Volume : 12, Issue : 10, October – 2025
Title:
PRE-HOSPITAL INTERVENTION IN EPILEPTIC EMERGENCIES: THE CRITICAL ROLE OF PARAMEDICS IN REDUCING MORTALITY – A COMPREHENSIVE REVIEW
Authors :
Mugdad Ibrahim Ali Aldhaif, Mana Hamad Salm Alyami , Amer Saad Amer Almutairi , Ali Saleh Jassem Aldookhi, Raed Abdulaziz Hassan Almalki, Faisal Awadh Barki AlOtaibi, Almutairi, Abdullah Ayed M, Fahad Saleh Ahmed Alzahrani
Abstract :
Epilepsy is a chronic neurological disorder that poses a significant global health burden, with recurrent seizures contributing to morbidity and mortality. Among the most life-threatening manifestations is status epilepticus, where delayed intervention increases the risk of hypoxia, trauma, and sudden unexpected death in epilepsy (SUDEP). The pre-hospital phase of care is critical, as the majority of seizure-related fatalities occur before patients reach hospital facilities. Paramedics play a decisive role in bridging this gap by providing rapid recognition, timely administration of anticonvulsant medications, airway and breathing support, and safe patient transport. Emerging evidence highlights that early paramedic intervention not only reduces seizure duration and complications but also significantly lowers mortality rates. Despite these advances, disparities exist in access to pre-hospital epilepsy care, particularly in resource-limited settings, where gaps in training, drug availability, and standardized protocols hinder optimal outcomes. This review explores the clinical role of paramedics in reducing deaths from epilepsy, emphasizing their impact on patient survival, neurological recovery, and system-wide improvements in emergency medical services. By analyzing current evidence, barriers, and strategies for enhancing pre-hospital epilepsy management, the article underscores the importance of strengthening paramedic-led interventions as a cornerstone of comprehensive epilepsy care.
Keywords: Epilepsy, Paramedics, Pre-hospital Care, Status Epilepticus, Emergency Medical Services, Mortality Reduction, Seizure Management
Cite This Article:
Please cite this article in press Mugdad Ibrahil Ali Aldhaif et al., Pre-Hospital Intervention In Epileptic Emergencies: The Critical Role Of Paramedics In Reducing Mortality – A Comprehensive Review, Indo Am. J. P. Sci, 2025; 12(10).
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