Seizure

Definition: A sudden burst of abnormal electrical activity in the brain that can cause changes in movement, awareness, behavior, or consciousness. Seizures in children can look very different depending on type, ranging from full body shaking to brief staring spells where the child seems to "tune out" for a few seconds.

Parent Tip: If your child is having a seizure, the most important things are to keep them safe and stay calm. Gently lower them to the floor or a soft surface, turn them on their side if you can, and clear the area of anything they could hit. Do not put anything in their mouth. They cannot swallow their tongue, and trying to hold one down or stop the movement can cause injury. Time the seizure if you can, because how long it lasts matters to the doctor.

When to Call 911

• The seizure lasts longer than 5 minutes
• The child has trouble breathing or turns blue
• It is their first seizure
• They were injured during the seizure
• Another seizure starts before they fully recover from the first
• The seizure happened in water
• You are unsure whether to call

Why It Matters: Most childhood seizures, including febrile seizures triggered by fever, are not medical emergencies and stop on their own within a few minutes. But every first seizure should be evaluated by a doctor, and any seizure that lasts more than 5 minutes is an emergency. Knowing what to do, and what not to do, can prevent injury and help paramedics give the right care when they arrive.

Related Terms: Epilepsy, Fever, Recovery Position, Trouble Breathing, Unconsciousness

Written and reviewed by Jeremy Manke, Firefighter / Paramedic (22 years of emergency service)

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