what you need to do if i have a convulsive seizure
I was just complaining to my friend that my oldest sister didnāt know what to do the last time I had a convulsive seizure, and I ended up injured because of it. And my friend said that actually, they donāt know what to do when they see someone have a convulsive seizure, either.
So I thought Iād explain it to you. Ā Iām not a doctor, and I have no medical training and not everything here will apply to everyone who has convulsive seizures, these are just the things that apply to me, and when in doubt, call an ambulance.Ā
Look around. Am I lying in the middle of a busy street or on the railroad tracks, or somewhere else dangerous, like in the bathtub? If yes, drag me to somewhere where I am not in imminent danger of being hit by a truck or drowning.Ā
Am I somewhere safe, but lying near dangerous things like fire or knives or broken glass or pans of boiling water or anything that can hurt me? Move the dangerous things away from me.
My body will be convulsing. That means my head and my arms and my legs are rapidly hitting the ground. Put something soft underneath my head. If thereās a cushion right there, perfect. If not, wad up your coat or shove your shopping bag under my head. If thereās nothing immediately to hand that would take you more than a few seconds to grab, stick your feet underneath my head, itāll work.
Am I wearing anything around my neck, like a tight collar, or a necktie, or a choker? Loosen it, so my airway is clear.
Donāt restrict my movements - donāt try to hold my arms and legs down. Youāve already moved all the dangerous things away from me, and cushioned my head, so donāt hold me down, unless it is necessary to keep me from doing serious harm.
Donāt put anything in my mouth. A lot of people think you need to stick your fingers or a spoon or something into the personās mouth to prevent them choking on their tongue. Ā Donāt do this.Ā
Try to make a note of the time the seizure first started. If the seizure lasts for longer than five minutes, call an ambulance.
When the convulsing/jerking has stopped, roll me onto my side. If you know what the recovery position is, put me in the recovery position, if you donāt, just roll me onto my side, and check my airway.Ā If Iām not breathing, or Iām having trouble breathing, call an ambulance.
It seems to be instinctive to help someone get back to their feet as soon as the seizure is over. Donāt do this with me. After a seizure, Iām in something called a post-ictal state. It makes me very, very confused, and lying on the ground or sitting somewhere soft is the safest place for me. If you pull me to my feet while Iām still this confused, I will walk directly into traffic or put my hand on a hot stove because I wonāt know where I am, or whatās happening, and often I wonāt be able to see at all for a few minutes. Keep me somewhere safe until Iāve fully recovered.
If I have another seizure before Iāve fully recovered from the earlier one, call an ambulance.
If you think I might be hurt, or youāre confused or not sure about what to do, call an ambulance.
Thatās all there is to it. Make sure Iām not in immediate physical danger; cushion my head (but donāt restrain it); when the jerking stops, roll me onto my side and check my airway; keep me somewhere safe until Iām fully recovered, and if the seizure lasts a long time, or I have a second one, or you arenāt sure what to do or you think I might be hurt, call an ambulance. Thatās it. Itās not hard, and I promise you can do this.
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