The following is from website www.spottingthesickchild.com. This is in the section, Symptoms–Fits, the Fit Itself. Access to this page, part of an review of acute pediatrics, requires free registration.
The video makes a key point: “When taking a history it is important to try as hard as possible to get an eyewitness account, even if this is over the phone, and to take the person through exactly what they saw.” And below are the questions to lead the person through.
The Fit Itself: Key Points In the History
- Any warning signs?
- Aware of surroundings?
- Appearance of the child during the event?
- Abnormal movements?
- Eye Position?
- Color?
- Tone?
- Incontinence of Urine?
- Tongue Biting or Injuries?
- Duration of fit?
- Duration of recovery?
- Post event headache?
| Non-Seizure Events | True Seizures |
| Syncope | Febrile Convulsions |
| Cardiac Syncope | Secondary Epilepsy (cerebral palsy, structural brain lesions, syndromes) |
| Reflex anoxic seizures | |
| Alcohol and drugs (intoxication or withdrawal) | |
| Head injury (including non-accidental trauma) | |
| Infections (meningitis/encephalitis) | |
| Metabolic (hypoglycemia, hyponatremia, hypocalcemia |
