Epileptic Seizure First Aid: Essential Guidelines for Effective Response

Understanding the correct procedures to follow when someone is experiencing an epileptic seizure can make a critical difference in ensuring their safety and well-being. Here are comprehensive guidelines to help you respond effectively during and after a seizure.

What to Do During a Seizure

Ensure the environment is safe. Quickly remove any sharp or hard objects from the immediate vicinity, such as knives or pointed items, to prevent injury. If possible, gently guide the person onto their side to help keep the airway clear and reduce the risk of choking.

Loosen tight clothing. Open the person's collar or any restrictive garments around the neck to assist with breathing. If there is food or debris in their mouth, carefully remove it to avoid airway obstruction, but be cautious not to place your fingers near the back of their throat to prevent accidental biting.

Avoid outdated practices. Contrary to popular belief, pressing on the philtrum (the area between the nose and upper lip) has little medical benefit and should not be relied upon as a treatment during a seizure. Do not attempt to restrain the person or put anything in their mouth.

Know when to seek emergency help. If the seizure lasts more than five minutes or if the person experiences multiple seizures without regaining consciousness, call emergency services immediately. This could indicate a life-threatening condition known as status epilepticus.

Post-Seizure Care

Monitor the person's recovery. After the seizure, the individual may feel disoriented or drowsy and may fall asleep. If in a medical facility, supplemental oxygen may be administered. At home, ensure the room is well-ventilated and quiet to support rest and recovery.

Encourage Rehydration and Nutrition

Once the person is alert and able to swallow comfortably, offer water and a light snack. Replenishing fluids and nutrients can help the body recover more quickly after the physical stress of a seizure.

Minimize Distractions and Stress

Create a calm environment. Keep onlookers at a distance and discourage loud noises, shouting, or excessive movement around the person. A peaceful setting can significantly reduce post-seizure confusion and anxiety.