Which action is NOT recommended during a seizure?

• A. Take measures to prevent injury.
• B. Place a tongue blade in the mouth.
• C. Elevate the head of the bed.
• D. Restrain the arms and legs.

Answer: (B)

Not inserting anything into the mouth during a seizure is the action to avoid. Placing a tongue blade (or any object) there can injure teeth or the jaw, and it can cause choking or aspiration if the person bites down, saliva or vomit blocks the airway, or the object becomes stuck. The safer approach is to protect the person from harm without restricting the airway: gently guide them to the floor if needed, cushion the head, loosen tight clothing, and move hazards away. Do not restrain the limbs. Once the convulsions stop, place the person on their side to keep the airway clear, time the event, and seek help if the seizure lasts more than five minutes, if another seizure follows, or if there are injuries or underlying illnesses. Stay with them until they are fully awake and breathing normally.