Epilepsy in Young Children: Emergency Care

Dianne McBrien, MD and Daniel Bonthius, MD, PhD
Peer Review Status: Internally Peer Reviewed

The type of seizure that a child has determines how you should respond.

A child having a partial seizure usually needs only to be observed and kept safe.

A child having a generalized, tonic-clonic seizure, however, is at risk of head trauma, aspiration, fracture, and other injuries. For this reason, you should:

  • Place the child in bed or on a cleared area on the floor.
  • Support the child's head with a pillow.
  • Turn the child's head to one side, so that saliva and other secretions can drain away.
  • Avoid restraints; loosen the child's clothing around the neck.
  • Children do not "swallow their tongues" during a seizure. Do not place fingers, utensils, or other objects in the child's mouth in to prevent this.
  • Call an ambulance if the seizure lasts for 10 minutes or more.
  • After a seizure, let the child sleep.

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Last modification date: Mon Jun 30 15:42:14 2008
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