a seizure or already out), by the
SK>time the police or  EMT's get there the person, by default, is
SK>brought to the nearest emergency  room.
That would depend on a number of factors, including the severity of the 
patient's condition, proximity of the emergency facility, agency policy,
and how busy the EMS service is at the time of the call. Some EMS 
agencies have a strict policy on going to the closest emergency 
facility, some allow transport to the facility of the patient's choice, 
provided it is not to far away, and it is not to busy. There are a 
number of variables, and it is impossible to say what might happen in a 
particular case without knowing at least some of them. 
 I have seen and/or heard many EMT's say that their policy was to do  
just that. When I asked why, I was told that it was primarily to protect
themselves from litigation regardless of whether the person actually 
needed  help. 
As a rule, unless the person can prove themselves oriented and competent
to make a decision to refuse transport, they will be transported to an 
emergency department for treatment. People who have had seizures will be
confused for a length of time afterwards and may not be able to make a 
rational decision. If the cause of the seizure is something other than 
epilepsy, then they SHOULD be transported for evaluation and treatment. 
Gary
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