If you see someone having a seizure, the most useful thing you can do is stay calm and keep them safe. Most seizures stop on their own within a few minutes. Panic, force, and bad advice usually create more harm than help.
Seizure first aid is simple. People just need to know it clearly and practise the same steps every time.
Urgent help
Call an ambulance or get urgent medical help if
- the seizure lasts more than 5 minutes
- one seizure follows another without recovery in between
- the person has trouble breathing after the seizure
- the person is seriously injured
- the seizure happens in water
- it is the first known seizure
- the person is pregnant, has diabetes, has high fever, or has another major medical risk
- seizures continue despite prescribed anti-seizure medicines
These are the seizure emergency steps families should remember.
What to do during a seizure
If someone is having a seizure, focus on safety, timing, and calm observation.
1Stay calm and clear space
Move furniture, sharp objects, hot liquids, or traffic risks away from the person.
2Protect the head
Use a folded cloth, bag, or soft support if it is available without forcing the body.
3Turn to the side when safe
This can help saliva drain and reduce choking risk once the person can be turned safely.
4Time the seizure
Note when it starts, stay nearby, and watch recovery before leaving the person alone.
- stay calm
- move harmful objects away
- protect the head with something soft if possible
- loosen tight clothing around the neck if needed
- turn the person to the side when safe
- time the seizure
- stay with them until recovery begins
Helpful actions
- Let the seizure run its course while protecting the person from injury.
- Speak calmly and explain what happened as they recover.
- Check for injury and allow rest after the event.
- Share the duration and observed features with the treating doctor.
What not to do
- Do not put anything in the mouth.
- Do not try to hold the tongue.
- Do not force food, water, or medicines during the seizure.
- Do not restrain the body forcefully, shake, or slap the person.
A person having a seizure cannot swallow their tongue. Putting objects in the mouth can injure the teeth, jaw, or airway.
What a seizure can look like
A seizure does not always look like full-body shaking. A person may have:
- sudden stiffening and jerking
- a fall with loss of awareness
- staring with poor response
- lip smacking or repetitive movements
- sudden confusion
- brief collapse
When most families search seizure first aid or fit first aid, they are usually thinking about a convulsive seizure. That is the situation this page focuses on most.
First seizure? It still needs medical evaluation
A first seizure is not just a first-aid event. Even if the person recovers, a first seizure should usually be reviewed by an epilepsy specialist because the next steps may include EEG, imaging, and advice on recurrence risk, treatment, work, and driving safety.
What to do after the seizure
After a seizure, many people are confused, sleepy, or slow to respond.
- keep the person on their side if drowsy
- reassure them calmly
- check for injury
- allow them to rest
- stay nearby until they are properly awake
Do not crowd the person or expect them to speak normally right away.
Why first aid matters in epilepsy
Seizure first aid does not usually stop the seizure itself. It prevents secondary harm, including head injury, choking, breathing obstruction, and panic-driven mistakes by bystanders.
Families, school staff, and caregivers should all know these steps.
When to consult an epileptologist
First aid keeps someone safe during the event. It does not explain why the event happened. Specialist review is sensible if:
- this was a first seizure
- seizures are repeated or recovery is unusual
- episodes are not clearly epileptic and diagnosis is uncertain
- the person already has seizures but control is worsening
- Video EEG or advanced review may be needed