Epilepsy in schools how to deal with a tonic clonic seizure

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About this video

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# **Epilepsy in Schools: How to Deal With a Tonic–Clonic Seizure**

A **tonic–clonic seizure** has two phases:

* **Tonic phase:** body stiffens, person may fall
* **Clonic phase:** rhythmic jerking of limbs, possible drooling, tongue-biting, noisy breathing
It usually lasts **1–3 minutes**.

Your goal: **KEEP CHILD SAFE — DO NOT STOP THE SEIZURE.**

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# ✅ **WHAT TO DO IMMEDIATELY (Step-by-Step)**

### **1. Stay Calm + Ensure Safety**

* Lower them gently to the ground.
* Remove nearby hard or sharp objects.
* Loosen tight clothing around the neck (tie, collar).
* Ask students to move away and give the child privacy.

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### **2. **TIME THE SEIZURE** (very important)

Start counting the seconds.

> **If the seizure lasts > 5 minutes → Medical emergency.**

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### **3. Protect the Head**

* Place a **soft item** under the head (jacket, bag).
* Turn the child **onto their side** *if possible*—this keeps the airway clear.

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### **4. DO NOT**

❌ Do **NOT** restrain the child
❌ Do **NOT** put anything in their mouth
❌ Do **NOT** give food, drink, water, or medicine orally
❌ Do **NOT** try to stop the jerking

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### **5. After the Seizure (Post-ictal care)**

When jerking stops:

* The child may be confused, tired, or cry.
* Keep them on their **side** (recovery position).
* Check breathing — usually noisy or slow at first.
* Stay with them until full awareness returns.

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# 🆘 **When to Call an Ambulance (100% mandatory)**

Call **Emergency Services (e.g., 108, 112)** if:

1. **Seizure lasts more than 5 minutes**
2. **Another seizure starts immediately** (no recovery in between)
3. **The child has trouble breathing after the seizure**
4. **Injury occurred** (head injury, major fall)
5. **It is the child’s first seizure**
6. **The child is pregnant or has diabetes**
7. **You are unsure or uncomfortable with the situation**

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# ✨ **Extra Care in School Settings**

### **Have a Seizure Action Plan**

Every child with epilepsy should have:

* Individual health plan
* Emergency contact details
* Medication details (e.g., rescue medication like intranasal midazolam or diazepam)
* Triggers to avoid (sleep deprivation, flashing lights, missing meals)

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### **Classroom Prevention Tips**

* Seat near teacher for observation
* Avoid climbing heights alone
* Keep clear pathways
* Ensure hydration and regular meals
* Inform teachers about rescue medication location

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# 📌 **If Rescue Medication is Prescribed**

(Common: **intranasal midazolam**, rectal diazepam)

Give rescue medicine **ONLY** if:

* It is part of the child's seizure plan
* Seizure lasts **> 3–5 minutes** (as per doctor’s instruction)

Staff must be trained in its administration.

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# **What Students Should Know**

* **Stay calm**
* **Don’t crowd**
* **Don’t touch the person during the seizure**
* **Call a teacher immediately**

Schools should run basic epilepsy awareness sessions.

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# 🎯 **Key Summary**

* **Protect — Don’t restrain**
* **Time the seizure**
* **Keep airway clear**
* **Call help if > 5 minutes**
* **Stay until fully recovered**

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