hi I'm here with variants they love our train of the key translation and Berlin is going to be running through help us Minister emergency buckle mm medication now this would be typically used in the situation where someone is having an eclectic seizure so real important particularly okay firm not anybody having an epileptic seizure would require this because as long as they only have the seat for two or three minutes most people than have it perfectly safely okay if you're somebody that's going to have a few if any longer than that which we saw want to focus on from status epilepticus we have an issue of that the fact they're not taking in any more options so we do they need to control that seizure okay this would have been usual to mess with you everybody because some people can have side effects such as slowing down the breathing for its automatic use all the time so what would happen it is a start member would be given a protocol which sort of when it is expected to administer would it be safe to give a second dose or would we simply called an ambulance okay who don't make sure it is cut your fracture and that that you're actually doing actually develop activity now we don't want to see these ones anymore these are the ones that come with their within a bottle of the medication for four doses for one mill doses but these days most staff are having a pre-measured a syringe okay so this is becoming less common because I was so in reality it's actually easier to start now because they wouldn't have to go to Padma Mitchell is certainly got a that's wrong because when leverage is attack so the buccal cavity is the cavity between the tooth and the gum right now the bottom part near work with a very bad teeth are and the reason we use that is because that's a really quick absorption it's helping to get into the system much more quickly okay so we look it up we have we have the syringe obviously totally full if we are having to use these these bowls there I'm draw it down to one mil dose which is the standard dose although it would have to be checked at the argument of correct dosage ideally we're not doing I would be having gloves on etc now okay but we just don't clip for demo purposes and we might need to steady the person's head if they were in seizure because I'm moving around a so you know we wouldn't respond is difficult we only study in a gentle way because it on a risk occur in the neck so we have been stuff and we do have one side of the mouth into the county which supposes the buccal cavity and heart on the other side we would make sure we time when we have benefit just in case our protocol says that we can we have in stir after five minutes or after 10 minutes or when to call an ambulance and this works as a muscle relaxant which does then stop the seizure from occurring right now it's pretty much it around the vocal Mennella sure so I'm going to have a very no minute rings okay chances are the describing the studium do you have videos okay great so I'm going to go ministering this medication to Junior so let's come here if I can remember it young so I cut the dose of medication to run for four people and the searcher yeah so I just put it into the hole of what's allowed it right and then you turn it upside down firmly yeah which it draw down securely over top of same time and you'll see it come to a small marker that will tell you when you are you want meal yeah okay okay in seizure generally the person will probably be fine hm a wheelchair or something possibly make a swear to be the first calcium poor young man okay so we're looking at half and half I'm just going to study or then again this is Julie I'm doing that you can study junior pet okay what gently server locations are the left side of the out cool country women horse okay and the other horse that's right in there if you were having difficulties but if the seizure was quite quite severe so social destruction around quite essentially it is acceptable that you could to the best of your ability might just do it all in one right but it just means that it takes a little bit longer to disperse into the system sure but you you really won't be getting it right yes that's what I've been fighting so I'm having to M Phi Beta Kappa to do great alright thank you very much think I've got up from thanks