Seizures
Overview
- Adapted from NHS
Immediate management – Calm, Cushion, Call
- Calm – Stay calm and remain with the person. Do not restrain them or put anything in their mouth. Note the time the seizure starts
- Cushion – Protect them from injury by clearing away any potentially dangerous objects and placing pillows or soft padding around them. Loosen any tight clothing around their neck, such as a collar or tie, to aid breathing
- Call – Call 999 if this is the first time they have had a seizure, or if the seizure lasts more than 5 minutes (see below)
- Cool them down and provide some fresh air if possible by opening a door or window (taking care not to cool them down too much)
- Note the time the seizure finishes. Once it has stopped, put the person into the recovery position. Monitor their breathing, pulse and level of response and provide reassurance. Stay with them and talk to them calmly until they recover
When to call 999
- NHS recommends an ambulance is called if the person has never had a seizure before
- Has a seizure that lasts for more than five minutes
- Has many seizures in a row
- Has breathing problems or seriously injured themselves
Additional information
- BNF provides guidance on seizures in the ‘Medical emergencies in the community’ section and outlines guidance for a seizure lasting longer than 5 minutes (medication used is: diazepam rectal solution or midazolam oromucosal solution)