Try SIGN, at www.sign.ac.uk number 70, published 2003, as a starting point
From: Accident and Emergency Academic List
[mailto:[log in to unmask]] On Behalf Of elizabeth gilby
Sent: 23 June 2004 12:53
To: [log in to unmask]
Subject: Re: First fit
Has any department developed a "first fit" guideline in adults?
I am particularly interested in those patients with unprovoked first fits
who have no ongoing neurological signs or symptoms to warrant medical
If so, what investigations are performed in the ED and does anyone have
experience of investigating these patients via an observation unit? ( ie.
would you scan all first fitters?)
Our neurology department at present offers no first fit clinic and a fairly
long wait for outpatient follow up.
I am trying to develop some guidelines for the management of these patients
but there is not much evidence out there!
ED SpR Bath
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