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Driver Please Complete Name LAST FIRST MIDDLE Date of Birth mm/dd/yy DL Number OMIT DASHES Date of Last Episode of Lost Consciousness or Voluntary Control mm/dd/yy I certify that since this episode s I have been episode-free. Loss of consciousness or voluntary control means the inability to assume and retain upright posture without support or the inability to respond rationally to external stimuli. If you need more information please contact the DVS Driver Compliance unit at 651-296-2025 or...
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How to fill out seizure loss of consciousness

01
Stay calm and stay with the person who has lost consciousness.
02
Check for any signs of injury or danger in the immediate surroundings.
03
Gently turn the person onto their side to prevent choking on vomit or saliva.
04
Do not restrain the person or put anything in their mouth.
05
Time the duration of the seizure and note any unusual movements or behaviors.
06
If the seizure lasts longer than 5 minutes or if it is the person's first seizure, call for emergency medical help.
07
After the seizure ends, help the person into a safe and comfortable position.
08
Stay with the person until they fully regain consciousness and provide reassurance.
09
If the person injured themselves during the seizure, administer basic first aid if necessary.
10
Encourage the person to seek medical evaluation and follow-up care with a healthcare professional.

Who needs seizure loss of consciousness?

01
Individuals who have been diagnosed with epilepsy and experience seizures involving loss of consciousness.
02
People who have a history of febrile seizures, where loss of consciousness can occur.
03
Individuals who have experienced head injuries or traumatic brain injuries that can result in seizure activity and loss of consciousness.
04
Certain medical conditions, such as some types of brain tumors, can cause seizures and loss of consciousness.
05
People who have experienced recreational drug-related seizures or have a substance abuse disorder.
06
Certain genetic conditions, such as Dravet syndrome, can lead to seizures and loss of consciousness.
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Seizure loss of consciousness refers to a medical condition characterized by sudden, uncontrolled electrical activity in the brain leading to a temporary loss of awareness.
Usually, healthcare professionals or medical facilities are required to file reports of seizure loss of consciousness.
Seizure loss of consciousness reports can be filled out by providing detailed information about the patient's medical history, symptoms, and any relevant test results.
The purpose of filing seizure loss of consciousness reports is to monitor and track incidents of seizures in order to provide appropriate medical treatment and support.
Information that must be reported on seizure loss of consciousness includes the patient's demographics, medical history, description of the seizure event, and any treatments provided.
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