Frimley GuidelinesFrimley Health Guidelines

First Fit Pathway

This is a controlled document. If you are using a printed copy, check it against the guidelines site to ensure you are using the latest edition. Print copies must be destroyed after use.

Patient criteria

Adult (≥16 yrs) with suspected new onset SINGLE seizure

Not Pregnant or <6 weeks postpartum

No Alcohol dependency or illicit substance use No recent Head injury (last 3 months)

*Patient (and carer, if appropriate) to be advised

How to recognise seizure and first aid
Importance of reporting further attacks and contact details
Advice NOT to drive
Safety information re. not working at heights, heavy machinery, showers (not baths), unobserved swimming

Version:	2.0
Guidelines Lead(s):	Dr James Gratwicke Consultant Neurologist
Contributor(s):
Lead Director / Chief of Service:	Dr Chris Orchard, CoS for Medicine
Library check completed:	N/A
Ratified at:	Neurology Clinical Governance 1609/2025
Date Issued:	07/10/2025
Review Date:	01/09/2028
Pharmaceutical dosing advice and formulary compliance checked by:	N/A
Key words:	suspected new onset single seizure, suspected seizure, new single seizure

This guideline has been registered with the Trust. However, clinical guidelines are guidelines only. The interpretation and application of clinical guidelines will remain the responsibility of the individual clinician. If in doubt, contact a senior colleague or expert. Caution is advised when using guidelines after the review date.

This guideline is for use in Frimley Health NHS Foundation Trust hospitals only. Any use outside this location will not be supported by the Trust and will be at the risk of the individual using it.

Version History

Version	Date	Guideline Lead(s)	Status	Comment
1.0	19/08/2021		Final
2.0	2025	Dr James Gratwicke Consultant Neurologist	Final	Scheduled review

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Patient criteria

Full version control record