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-conveyance	Only 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.