Get Seizure Smart!

A mother strokes her young daughter’s hair as she rests.

About 1 in 10 people may have a seizure in their lifetime.1,2 Would you know how to help someone during or after a seizure? Learn more.

First aid for any type of seizure (with or without changes in awareness)

There are many different types of seizures, and seizures might not look like what you would expect. Most seizures last for just a few minutes. Follow these important steps to help someone who is having any type of seizure:

Do I Call 911?

Seizures don’t usually require emergency medical attention. Only call 911 if one or more of these things happen:

  • The person has never had a seizure before.
  • The person has trouble breathing or waking up after the seizure.
  • The seizure lasts longer than 5 minutes.
  • The person has another seizure soon after the first one.
  • The person is hurt during the seizure.
  • The seizure happens in water.
  • The person has a health condition like diabetes or heart disease, or is pregnant.
  1. Stay with the person and keep them safe from injury until the seizure ends. After it ends, help the person sit in a safe place. Once they are alert and can talk, tell them what happened in very plain terms.
  2. Comfort the person and speak calmly.
  3. Keep yourself and other people calm.
  4. Check to see if the person is wearing a medical bracelet or other emergency information.
  5. Offer to call a taxi, friend, or relative to make sure the person gets home safely.

First aid for generalized seizures (with muscle stiffening, jerking, falling, or loss of awareness)

 

When most people think of a seizure, they think of a generalized seizure, or what used to be called a tonic-clonic or grand mal seizure. In this type of seizure, the person may cry out, fall, shake or jerk, and become unaware of what’s going on around them.

Here are things you can do to help someone who is having a generalized seizure:

  1. Ease the person to the floor.
  2. Turn the person gently onto one side. This will help their breathing.
  3. Clear the area around them of anything hard or sharp to prevent injury.
  4. Put something soft and flat, like a folded jacket, under their head.
  5. Take off their eyeglasses.
  6. Loosen ties or anything around their neck that may make it hard to breathe.
  7. Time the seizure. Call 911 if the seizure lasts longer than 5 minutes.
Stop! Do NOT
Stop sign
  • Do not hold the person down or try to stop their movements.
  • Do not put anything in the person’s mouth. This can injure the teeth or jaw. A person having a seizure cannot swallow his or her tongue.
  • Do not try to give mouth-to-mouth breaths (like with CPR). People usually breathe on their own after a seizure.
  • Do not offer the person water or food until they are fully alert.

Get Trained!

 

Everyone should know basic seizure first aid. Some people, such as those who have loved ones with epilepsy, who work with people with epilepsy, who coach or lead groups, or who work in public settings such as schools, may need to understand how to provide more specialized help.

CDC supports the Epilepsy Foundation to provide free, online seizure first aid training and certification. The certification lasts 2 years. Certified Health Education Specialists (CHES/MCHES) may receive continuing education contact hours for participating. For more information, visit the Epilepsy Foundation websiteexternal icon.

More Information
References
  1. Hauser WA, Beghi E. First seizure definitions and worldwide incidence and mortality. Epilepsia. 2008;49(Suppl.1):8-12. htmlexternal icon.
  2. Hesdorffer DC, Logroscino G, Benn EKT, Katri N, Cascino G. Hauser WA. Estimating risk for developing epilepsy. Neurology 2011;76:23-27. htmlexternal icon.