1) Seizure first aid involves staying calm, moving the person away from danger, keeping track of time, turning them on their side after the seizure ends, and calling 911 if the seizure lasts more than 5 minutes, if they are injured, have trouble breathing, or do not wake up properly.
2) About 15-20% of people with epilepsy experience injuries from seizures, most commonly bruises, lacerations, fractures, and burns from falls, especially in the kitchen or bathroom.
3) Sudden unexpected death in epilepsy (SUDEP) is the leading cause of epilepsy-related death and occurs when no other cause can be found, with risks increased by frequent generalized tonic-clonic
Epilepsy and Seizure Response for Law Enforcement PersonnelMario Gonzalez
The EPILEPSY AND SEIZURE RESPONSE FOR LAW ENFORCEMENT PERSONNEL TRAINING seeks to provide law enforcement officers with seizure recognition, correct responses to seizures and awareness of the needs of people with epilepsy who might be taken into police custody.
Through this project, we created a helpful resource for children diagnosed with epilepsy to bring with them to sleepovers or in instances where they are surrounded by people who are unfamiliar with epilepsy. We also covered the background of epilepsy as well as treatments and prognosis for this disorder.
Epilepsy and Seizure Response for Law Enforcement PersonnelMario Gonzalez
The EPILEPSY AND SEIZURE RESPONSE FOR LAW ENFORCEMENT PERSONNEL TRAINING seeks to provide law enforcement officers with seizure recognition, correct responses to seizures and awareness of the needs of people with epilepsy who might be taken into police custody.
Through this project, we created a helpful resource for children diagnosed with epilepsy to bring with them to sleepovers or in instances where they are surrounded by people who are unfamiliar with epilepsy. We also covered the background of epilepsy as well as treatments and prognosis for this disorder.
Headache in children -indexforpaediatrics.comdr-nagi
Headache is one of the commonest neurological symptoms in children and young people who are
referred to doctors. Headache refers to pain involving the orbits, forehead, scalp and temples but not
the face or neck. The primary headache includes chronic or recurrent headache and migraine. The
prevalence of chronic or recurrent headaches in children occur in 60-69% by the age of 7-9 years
and 75% by the age of 15 years. The prevalence of migraine in children is up to 28% of older
teenagers. The most serious cause of the secondary headache is brain tumor and the prevalence of
brain tumours in children is 3 per 100,000 per annum.
https://indexforpaediatrics.com
Michelle Peck | Legal Nurse | Nurse Practitioner | Health Care | Geriatric | Consultant | Speaker | Educator | Researcher
During your journey through this slide deck of the geriatric populations 3 D’s, you will experience: the difference between geriatric dementia, geriatric delirium and geriatric depression; the global impact of dementia and the importance of a quality diagnosis; and the dementia assessment, management and treatment options.
The links in this slide deck lead you to expert geriatric teaching tools and videos that you will value and love.
According to the World Alzheimer Report if dementia care were a country, it would be the world’s 18th largest economy. The worldwide costs of dementia exceeded 1% of global GDP in 2010, at US$604 billion. If dementia were a company, it would be the world’s largest by annual revenue exceeding Wal-Mart (US$414 billion) and Exxon Mobil (US$311 billion). Geriatric populations are increasing and Alzheimer’s in the USA will ALMOST TRIPLE BY 2050. Let’s stay informed!
Learn it-Live it-Love it-Your path for a more informed life!
Michelle Peck | Legal Nurse | Nurse Practitioner | Health Care | Geriatric | Consultant | Speaker | Educator | Researcher
Headache in children -indexforpaediatrics.comdr-nagi
Headache is one of the commonest neurological symptoms in children and young people who are
referred to doctors. Headache refers to pain involving the orbits, forehead, scalp and temples but not
the face or neck. The primary headache includes chronic or recurrent headache and migraine. The
prevalence of chronic or recurrent headaches in children occur in 60-69% by the age of 7-9 years
and 75% by the age of 15 years. The prevalence of migraine in children is up to 28% of older
teenagers. The most serious cause of the secondary headache is brain tumor and the prevalence of
brain tumours in children is 3 per 100,000 per annum.
https://indexforpaediatrics.com
Michelle Peck | Legal Nurse | Nurse Practitioner | Health Care | Geriatric | Consultant | Speaker | Educator | Researcher
During your journey through this slide deck of the geriatric populations 3 D’s, you will experience: the difference between geriatric dementia, geriatric delirium and geriatric depression; the global impact of dementia and the importance of a quality diagnosis; and the dementia assessment, management and treatment options.
The links in this slide deck lead you to expert geriatric teaching tools and videos that you will value and love.
