If a seizure lasts more than 5 minutes or occurs back-to-back, what action should be taken?

• A. Provide oral fluids.
• B. Call the physician immediately.
• C. Wait to see if it stops.
• D. Activate the emergency response system.

Answer: (D)

Prolonged seizures or repeated seizures without recovery are medical emergencies. When a seizure lasts more than five minutes or occurs back-to-back, activating the emergency response system is essential. Ongoing seizure activity can quickly compromise brain oxygenation and glucose supply, increase the risk of brain injury, and indicate a life-threatening situation that requires rapid advanced care (airway support, IV access, and anticonvulsant treatment) that trained responders can provide promptly.

In the meantime, keep the person safe: do not put anything in the mouth, avoid restraining movements, cushion the head, and loosen tight clothing. When the convulsions stop, place the person on their side to aid breathing and monitor breathing until help arrives. Having the start time handy helps responders gauge urgency. This is why contacting emergency services is the best action in this scenario.