What should be done if a child's seizure lasts longer than 5 minutes?

When a child's seizure lasts longer than 5 minutes, it is crucial to call for emergency medical assistance. Prolonged seizures, known as status epilepticus, can lead to serious complications, including brain injury and other life-threatening conditions. Timely intervention is necessary to ensure the child's safety and to initiate appropriate medical treatment.

During a lengthy seizure, the child does not have the regular protective reflexes, which increases the risk of injury. Moreover, medical professionals may need to administer medications to stop the seizure or address any underlying causes. Additionally, monitoring the child in a medical facility helps to provide continuous care and assessment for any potential complications.

The other choices, such as waiting it out, keeping the child awake, or administering oral fluids, do not address the urgency of the situation. Waiting without action could result in worsening of the child's condition, while trying to keep the child alert may not be feasible or safe during a seizure. Administering oral fluids is also inappropriate, as the child may have impaired swallowing reflexes and could be at risk of choking. Therefore, contacting emergency services is the most appropriate course of action.