According to the World Alzheimer Report if dementia care were a country, it would be the world’s 18th largest economy. The worldwide costs of dementia exceeded 1% of global GDP in 2010, at US$604 billion. If dementia were a company, it would be the world’s largest by annual revenue exceeding Wal-Mart (US$414 billion) and Exxon Mobil (US$311 billion). Geriatric populations are increasing and Alzheimer’s in the USA will ALMOST TRIPLE BY 2050. Let’s stay informed!
Learn it-Live it-Love it-Your path for a more informed life!
Michelle Peck | Legal Nurse | Nurse Practitioner | Health Care | Geriatric | Consultant | Speaker | Educator | Researcher
Focuses on Epilepsy Management for poeple wth Tuberous Sclerosis. Includes information on:
- Status Epilepticus
- Epilepsy Management
- First Aid Principles
- Seizure Management Planning
Epilepsy
Epilepsy is a group is neurological disorder. An epileptic seizure is a paroxysm(sudden) of uncontrolled discharges of neurons causing an event that is discernible(visible) by the person experiencing the seizures or by the observer. The tendency to have recurrent attacks is known as epilepsy.
phenytoin,phenobarbital,sodium valporate ,carbamazepine,clonazepam and diazepam, lamotrigine,pregabalin,felbamate,zonisamide, ETHOSUXIMIDE, LEVETIRACETAM, OXACARBAZEPINE, PRIMIDONE
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
1. Daniel Friedman, MD Assistant Professor of Neurology NYU Comprehensive Epilepsy Center Seizure Safety and Seizure Risk: From First Aid to SUDEP
2. Outline Seizure First Aid Seizure-related injuries Strategies for prevention Epilepsy and driving Seizure-related mortality Sudden unexpected death in epilepsy (SUDEP)
3. Seizure First Aid What should I do if my family member has a seizure? What should I tell my family to do if I have a seizure?
4. Complex partial and absence seizures Observe the person and gently move the person away from danger (e.g. hot stove, stairs, road) Careful to avoid restraining people during seizures unless there’s immediate danger Speak in reassuring voice Stay with the person until they are fully aware Explain to others what is happening From www.epilpesyfoundation.org
5. Generalized tonic-clonic seizures Stay calm and reassure bystanders Don’t restrain the person Keep track of time (90% of seizures stop after 2 min) Clear the area of potential hazards and loosen collar or tie Turn the person on their side to help clear secretions Do not force as shoulder dislocation can occur If necessary, wait until the seizure is over DON’T PUT ANYTHING IN THE MOUTH Stay with the person until the seizure ends and consciousness is back to normal Speak calmly to the person and let them know what happened From www.epilpesyfoundation.org
6. When to call 911 Most seizures stop on their own and there are few lasting effects; EMS is usually not needed unless: There is no known history of epilepsy The seizure occurred in the water The person is pregnant or diabetic The seizure lasts > 5min or they come one after another The person does not wake up appropriately There is injury due to the seizure There is difficulty breathing
7. Emergency Plans Discuss with your doctor what to do if you have a seizures Some patients with a tendency to have prolonged seizures or repetitive seizure may benefit from a rescue medication Benzodiazepines Rectal Valium (Diastat™) Intranasal Midazolam (Versed™) Lorazepam tablets (Ativan™) Clonazepam tablets or wafers (Klonopin™) When to call 911, when to call the office
8. Seizures and Injuries ~15-20% of patients will have at least one seizure related injury Most common are: Bruises, lacerations/abrasions, fractures, concussions, sprains, burns However, rates of injuries are only ~5% higher in people with epilepsy compared to general population Kwan et al. Epilepsia 2010
9. Falls & Fractures Most common cause of injury in epilepsy Falls may be due to Seizure Post-ictal state Side-effects of medications Most falls do not lead to significant injury Fractures can also occur from the seizure itself Compression fractures, clavicular fractures, shoulder fractures Concusions can occur in ~10% of seizure-related falls
10.
11. Burns About 5% of patients with epilepsy will get burns requiring medical attention Burns are more common in patients with epilepsy Often related to falls or loss of awareness : Kitchen while cooking In the bathroom with hot water running Radiators Smoking Ironing Drinking hot beverages
12.
13. Drowning People with epilepsy are 15 x more likely to drown than the general population Swimming and bathing Risk is even higher inc children, mostly in bathtubs
14. Prevention strategies General Strategies: Strive for optimal seizure control Discuss drug side effects with doctor Discuss your risks of osteoporosis with your doctor Weight bearing exercise Calcium and vitamin D Screening tests when indicated Appraise your situation: What would happen if you were to have seizure?
