b'Chapter hapterHow to ManageTonic-Clonic SeizureNote the time if possiblewhen the seizure commences.Position the patient on the floor and protect from injury bykeeping the patient clear of furniture and objects.Place a pillow or soft padding under the head and shoulders.Do not move the patient unless in danger.Do not forcibly restrain the patient unless it is necessary to avoid injury.Do not force the patients mouth open or attempt to insert any object into their mouth as itcould cause choking. A patient having a seizure cannot swallow their tongue. mmediately place into the recovery position if the patient vomits during the seizure I(this will help protect the airway).When practical, place into the recovery position to help protect the airway.Loosen any tight or restrictive clothing.Closely monitor patient for response, airway, normal breathing while waiting for Ambulance. Inthe unlikely event that resuscitation is necessary, commence CPR as soon as the seizure stops.After the SeizureMaintain the patients privacy and dignity (keep onlookers away).Check and manage any injuries that may have occurred.Rest, reassure, comfort and keep the patient covered. Remain with the patient and note the time/duration of the seizure.Call Ambulance 000: f the seizure continues for longer than 5 minutes I(or longer than normal in a known epileptic).If there are continued or repeated seizures.If this is the patients first seizure.If the patient is a diabetic.If the patient is pregnant.If the patient has been seriously injured.If the seizure occurs in water.If you are in doubt or worried about the situationand the patients general condition.For seizures not resulting in loss of consciousness, protect the patient from injury. Rest and Reassure.Medical Emergencies 205'