May feel ‘aura’ prior to seizure; usually starts with a ‘cry’ (diaphragm spasm) collapse and momentary rigidity uncontrolled spasmodic movements cyanosis; loss of bladder and/or bowel control remain in drowsy state after seizure
Protect from injury (eg move furniture) or move away from danger (eg fire, water); allow seizure to run course then check breathing put in stable lateral position.
Do not attempt to restrain or place anything in mouth, but ensure airway is open.
If seizure lasts for >5 minutes or another occurs with raining consciousness urgent medical attention.
Immediate medical management:
• clear airway give oxygen (prevents cerebral anoxia)
• IV anticonvulsant (eg diazepam) if convulsions repeating or are continuous
• blood test for anticonvulsant levels if known as having epilepsy.