Seizure Management

  • During the seizure, help the patient to lie down with his/her head turned to one side to prevent choking in case of vomiting.
  • Do not try to pry open the patient’s mouth if his/her jaws are locked even if the patient is biting his/her tongue. Do not try to put something in the patient’s mouth as you might get bitten in the process, break the patient’s teeth, or the object may break then cause the patient to choke or aspirate.
  • Do not try to hold the patient down or try to restrain the patient. Help the patient sit or lie down in a safe are on the floor and remove any dangerous materials or furniture that may be dangerous to the patient.
  • Observe and record the time of onset of the seizure, the seizure behaviour (e.g. shaking or flexing over which leg/arm, eyes rolling back, drooling, head cocked to one side, urination, etc…), and the duration of the episode to help the physician understand the patient’s condition and facilitate treatment and diagnosis.
  • Bring the patient to the hospital immediately or call the emergency medical service for assistance.
  • Patients with prior seizure history should take medication as prescribed and instructed. Practice good self care to avoid infections and fever. Avoid intense sound and light. Avoid drinking alcohol and have a balanced diet and adequate sleep. Follow-up at the neurology out-patient department regularly.

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