Seizure : the journal of the British Epilepsy Association
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To investigate whether patients presenting after a first seizure to an Accident and Emergency (A&E) department were being managed according to consensus recommendations. ⋯ All patients presenting after a first seizure should be directly referred to a neurology clinic from the A&E department. The currently proposed target time to specialist review is unrealistic without significant resource improvements. The provision of diagnostic guidelines and telephone advice by the neurology team prior to discharge from A&E may avoid unnecessary investigation.