15. Kitchen & Bathroom safety If possible, cook with someone else around Use rear burners, insulated pot handles (facing inward) Microwaves Covered cups when drinking hot beverages Limit use of glass containers, knives as much as possible Use rubber gloves when washing dishes or cutting
16. Kitchen and bathroom safety, cont. Set boiler thermostat to <110 deg (saves money, too) Use single handle shower fixtures with scald guards or thermal regulator valves Always turn cold water on first Use shower curtains or doors that swing out Non-skid pads Don’t bath alone (and don’t bath your child alone) Keep the bathroom door unlocked Hang doors to open outward
17. Home safety Don’t climb ladders alone Don’t light candles or fires while alone Power tools should have automatic shutoff Use rugs, especially on hard surfaces like tile Limit clutter, sharp corners
18. What if you live alone? Have routine check ins with friends, family or neighbors Consider giving multiple reliable people keys to your home Consider medical alert device/service (e.g. Philips Lifeline™)
19. Sports and Recreation Never swim, ski, hike alone Pools are preferable to open water Let the lifeguard know you have epilepsy Wear helmets and protective equipment while biking, skiing Stay clear of ledges Wear life vests while boating Avoid free weights, treadmills at the gym Before engaging in an activity, ask: what would happen if I had a seizure?
20. Driving & other transportation Having even a brief seizure with altered awareness while driving can be deadly though seizure related car accidents are rare Laws in NY, NJ mandate 1 year of seizure freedom prior to driving; 3-6 mo in CT Period can be shortened if seizure is deemed unlikely to occur Determined by Neurological Disorders Committee in NJ Determined by MD in NY
21. Prevention Honor and obey your states restrictions regarding driving and seizures Avoid driving when reducing or making medication changes – discuss with your MD If you have an aura, pull over as safely and quickly as possible Avoid missing medications or other provocative factors
22. Epilepsy Mortality Epilepsy mortality is ~2.3 x higher than the general population Common causes of death in epilepsy included: Progression of underlying condition Status epilepticus Drowning Suicide Pneumonia Sudden death
23. Sudden unexpected death in epilepsy Definite: The sudden, unexpected, witnessed or unwitnessed, non-traumatic, and non-drowning death in patients with epilepsy with or without evidence for a seizure in which postmortem examination does not reveal a structural or toxicological cause for death Excluding status epilepticus Probable: sudden deaths occurring in benign circumstances with no known competing cause for death but without autopsy Possible: limited information regarding death circumstances or there is a plausible competing explanation for death Nashef, 1997; Annegers, 1997
24. Incidence of SUDEP Sudden death is ~24x more common in people with epilepsy compared with the general population Most common condition-related cause of death in chronic epilepsy 100-fold range in SUDEP incidence within the epilepsy population 0.09/1000 in prospective community-based studies of newly diagnosed patients 9/1000 in epilepsy surgery candidates
30. Mechanisms of SUDEP Witnessed, EMU-recorded, and post-mortem studies all support a seizure, typically GTC, as the terminal event Three main mechanism emerge from EMU observed cases: Primary respiratory causes: central or obstructive apnea Cerebral shutdown: diffuse post-ictal suppression of EEG preceding EKG or respiratory changes Cardiac arrythmias
31. Resipiratory Seizures can caused decreased oxygenation Seizures can reduce the drive to breath (apnea) Some SUDEP may be failure to recover from these breathing problems Serotonin may play an important role
32. Brain Shutdown After a seizure, shutdown in brain function can: Reduce drive to breath Limit protective reflexes E.g. turning over when face is in pillow
33. Cardiac Arrhythmias Seizures may lead to heart arrythmias in some Some people may already have underlying heart disease Seizure is the ultimate stress test Most people have normal hearts Some people may carry genes that predispose them to arrythmias Some gene defects can predispose individuals to BOTH epilepsy and heart arrythmias
34. Preventing SUDEP No intervention is proven to prevent SUDEP Target modifiable risk factors: Optimize seizure control, especially GTCS Medications, surgery, devices if appropriate Compliance Lifestyle factors: good sleep, avoid excess alcohol Limiting # of total drugs? Supervision? Bed alarms Baby monitors Room sharing
35. Seizure alarms No evidence that they prevent SUDEP Not FDA approved for that purpose Frequent false alarms with current models may limit use Costly ~$800-1000 Baby monitors are affordable
36. Seizure Alarms – future horizons Watch based devices ?more reliable Linked to phones/pagers Portable Smartphone applications
37. Anti-suffocation pillows Special pillows to prevent complete occlusion of the face when the person is face down Not proven to prevent SUDEP
38. For more information www.sudep.org www.epilepsy.com www.sudepaware.org www.epilepsyfoundation.org