What is the recommended management of a seizure on scene?

• A. Restrain the person to stop the seizure.
• B. Protect from injury, do not restrain, time the seizure, place the patient on their side after it ends, and assess after.
• C. Give food and fluids during seizure.
• D. Move the patient aggressively to a bed during seizure.

Answer: (B)

The main idea is to manage a seizure safely by protecting the person without restraining them, tracking how long it lasts, and ensuring airway and recovery after it ends. You want to remove nearby hazards and protect the head, but you should not try to hold the person down or force anything into their mouth. Timing the seizure helps you decide if EMS should be called, especially if it exceeds several minutes or if seizures occur in quick succession without recovery between them.

Putting the person in a side-lying position after movements stop helps keep the airway clear and reduces the risk of choking on secretions or saliva during the postictal period. After the seizure, you assess the person’s responsiveness, airway, breathing, circulation, and any injuries, and continue monitoring until they are fully alert.

Food or fluids should not be given during a seizure, and moving the person aggressively to a bed or attempting to restrain them can cause injury. This approach—protect from injury, do not restrain, time the seizure, place on the side after it ends, and assess afterward—best addresses safety, airway protection, and the need for further evaluation.