Table 1

Overview of 2016 JRCALC19 national guidance regarding who should and should not be transported to emergency department

Guidance
Transfer to further care
  • Patients suffering from serious convulsions (≥3 in an hour)

  • Patients suffering from eclamptic convulsions

  • Patients suffering their first convulsion

  • Difficulties monitoring the patient's condition

Non-conveyanceOnly consider leaving a patient at home who makes a fully recovery following a convulsion if they are known to suffer from epilepsy, and can be supervised adequatelyFor these patients:
  • Measure and record vital signed with explanation given to the patient

  • Advise patients/carer to contact GP if patient feels generally unwell or call ‘999’ if there are repeated convulsions

  • Document reasons for decision and this must be signed by patient and/or carer

  • Provide an information leaflet

  • Ensure contact is made with the patient's GP

  • Consider referral to local epilepsy service for review/ follow-up.

  • GP, general practitioner; JRCALC, Joint Royal Colleges Ambulance Liaison Committee.