If a seizure lasts more than a few minutes or it is the first seizure, what should you do?

• A. Call EMS.
• B. Give the person something to drink.
• C. Try to hold them down.
• D. Place an object in their mouth.

Answer: (D)

When a seizure lasts longer than a few minutes or it’s the first seizure, seek emergency medical help right away. The reason is that a prolonged event can lead to brain injury, breathing difficulties, or signal a serious underlying condition that needs immediate evaluation and treatment. While waiting for help, focus on safety and airway protection. Move hazards away, loosen tight clothing, and cradle the head to prevent injury. Do not insert anything into the mouth, do not try to hold the person down, and do not give food or drink during the seizure. Time how long it lasts; if it goes beyond about five minutes, or a second seizure begins before the person recovers, call emergency services again or stay on the line for instructions. Once the convulsions stop, place the person on their side in the recovery position to keep the airway clear, monitor breathing, and check for responsiveness. Do not offer fluids or medications until they are fully awake and oriented. A first seizure always warrants medical evaluation to determine cause and next steps.