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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">epilepsia</journal-id><journal-title-group><journal-title xml:lang="en">Epilepsy and paroxysmal conditions</journal-title><trans-title-group xml:lang="ru"><trans-title>Эпилепсия и пароксизмальные состояния</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2077-8333</issn><issn pub-type="epub">2311-4088</issn><publisher><publisher-name>IRBIS LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.17749/2077-8333/epi.par.con.2025.257</article-id><article-id custom-type="elpub" pub-id-type="custom">epilepsia-1258</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>BRIEF REPORTS</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>КРАТКИЕ СООБЩЕНИЯ</subject></subj-group></article-categories><title-group><article-title>International and national guidelines on seizures first aid: gaps, inconsistencies, and the need for consensus</article-title><trans-title-group xml:lang="ru"><trans-title>Международные и национальные рекомендации по оказанию первой помощи при судорожных приступах: пробелы, расхождения и потребность в консенсусе</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2789-9760</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Биркун</surname><given-names>A. A.</given-names></name><name name-style="western" xml:lang="en"><surname>Birkun</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Биркун Алексей Алексеевич, д.м.н., доцент</p><p>WoS ResearcherID: R-3613-2017</p><p>Scopus Author ID: 56747693500</p><p>б-р Ленина, д. 5/7, Симферополь 295051</p></bio><bio xml:lang="en"><p>Alexei A. Birkun, Dr. Sci. Med., Assoc. Prof. </p><p>WoS ResearcherID: R-3613-2017</p><p>Scopus Author ID: 56747693500</p><p>5/7 Lenin Blvd, Simferopol 295051</p></bio><email xlink:type="simple">birkunalexei@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6900-717X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гаутам</surname><given-names>A.</given-names></name><name name-style="western" xml:lang="en"><surname>Gautam</surname><given-names>A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Адиш Гаутам </p><p>Уна-Хамирпур-роуд, Уна, HP 174303</p></bio><bio xml:lang="en"><p>Adhish Gautam</p><p>Scopus Author ID: 57427947000</p><p>Una-Hamirpur Road, Una, HP 174303</p></bio><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Медицинский институт им. С.И. Георгиевского Федерального государственного автономного образовательного учреждения высшего образования «Крымский федеральный университет им. В.И. Вернадского»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Medical Institute named after S.I. Georgievsky, Vernadsky Crimean Federal University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Региональная правительственная больница</institution><country>Индия</country></aff><aff xml:lang="en"><institution>Regional Government Hospital</institution><country>India</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>15</day><month>01</month><year>2026</year></pub-date><volume>17</volume><issue>4</issue><fpage>410</fpage><lpage>414</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Birkun A.A., Gautam A., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Биркун A.A., Гаутам A.</copyright-holder><copyright-holder xml:lang="en">Birkun A.A., Gautam A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.epilepsia.su/jour/article/view/1258">https://www.epilepsia.su/jour/article/view/1258</self-uri><abstract><p>A full-content structured analysis of international and national guidelines was performed to determine the scope, coverage, and consensus on all seizure-related first-aid recommendations. The analysis identified more than 50 distinct recommendations related to seizure first aid. The coverage of recommendations was generally poor and inconsistent. The lack of consensus between the recognized and influential guideline documents raises concerns regarding the adequacy of current first aid education and practice and underscores the compelling need for establishing an international consensus on evidence-based seizures first aid.</p></abstract><trans-abstract xml:lang="ru"><p>Для определения масштаба, охвата и согласованности всех рекомендаций по оказанию первой помощи при судорожных приступах проведен всесторонний структурированный анализ международных и национальных руководств. Выявлено более 50 различных рекомендаций, касающихся первой помощи при судорожных приступах. Охват рекомендаций в целом оказался недостаточным и непоследовательным. Отсутствие согласованности между признанными и влиятельными руководящими документами вызывает опасения по поводу адекватности существующего образования и практики в данной области и подчеркивает острую необходимость достижения международного консенсуса в отношении научно обоснованной первой помощи при судорожных приступах.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>консенсус</kwd><kwd>эпилепсия</kwd><kwd>доказательная медицина</kwd><kwd>первая помощь</kwd><kwd>судорожный приступ</kwd><kwd>эпилептический статус</kwd></kwd-group><kwd-group xml:lang="en"><kwd>consensus</kwd><kwd>epilepsy</kwd><kwd>evidence-based medicine</kwd><kwd>first aid</kwd><kwd>seizures</kwd><kwd>status epilepticus</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Sun M., Meng F., Xu Z.Y.R., Guo Y. 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