What should be done to manage a patient experiencing a seizure?

Managing a patient experiencing a seizure requires a focus on ensuring their safety and maintaining vital functions, particularly their airway. During a seizure, a patient's level of consciousness may fluctuate, and they are at risk of aspiration or airway obstruction due to loss of muscle control. Therefore, maintaining a clear airway is crucial to prevent complications such as hypoxia.

When a seizure occurs, the primary goal is to protect the patient from injury and ensure that they can breathe adequately after the seizure episode. This can involve positioning the patient appropriately—such as placing them on their side—to facilitate drainage and keep the airway unblocked.

Other interventions, such as providing immediate CPR, are not appropriate unless the patient does not have a pulse or is not breathing after the seizure has ended. Oral medications should not be given at this time because the patient is likely unable to swallow properly or cooperate. Additionally, keeping the patient awake with questioning during a seizure is not possible, as they are typically not responsive or aware of their surroundings during the event.

The main emphasis should be on protecting the airway and ensuring that they are safe until the seizure subsides and full consciousness returns.