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Convulsions - Treatment

First Aid:

  1. When a seizure occurs, the main goal is to protect the person from injury. Try to prevent a fall. Lay the person on the ground in a safe area. Clear the area of furniture or other sharp objects.
  2. Cushion the person's head.
  3. Loosen tight clothing, especially around the person's neck.
  4. Turn the person on his or her side. If vomiting occurs, this helps make sure that the vomit is not inhaled into the lungs.
  5. Look for a medical I.D. bracelet with seizure instructions.
  6. Stay with the person until he or she recovers, or until you have professional medical help. Meanwhile, monitor the person's vital signs (pulse, rate of breathing).

In an infant or child, if the seizure occurs with a high fever, cool the child gradually with tepid water. You can give the child acetaminophen (Tylenol) once he or she is awake, especially if the child has had fever convulsions before. DO NOT immerse the child in a cold bath. See fever convulsions.

Do Not:

  • DO NOT restrain the person.
  • DO NOT place anything between the person's teeth during a seizure (including your fingers).
  • DO NOT move the person unless he or she is in danger or near something hazardous.
  • DO NOT try to make the person stop convulsing. He or she has no control over the seizure and is not aware of what is happening at the time.
  • DO NOT give the person anything by mouth until the convulsions have stopped and the person is fully awake and alert.

Call immediately for emergency medical assistance if:

Call 911 if:

  • This is the first time the person has had a seizure.
  • A seizure lasts more than 2 to 5 minutes.
  • The person does not awaken or have normal behavior after a seizure.
  • Another seizure starts soon after a seizure ends.
  • The person had a seizure in water.
  • The person is pregnant, injured, or has diabetes.
  • The person does not have a medical ID bracelet (instructions explaining what to do).
  • There is anything different about this seizure compared to the person's usual seizures.
  • Reviewed last on: 7/22/2009
  • Jacob L. Heller, MD, Emergency Medicine, Virginia Mason Medical Center, Seattle, Washington, Clinic. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Pollack CV. Seizures. In: Marx J, ed. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 6th ed. Philadelphia, Pa: Mosby Elsevier; 2006:chap 100.

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The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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