# Epileptic seizure Signs and symptoms A patient having an epileptic seizure may: • suddenly cry out
• fall to the ground, sometimes resulting in injury
• stiffen and lie rigid for a few seconds
• have rhythmic jerking muscular movements
• look very pale and have blue lips
• have excessive saliva coming out of their mouth
• sometimes bite the tongue or cheek, resulting in blood in the saliva
• lose control of their bladder or bowel
• be extremely tired, confused or agitated afterwards.
What to do During the seizure 1 Protect the patient from injury by removing any objects that could cause injury. 2 Protect the patient’s head by place something soft under their head and shoulders. 3 Time the seizure. • DO NOT try to restrain the person or stop the jerking.
• DO NOT put anything in their mouth.
• DO NOT move the person unless they are in danger.
After the seizure 4 Put the patient in the recovery position as soon as jerking stops, or immediately if they have vomited or have food or fluid in their mouth. 5 Manage any injuries resulting from the seizure. 6 DO NOT disturb the patient if they fall asleep, but continue to check their breathing. 7 Calmly talk to the patient until they regain consciousness. Let them know where they are, that they are safe and that you will stay with them while they recover. 8 Call triple zero (000) for an ambulance if: • the seizure continues for more than 5 minutes or a second seizure quickly follows
• the patient remains unresponsive for more than 5 minutes after a seizure stops
• the patient has been injured
• the patient has diabetes or is pregnant
• you know, or believe it to be the patient’s first seizure.
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