Epilepsy affects millions worldwide, and understanding seizure first aid is important in helping someone during a seizure. The “Three S’s” of seizure management—Stay, Safe, Side—offer simple, actionable steps to provide practical assistance.
The first rule of seizure first aid is to stay with the person throughout the episode. Your presence is important for their safety and comfort.
Being present during a seizure ensures that the person is not left alone in a vulnerable moment and allows for careful observation of the seizure’s duration and type, which can provide valuable information to medical professionals.
Check for a medical ID: Some individuals with epilepsy wear bracelets or carry cards identifying their condition and providing treatment details.
Time the seizure: Use a timer or watch to monitor how long the seizure lasts. Most seizures are brief, lasting seconds to a few minutes, but a seizure lasting five minutes or more is a medical emergency.
Creating a safe environment is critical to prevent injury during a seizure.
Seizures can cause loss of awareness or uncontrolled movements, increasing the risk of accidents.
Remove nearby hazards by moving sharp or hard objects out of reach.
Guide gently if they’re wandering: If the person is walking or confused, steer them away from traffic, stairs, or other dangers.
Water safety: If the seizure occurs in a pool or bathtub, remove the person from the water immediately to prevent drowning.
Positioning the person on their side, also known as the recovery position, can prevent complications if they lose consciousness.
Laying the person on their side with their mouth pointed downward prevents saliva from obstructing their airway, reducing the risk of choking.
Gently roll the person onto their side. Ensure their head is cushioned.
Avoid forcing their body into the position if it’s difficult; wait until their movements allow you to assist.
Knowing the 3 S’s rule for seizure management is important in emergencies, but there's more to first aid. Our First Aid courses offer complete training to help you handle critical situations. Whether you want to improve your skills or workplace safety, these courses help build confidence and expertise. View our Emergency First Aid at Work (EFAW) and Level 3 First Aid at Work courses. These courses meet the UK legal requirements and help you keep people safe.
While the Three S’s guide what to do, it’s equally important to know what not to do:
In some cases, seizures require immediate medical attention. Call emergency services if:
It’s better to err on caution when in doubt and call for help. As Dixon aptly says, “No one will fault you for getting help in a situation where you’re not sure what to do.”
Providing effective first aid during a seizure is critical, but there’s more to supporting someone with epilepsy:
By following the Three S’s and being informed, you can make a meaningful difference in the life of someone experiencing a seizure. Seizure first aid is not just about safety; it’s about empathy and empowerment.
In conclusion, knowing how to help someone during a seizure can make a big difference. By remembering the “Three S’s”—Stay, Safe, Side—you can provide the support they need and keep them safe. With some knowledge and care, you can help them get through a challenging moment confidently and calmly.
