Question

What should you do if someone has a seizure?

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Answer

Protect them, time it, and do not restrain them or put anything in their mouth — two interventions that people instinctively attempt and that cause harm.

What to do during a convulsive seizure:

Note the time it starts. Duration determines whether it is an emergency, and in the confusion nobody remembers otherwise.

Clear the area of anything hard or sharp, and cushion the head with something soft.

Loosen anything tight around the neck.

Do not restrain them or try to stop the movements. This causes injury to them and to you, and does not shorten the seizure.

Do not put anything in their mouth. Swallowing the tongue is anatomically impossible, and forcing objects in causes broken teeth, lacerations and injury to the person helping — this is the most persistent and harmful myth about seizures.

Stay with them, and keep others back.

When it stops: place them in the recovery position on their side, check breathing, stay until they are fully alert, and reassure them — confusion, exhaustion and distress afterwards are normal and can last some time. They may not know what happened or where they are.

When to call emergency services:

The seizure lasts more than five minutes, or repeats without full recovery in between.

It is their first seizure, or you do not know.

They are injured, or the seizure happened in water.

They have difficulty breathing afterwards, or do not regain consciousness.

They are pregnant or have diabetes.

Not all seizures are convulsive. Focal seizures may involve confusion, staring, lip-smacking, plucking at clothing, or wandering with no awareness. Do not restrain someone in this state — guide them gently away from danger, speak calmly, and stay until they are oriented.

Afterwards: offer to contact someone, and respect their wishes if they decline an ambulance, since people with established epilepsy frequently do not need one.

Do not give food or drink until fully alert.

General information, not medical advice. In an emergency, call your local emergency number.

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