What to Do if a Student Has a Seizure Marcus Simmons Itawamba Community College Information provided by: The National Institute for Neurological Disorders and Stroke & Epilepsy Ontario Seizures Contents • Types and Description of Seizures – Video content of Seizure Examples • What to do if you see someone having a seizure with convulsions and/or loss of consciousness • When to call 911 • After the Seizure • Seizures without convulsions or loss of consciousness Types of Seizures • There are 2 main types of Seizures – Primary Generalized Seizures • Generally associated more with heredity issues • Begins with electrical discharge in a widespread manner affecting both sides of the brain – Partial Seizures • Generally associated with head trauma, brain infection, strokes, and or tumors • The is an electrical discharge limited to one area of the brain Primary Generalized Seizures • Some of the different kinds of seizures under this category are: – Absence Seizures (Same as petit mal) – Atypical Seizures – Myoclonic Seizures – Atonic Seizures – Tonic Seizures – Clonic Seizures – Tonic-Clonic Seizures (Same as Grand Mal) Absence Seizures Tonic Clonic Seizures Partial Seizures • Some of the different kinds of seizures under this category are: – Simple Partial Seizures – Complex Partial Seizures – Secondary Generalized Seizures Simple Partial Seizure & Nocturnal Seizures Complex Partial Seizures If you see someone having a seizure with convulsions and/or loss of consciousness. • Roll the person on his or her side to prevent choking on any fluids or vomit • Cushion the person’s head • Loosen any tight clothing around the neck • Make sure the person’s airway is open (Only if not breathing tilt the person’s head back some and hold the jaw open) • Do not restrict the person from moving unless they are in danger Continued… • Do not put anything into the person’s mouth; not even fluids or medicine – this can cause choking and damage to the tongue, teeth, or jaw. • Please Note: Contrary to popular believe People cannot swallow their tongues. • Remove sharp or hard objects away from the person during the seizure • Please Note: Note how long the seizure occurred and the symptoms exhibit so that you might tell medical personnel later • Always stay with the person until the seizure has ended When to Call 911 • Always best to call and alert Campus police • Specific situations in which you should definitely call: – The person is pregnant or has diabetes – The seizure happened in water – The seizure lasted for more than 5 minutes – The person did not start breathing or having trouble breathing – Another seizure starts before the person has regained consciousness – The person injures themselves during the seizure – If you think this is the person’s first seizure or if you are not sure After a Seizure – What to expect and what to do • What to expect: – The person may be groggy and tired – They may be confused, embarrassed or disoriented – They may have and complain of a headache • What to do: – – – – Be patient with the person Assure them everything is alright Try to make them comfortable Try to question the person about any areas that might hurt them; to get an idea if there has been an injury during the seizure What to do for a NonConvulsive Seizure • Recognizing the non-convulsive seizure – This might be hard because non-convulsive seizure can appear in many different ways. The person may walk aimlessly, make odd gestures, mumble, or perform other odd and uncustomary acts • What to do: – Remember the person has no control over their actions at this point – Remove any dangerous objects from the person’s path – Do not try to stop the person from walking, unless they are in danger. – Do not shake the person or shout – Stay with the person until they are completely alert and over the seizure To Learn More About Seizure Disorders you may look at the following sites: • This site gives a very good overall view of Seizure definitions, descriptions, and treatments. http://www.merck.com/mmhe/se c06/ch085/ch085a.html All video Information Provided through: Suite 308 1 Promenade Circle Thornhill, Ontario Canada L4J 4P8 info@epilepsyontario.org