Participants will become aware of issues concerning Seizure Disorders and the unique nature of the condition in individuals
Participants will review the evidence and the evidenced based process for the seizure disorders and how this may or may not increase risks of drowning and water accidents.
Participants will review the principles and evidenced based recommendations for individuals with seizure disorders for swimming, lifesaving, lifeguarding.
Seizures and Epilepsy Epilepsy is a Neurological Disorder both sexes all ages all countries definition: 2 or more unprovoked seizures -more than 24 hrs apart Epilepsy is multifactorial disorder 3 important influences - Threshold susceptibility - Epileptic focus - Precipitating condition
- Individuals with unstable or potentially unstable epilepsy should avoid water activity until stability is re-established.
- Epilepsy submersion and drowning risk is greatest in an identified high risk group that includes:
those with frequent (more than one per year) seizures
those with unpredictable convulsive seizures and/or
those who have other disabilities.
Extra precautions are warranted. These individuals should avoid water activities or should participate in clear shallow still water, with a personal flotation device securely fastened and they should be within arm’s length of a capable support person.
Lifesaving training should be available to individuals with epilepsy who have confident seizure control, treatment program compliance, knowledge of their risk and a seizure free period of at least 6 months.
This interval may be longer if the participant has high risk features. Proof of medical authorization, compliance and stability may be requested.
Individuals with controlled epilepsy and no unexplained or unpredictable seizure activity who wish to participate in Lifeguard patrol duty or in deep water recreation and competition activities, require a seizure free interval of more than one year prior to participation.
If an active patrol lifeguard and or deep open water recreation or competitive participant has seizure with clear medical cause, usual patrol and deep open water recreation or competition activities should be suspended. The criteria for resumption are medical authorization and 12 months of seizure free interval.
If lifesaving training program involves open deep water swimming, a safety craft should provide close supervision of the lifesaving learners to assist with any unusual incidents that might arise.
(4 of 6 recommendations)
ILS Position Statement (Draft) SEIZURE and EPILEPSY: Risks for Bathing, Swimming, Lifesaving and Lifeguarding DR STEVE BEERMAN ILS Medical Committee Chair