First Aid in a Seizure: What To Do (and Not To Do)
When someone collapses and starts shaking, most people freeze. A seizure looks frightening, and it’s easy to panic. But the right first aid can make the difference between safety and serious harm.
Here’s what you need to know if you ever witness a seizure.
Step 1: Stay Calm and Stay With Them
Your calmness sets the tone.
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Don’t run for help and leave them alone—stay right there.
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Most seizures last less than 2 minutes. Just being present is already lifesaving.
Step 2: Make the Space Safe
Seizures can cause jerky, uncontrolled movements. Protect the person from injury:
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Move sharp or heavy objects out of the way.
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Cushion their head with something soft—a folded jacket, bag, or your hands.
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If they’re standing, gently ease them to the ground to avoid a hard fall.
Step 3: Don’t Restrain Them
This is key: don’t hold them down.
The seizure has to run its course. Trying to stop the movements can cause injuries to both you and them.
Step 4: Don’t Put Anything in Their Mouth
Forget the old myth about swallowing the tongue—it’s impossible.
Putting objects or fingers in their mouth risks broken teeth, choking, or suffocation.
Step 5: Time the Seizure
Use your phone or a watch.
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If it lasts less than 5 minutes, wait it out calmly.
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If it goes beyond 5 minutes, call emergency services immediately.
Other reasons to call for help right away:
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It’s their first known seizure.
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They get injured during the seizure.
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They have trouble breathing afterward.
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They have another seizure without regaining consciousness in between.
Step 6: Recovery Position
Once the jerking stops:
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Roll them gently onto their side.
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Tilt their head slightly back so their airway stays clear.
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Stay until they’re fully alert and reassure them—they’ll likely feel confused, tired, or embarrassed.
What Not To Do
Let’s be clear:
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❌ Don’t restrain.
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❌ Don’t put objects in their mouth.
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❌ Don’t try to give food, drink, or medicine until they’re fully awake.