# 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.