What Happens in the ER After a Seizure? Emergency Doctors Share Their Insights With Dr Nancy Musarra

In this episode of the KCNA2 and Other Rare Epilepsies Podcast, Nancy Musarra is joined by two emergency room physicians, Dr. Katie Robottom and Dr. Rosetta Robottom, a mother-daughter team with decades of combined experience caring for patients with seizures in the ER.

Together, they provide a clear and practical look at what actually happens when someone arrives in the emergency department after a seizure. They explain the immediate priorities in the ER, including airway, breathing, circulation, and injury prevention, and why those first few minutes are so focused and structured.

The conversation breaks down the difference between a first-time seizure and a breakthrough seizure in someone with a known diagnosis. The doctors outline what history they are trying to gather, what tests are typically ordered, and why emergency physicians are cautious about labeling someone with a “new seizure disorder” before neurology confirms it. They also explain febrile seizures, when imaging is necessary, and what determines whether a patient is admitted or safely discharged.

For families and caregivers, this episode offers practical guidance on:

• What information to bring to the ER, including medication lists, dosing schedules, seizure patterns, triggers, and rescue medications

• Why a one-page emergency summary can make a significant difference

• When video of a seizure can be helpful to neurologists

• What to do, and what not to do, while waiting for EMS

• Why seizures can have multiple possible causes, even in someone who already has epilepsy

The doctors close with reassurance that while seizures are frightening for families, ER teams are trained to respond quickly and methodically, and their primary goal is to keep your loved one safe.

Medical note: This video is for education and support and is not medical advice. Always follow your clinician’s guidance for your specific situation.

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