What to do
- Call for first/unknown history, 5 minutes duration, longer than usual or another seizure without recovery.
- Pregnancy, seizure in water, serious injury, trouble waking/breathing or diabetes with loss of consciousness: call now.
- Loosen tight neck clothing without restraint or forced movement. Put nothing in the mouth.
- Note start/end. Clear hazards and cushion the head. Move only for immediate danger.
- After jerking stops, check response/breathing. If unresponsive, call. Abnormal breathing: CPR. Normal breathing without trauma: side position.
- Rescue medicine: only their medical plan and if trained to use it. Do not improvise doses.
- Wheelchair: brakes on, belt/harness stays. Gently support/cushion head. Do not transfer out.
- Seizure in baby under6months: emergency help now. Not returning to usual state after episode: get help. Do not wait if breathing is abnormal or hard to wake.
What to avoid
- Do not restrain movements or put anything in the mouth. Do not attempt mouth-to-mouth during jerking.
- No food or drink until fully recovered and swallowing safely.
2026-10-03-draft-48

