REACTING TO AN EPILEPSY SEIZURE TO DO NOT TO DO Intervene calmly and in a controlled manner (especially in public), observe and note the time and duration of the seizure. Be aware of the symptoms: jerks and abnormal movements; sensory disturbances and difficulty speaking; behavioural changes; tingling, d j -vu sensation; feeling of strangeness; sensory disturbances (appearance of visual and/or gustatory phenomena). Remove dangerous objects (e.g. glasses). If the place is dangerous, move the person away by grabbing them from the chest or under the armpits. Place something soft under the head. Loosen tight clothing to facilitate breathing. After the seizure, place the person on their side; the position keeps the airways clear, preventing saliva and vomit from blocking the pharynx and ending up in the lungs. Call the doctor or an ambulance if: the seizures last more than 3 minutes; the seizures repeat in series; the person remains unconscious; the person is injured; complications have arisen. After the seizure, ask whether it is appropriate to notify the family to return home or whether it is necessary to call an ambulance. Do not interrupt the seizure by convincing, yelling, shaking the person, or making them smell any substance. Do not try to open the clenched hands. Do not attempt resuscitation . Do not hinder muscle contractions by holding the limbs: do not grab the person by the arms or hold them during and after the seizures. Do not try to hold the teeth open or insert objects between the upper and lower jaws. Do not place the person on their side during the seizures (risk of causing a dislocation of the arm joint). Do not administer medication (risk of asphyxiation). Do not call the ambulance or the doctor every time in case of known epilepsy and if the seizure does not have complications. Do not wake the person in the short phase of deep sleep following the seizure or try to activate their functions. Do not leave the person alone during a seizure. Do not give anything to drink immediately after the episode. Role-play PROBLEM A person exhibits symptoms of an epileptic seizure AIMS Know how to recognise the signs of an epileptic seizure Protect and assist the patient Location: hospital dining room Characters: Giulia, doctor, and nurse Case-study: Giulia, a 32-year-old medical intern, is sipping coffee with her tutor and during the conversation, she suddenly begins to show warning signs of an epileptic seizure. Dr Marini notices what is happening and intervenes together with the nurse Marco, who is with her. EXERCISE 1 Location: waiting room of a doctor's office Characters: 30-year-old patient, a patient witnessing the scene, other patients Case-study: a patient is sitting in one of the armchairs, reading a magazine, but suddenly he blinks faster than usual. A slight grimace crosses his face. The patient puts down the magazine and puts a hand to his temple, as if he feels slight discomfort. His movements become a little awkward and he begins to look around with a confused expression. EXERCISE 2 366 extra