Which is the most common seizure we deal with in emergency medicine?

Tonic/Clonic seizures, also known as generalized tonic-clonic seizures (GTCS), are indeed the most common type encountered in emergency medicine. These seizures involve two distinct phases: the tonic phase, where the individual experiences stiffening of the muscles, often leading to loss of consciousness, followed by the clonic phase characterized by rhythmic jerking of the limbs.

In the emergency setting, Tonic/Clonic seizures are particularly significant due to their dramatic presentation and the potential for immediate physical injury to the patient, as well as their impact on airway management, oxygenation, and vital signs during and after the event. Their occurrence can be indicative of various underlying conditions, necessitating prompt medical assessment and intervention.

This type of seizure also tends to be more easily identified by emergency personnel, as bystanders often witness the convulsive movements, which leads to quicker action and treatment to ensure patient safety and stabilization. The treatment typically involves the administration of benzodiazepines to halt the seizure activity and ongoing monitoring for complications, making familiarity with this type crucial for emergency medical responders.

In contrast, other types of seizures such as complex partial seizures may not present as visibly and can often be misidentified, whereas petit mal (absence) seizures are relatively brief