A seizure occurs when an abnormal
electrical discharge occurs in the brain, disturbing its normal function. Seizures
are typically associated with epilepsy; however, as many as one in twenty
people may have a seizure at some point during their life.
The symptoms depend on the type of seizure
that the person is having.
These may cause:
- The person to cry out, lose consciousness
and fall to the ground
- Jerking of the arms and legs
- The lips to turn blue
- The person to froth at the mouth and if the
tongue has been bitten, blood may trickle from the mouth
- The person may lose control of their
- Are relatively rare and usually occur in
- Can occur suddenly and provoke a
- Affected children will stare blankly into
space and fail to respond to anyone talking to them
- May or may not cause unconsciousness
- Can cause movement of the limbs, head or
- The person may become disorientated, pluck
at clothing, smack their lips or wander about aimlessly
Most seizures do not last longer than a few
minutes. If a seizure is prolonged or if there is a series of seizures over a
period of time during which the person does not regain consciousness, this is
referred to as status epilepticus. This is a medical emergency that requires
immediate medical attention.
What to do
- If the person remains conscious, simply
wait for it to pass. Reassure the person.
- If the person is wandering around
aimlessly, you may need to guide them away from any potential danger.
- Stay with the person until they have come
around properly and can get home safely.
You cannot prevent a person from having a
seizure and there is no need to move the person unless they have fallen in a
dangerous place (e.g., on a road, at the top of stairs).
However, there are a few things you can do
to protect the person from injury:
- Clear a space around the person, moving
away objects that could be harmful.
- Put something soft under their head to
cushion it and prevent them from hitting it.
- Loosen any tight neckwear and remove any
spectacles and high heel shoes if worn.
- Never put anything in their mouth.
- Do not attempt to restrain the convulsions –
allow the seizure to take its course.
After the seizure:
Do not try to wake the person – let them
come to in their own time.
- Stay with them – explain what has happened
and reassure them.
- If the person is struggling for breath, put
your fingers under the angles of their jaw and lift it forward. Gently check
their mouth for any obstructions – e.g., dentures of tongue blocking the back of
their throat. Roll the person onto their side and tilt the chin upwards.
- If the person stops breathing,
mouth-to-mouth resuscitation may be required, but this does not occur very
You only need to call an ambulance if:
- The seizure lasts longer than five minutes
- The seizure lasts longer than is usual for
the person involved
- The person has a series of seizures without
regaining consciousness in between
- The person has injured themselves during
There are several other conditions that can
sometimes cause seizures. These require immediate medical attention and
- Brain infections
- Heat exhaustion, high fever
- Head injury
Find out more about epilepsy in the irishhealth.com Epilepsy Clinic
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