we have a few patients in our area with Psychogenic Nonepileptic Seizures in our area. I find there is significant misunderstanding and tx of this illness both in paramedicine and in the er. could you explain the disorder and what the recommended tx is in paramedicene and the er

Should Midazolam be considered in the management of a trauma patient with trismus? In the absence of tonic/clonic seizure.

Question: I have a question about postictal patients and cardiac monitoring. I have been told two things by several other partners in past few weeks. Assume you are a regular seizure patient whom you have seen many times and he/she is in their normal postictal state and you are not suspecting brain trauma. Is there any clinical reason/need to put cardiac monitor (e.g. limb leads) on? Also assuming you have a 1 min transport time. I was told as per BLS standard you “must” but in the postictal section it mentions that the paramedic may consider enroute. Thanks.