Every source quoted in this study has clearly re futed the need for emergency transport and care of an uncomplicated grand mal seizure in a managed epileptic patient. This review of a large patient pop ulation has determined that 27% of emergency de partment seizures were uncomplicated and occurred in patients already under care. This represented 0.25% of all emergency department visits and nearly $200,000 in claims to this managed care entity per year. Taking some statistical liberties, a national health care expenditure of $270,000,000 is suggested for this single abuse. It is hoped that further education of the public, medical community, and epileptic pa tients will produce a comfort level that permits deci sions about emergency transport and care of seizures. These savings could translate into basic health insur ance for thousands of our medically deprived citizens.
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