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Medical: 5

Neurology: 3 ═══════════════════════════════════════════════════════════════════════════════════════ ═══════════════════════════

  • 2.

    Pathophysiology

    • a.

      Unexpected electrical discharge of neurons in brain

    • b.

      Types

      • (1)

        Generalized

        • (a)

          Grand mal (tonic-clonic)

          • i)

            Preictal phase (aura)

          • ii)

            Tonic phase

          • iii)

            Clonic phase

          • iv)

            Postictal phase

        • (b)

          Tonic

        • (c)

          Clonic

        • (d)

          Petit mal

      • (2)

        Partial

        • (a)

          Simple partial (e.g., Jacksonian)

        • (b)

          Complex partial (e.g., psychomotor or temporal lobe)

      • (3)

        Status epilepticus

    • c.

      Causes other than epilepsy

      • (1)

        Idiopathic

      • (2)

        Fever

      • (3)

        Neoplasms

      • (4)

        Infection

      • (5)

        Metabolic

        • (a)

          Hypoxia

        • (b)

          Hypoglycemia

        • (c)

          Thyrotoxicosis

        • (d)

          Hypocalcemia

      • (6)

        Drug intoxication

      • (7)

        Drug withdrawal

      • (8)

        Head trauma

      • (9)

        Eclampsia

      • (10)

        Cerebral degenerative diseases

  • 3.

    Assessment findings

    • a.

      History

      • (1)

        General health

      • (2)

        Previous medical conditions

      • (3)

        Medications

      • (4)

        Previous seizures

      • (5)

        Time of onset

      • (6)

        Seizure activity

        • (a)

          Duration

        • (b)

          Number of events

        • (c)

          Consciousness between

    • b.

      Physical

      • (1)

        Standard physical exam for patient with potential neurological event

      • (2)

        Pertinent findings

        • (a)

          Tongue laceration(s)

        • (b)

          Head

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────────────────────────── United States Department of Transportation National Highway Traffic Safety Administration Paramedic: National Standard Curriculum

9

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