Ambulatory Emergency Care Pathways

First Seizure

Effective Date: February 2013

Content Summary

Ref Title

Description

1

Condition Details

Identifies pathway details and clinical sign-off

2

Pathway Algorithm

Identifies the pathway to follow to identify patients suitable for Ambulatory Care

3

Patient Criteria

Criteria for patients appropriate for the pathway

4

Patient Information

Identifies Patient Information leaflets for issue to patients regarding their pathway

5

KPIs

Identifies how the pathways are measured

1. Condition Details

Condition Details Summary

Data (Baseline using 2010/11 outturn)

HRG/ICD-10 Codes

AA26Z / G400, G401, G402, G404, G406, G407, G408, G409, R568

Total Patients per Month (Avg)

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Bed Days Utilised per Month (Avg)

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Number of Beds Utilised per Month (Avg)

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Average Length of Stay

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Potential Percentage suitable for ambulatory care

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1: Pat hw

ay Details Details Sign Off: Pathway Designed by Clinical Subject Matter Expert

Signed Dr Jan Coebergh

Pathway Approved by Specialty Lead

Print Signed Print

Pathway Approved by Emergency Department Lead

Signed

Dr Jacob Addo Pathway Authorised by Divisional Director

Print Signed

Dr Peter Wilkinson

1: P 1: Pat hw ay Det ails

Print

2. Pathway Algorithm Patient Presents with: First Seizure (in Adults) (For use when the likely diagnosis is a first seizure. For use after hypoglycaemia has been excluded).

History & Examination  An episode of loss of consciousness with or without convulsive movement, with or without spontaneous recovery and no apparent trigger or cause.  Obtain and record a description of the episode from the patient and eyewitness.  Establish any history or previous episodes of loss of consciousness or altered behaviour.  Establish any history of: previous history of treated epilepsy, lateral tongue biting, injury sustained during seizure.

Red Flags GCS persistently