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Obstetrics
Advanced
12 minute station

Eclamptic Seizure, 34 Weeks Pregnant

Dispatch

Cat 1 — 26-year-old female, 34 weeks pregnant, witnessed seizure, history of high blood pressure this pregnancy.

On arrival

Patient post-ictal on the living room floor, husband reports a generalised seizure lasting 2 minutes, known pre-eclampsia diagnosed at antenatal clinic last week.

Initial observations

Airway
Patent, positioned in left lateral tilt
RR
22
SpO2
95% on air
Pulse
110
BP
168/112 mmHg
GCS
13, post-ictal, improving
Reflexes/oedema
Facial and hand oedema noted