You are summoned to a grocery store for a female patient found having a 'fit' by store employees. Upon arrival, you are escorted to the side of an alert but mildly confused 41-year-old woman who is diaphoretic and appears exhausted. After 2-3 more minutes, she becomes more alert and informs you that she has a history of seizures and just had a generalized seizure. Despite your urging, she refuses transport to the hospital. Your safest action would be to:

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Syncope and seizures are two of the most common differential diagnoses for transient loss of consciousness.  Syncope is characterized by a sudden, complete loss of consciousness, with rapid recovery. Syncope, or fainting, is caused by low blood pressure resulting in an insufficient supply of blood, and therefore oxygen, to the brain. Some symptoms of syncope include: Orthostatic hypotension, Simple faints, Episodes that only occur in the recumbent position, and Syncope induced by strong emotional stimuli.  Seizures can be epileptic or non-epileptic. Some symptoms of seizures include: A... Show more

You are summoned to a grocery store for a female patient found having a 'fit' by store employees. Upon arrival, you are escorted to the side of an alert but mildly confused 41-year-old woman who is diaphoretic and appears exhausted. After 2-3 more minutes, she becomes more alert and informs you that she has a history of seizures and just had a generalized seizure. Despite your urging, she refuses transport to the hospital. Your safest action would be to:






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