Great Case... 911 call of a 83 yr old male actively seizing Responded with ambulance to the residence to find the gentleman sitting at the kitchen table ( He was the party calling 911) was fully conscious and seizing  Prior History of quadruple by pass in2004 , with no prior history ... B/P 137/94 temp 99.3  Pulse 80 and strong Pulsox 96 ... yet the patient was experiencing full seizures while conscious and was able to speak clearly and not lose train of thought whiel giving us a report of meals meds and date time and events leading to.... was an amazing ride to the hospital and waiting on Drs report as to cause and results ... patient is home now. with normal activities...Note: Patient only experienced clenched teeth every 55 to 65 seconds lasting for approx  5-6 seconds while speaking to us for the 22 min ambulance ride to the hospital.... Cant wait to find out the Drs report as they thought we were nuts til we came into the ER With the patient and witnessed the Seizures first hand..Drs Quote ... well Hmmmm... he's definately seizing... Patients retort... yah think? lmao

nope zero pain so that wasnt it... still guessing lol

Interesting post. Emergency intervention: ABC's, monitor respiratory status. Oxygen 100% by mask. Intubate if any chance of respiratory compromise. Establish EKG monitor. Establish two large bore IV lines. NEEDS CT scan of head to determine possible etiology (stroke). Toxicology screen for possible etiology. Pulse oximetry. Look at his meds. Diazepam IV to stop seizures. Do accucheck for blood sugar. This is only a beginning. You need to know his complete medical history, complete physical exam, family medical history, health habits and life style to efficaciously use medical reasoning to determine possible diagnoses and medical problems. For example, IF he has a history of alcohol or other substance abuse, his seizures may be related to the same. This is only conjectural.

I'm curious, as to what the actual final diagnosis was.   With a full blown grand mal, the brain is so full of 'electrical' charges, that the person ceaces to be conscious.  He/she can't talk.   Obviously something was going on that was seizure like.   

Im trying to speak with the attending about this matter as I was the respondibg EMT it is hard to catch the Dr with shift differentials I will get the answers I promise as i have not given up on the case.. Please be Patient I am doing what I can ...thanks

My bet is tetany, maybe related to some serious electrolyte imbalance.

i work on a unit that hooks pts up to EEG 24/7 for a week straight. sometimes a pt can be having a full on seizure and the only person that knows it is the EEG tech watching the brain waves. so that person could have been having seizure activity, i've seen it happen. he probly knew it was coming on too hence the fact you found him on the phone calling for help. he may have been thru the scenario before.

I will bet my next paycheck it was pseudoseizures......a psychological disorder realated to a conversion disorder.