A patient with epilepsy reports aura (déjà vu and spots in the field of vision). What is the appropriate immediate action?

• A. Lay the patient down on their side with a pillow underneath the head.
• B. Continue assisting the patient to the restroom and let them sit down.
• C. Initiate the emergency response system.
• D. Assess the patient's medication history.

Answer: (A)

Seizure safety and airway protection during seizure onset. When an aura appears, it signals the start of a seizure, so the priority is to protect the person from injury and keep the airway clear. Lying the person on their side with the head supported by a pillow helps prevent aspiration if vomiting occurs and cushions the head if they fall or thrash. This position reduces the risk of airway obstruction and head injury as the seizure progresses. Avoid restraining them, and don’t place anything in their mouth. Stay with them, monitor the timing, and call for emergency help if the seizure lasts many minutes, repeats without regaining consciousness, or there are injuries.