Proposal for a seizure emergency care protocol

Abstract

Introduction. Clinical protocols play an important role in the workspace of healthcare professionals, especially in the emergency department. It is therefore necessary to standardize care models as a way of improving patient care and prognosis. Objective. To proposal of a protocol for caring for non-pregnant adult patients during an episode of seizure in the Emergency Department of a tertiary hospital in a city in the Itajaí Valley in Santa Catarina. Method. This is an integrative review, with a qualitative approach, by collecting data on forms of treatment for adult patients with seizures in the Emergency Department. The data was collected using three databases, as well as medicine textbooks published between 2018 and 2023, in Portuguese and English. Results. A total of 562 articles were analyzed and 180 were excluded due to duplication, leaving 382 articles analyzed by title and abstract, of which 43 were selected, 12 of which met the inclusion criteria. Six books from the internal medicine, emergency medicine and intensive care medicine literature were also included. In addition, the guidelines of the American and European societies were used to base the format of the flowchart. Conclusions. This study has shown that a proposal for a care protocol for this type of emergency is necessary, as it often requires various medications and actions on the part of the hospital team to improve medical care and patient prognosis. It therefore highlights the imperative need for further studies on the subject, elucidating more clearly the most effective drugs for controlling crises.