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Emergency Care for Seizures

Management of a seizure is limited to preventing injury
  1.     If you see a seizure is starting, attempt to prevent injury by easing the student to the floor.  Keep hard, sharp or hot objects out of the way.
  2.      Turn student to the side to allow saliva to drain and to prevent choking.
  3.      Do not restrain.  You may place a thin, soft towel or item under the head if the floor is hard.
  4.      Do not force anything between teeth or place any object in mouth.
  5.      Do not give fluids or food during or immediately after seizure.
  6.      Loosen restrictive clothing.
  7.      Observe the length of seizure (by clock) and the color of lips, face and skin
  8.     Check the clock at the beginning of the seizure and at the end; note the length of the seizure.
  9.      If the seizure lasts longer than 5 minutes or if he/she is not breathing call emergency services (911) immediately. 
  10.     If child does not have a history of seizures, call 911 and then call parents.
Management after the seizure has stopped
  1.     When the seizure is finished, the student may be sleepy which is normal.  Provide a comfortable, private place for rest where he/she can be observed.
  2.      Tell the student where he/she is, what time it is and what happened.
  3.      Notify parent, principal, and Lead Nurse of any seizure activity or injury.
  4.      Document all seizure activity electronically.  Include when the seizure occurred, how long the seizure lasted, what you did, when you notified the parent and any injury or unusual occurrence. 

Reviewed:  12/2020