Early management of adults with an uncomplicated first generalised seizure

Emerg Med J. 2005 Apr;22(4):237-42. doi: 10.1136/emj.2004.015651.


A literature review of first seizures in adults was performed and a management algorithm was constructed. This review highlights the importance of a thorough history and examination, routine biochemistry and haematology, an electrocardiogram, selected neuroimaging, discharge planning with driving and lifestyle advice, and follow-up in a specialist clinic.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Adult
  • Anticonvulsants / therapeutic use
  • Automobile Driving
  • Diagnosis, Differential
  • Electroencephalography / methods
  • Emergencies
  • Hematologic Tests
  • Humans
  • Magnetic Resonance Imaging / methods
  • Seizures / diagnosis*
  • Tomography, X-Ray Computed / methods


  • Anticonvulsants