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Seizure First Aid

Things to remember after a generalized tonic-clonic seizure (convulsion)
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Keep calm and reassure other people who may be nearby.
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It is most important is to avoid any injury to the person and to keep him comfortable
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Don't hold the person down or try to stop his movement – The movements are vigorous, hence attempting to stop them will result in injury to the person.
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Time the seizure with your watch – Most seizures last less than 2 minutes.
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Clear the area around the person of anything hard or sharp.
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Loosen ties or anything around the neck that may make breathing difficult.
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Put something soft, like a pillow or a piece of cloth under the head.
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Turn him or her gently onto one side. This will help keep the airway clear and prevent aspiration.
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Do not try to force the mouth open with any hard object like spoon etc or with fingers – This can lead to injury to teeth, tongue or jaw.
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Do not smell the patient with chapel or any similar object – This is harmful and can lead to infection.
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Don't attempt artificial respiration except in the unlikely event that a person does not start breathing again after the seizure has stopped – The breathing becomes heavy and fast after a seizure.
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Stay with the person until the seizure ends naturally.
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Be friendly and reassuring as consciousness returns.
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Offer to call a taxi, friend or relative to help the person get home if he seems confused or unable to get home by himself.

A generalized tonic-clonic (grand mal) seizure in someone who has epilepsy is not a medical emergency and such a patient need not be rushed to hospital

When a person with convulsion should be admitted to a hospital urgently
If it is the first seizure
If the seizure lasts more than 5 minutes
If the patient has fever
If the patient does not regain consciousness within an hour after the seizure
If the patient gets seizures in succession
If the patient has aspirated or appears to be choking
If the patient has breathing difficulty
If the patient has any of the following
  - Diabetes
  - Brain infection
  - Heat exhaustion
  - Pregnancy
  - Poisoning
  - Hypoglycemia
  - High fever
  - Head injury
  - Drug overdose