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Rounds Details:

Date: Friday June 29, 2012

Presented by:  Dr. Sameer Mal, PGY4, Emergency Medicine, and Dwayne Cottel, Regional Paramedic Educator

Brief Description:

Maintenance and the subsequent loss of consciousness are composed of a complex interplay between many parts of the brain and cardiovascular system.  When patients suffer a sudden loss or change in their level of consciousness, it is crucial that the correct diagnosis be made quickly so that life-saving measures can be initiated immediately.  This task is made more difficult in that many of the common causes of a decreased LOC - seizures, syncope, cardiac arrest - often overlap in their presentation or progress from one to the other and this leads to misdiagnosis and mismanagement.  When a patient presents to you with a sudden LOC, cover all your bases and decide; fits, faint, or fatal?  

By participating in this webinar, the paramedic should be able to:

- Differentiate myoclonic jerks associated with cardiac arrest and syncope from tonic clonic seizure activity

- Describe the various types of seizures and relevant anatomy/pathophysiology

- Describe the clinical presentation of a seizure and the appropriate management

- Describe syncope and categorize various etiologies

- Describe the high-risk features of syncope and appropriate medical management

- Compare and contrast the presentations of seizures and syncope and their relation to cardiac arrest

Submit a Rounds Review

Online Training Website:

Paramedics are eligible to receive continuing education (CE) points for reviewing our paramedic rounds. To receive one (1) CE point, click the link above to access the online quizzes available on our Online Training Website. The modules are located under "Rounds and Webinars" located in the left hand menu.

System Requirements:

General System Requirements:

- Adobe Flash Player 10.0.22+ plug-in

- Firefox 1.1+, Internet Explorer 7.0+, Safari 1.0+, Google Chrome, or Opera

- Broadband connection with 500+ Kbps

Ensuring optimal streaming speeds is especially important for videos on YouTube. Make sure to close as many other tabs, browsers, and programs as possible while streaming your content. It may also help to hardwire your Internet connection, rather than using a wireless network connection.

For more system requirements, click here.

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Last Updated April 12, 2013 | © 2007, LHSC, London Ontario Canada