How should you manage a patient having a convulsive seizure in the field?

• A. Protect from injury, clear the area, ensure airway and breathing, do not insert any objects in the mouth, and transport after the seizure ends.
• B. Place a rigid object between the teeth.
• C. Forcefully restrain the patient to stop seizure.
• D. Attempt to administer food or drink during seizure.

Answer: (A)

The main idea is to manage safety and prepare for rapid transport during a convulsive seizure. In the field, you protect the person from injury by clearing nearby hazards and cushioning the head, while ensuring the airway and breathing are monitored and supported as needed. Do not insert any objects into the mouth—that can damage teeth, obstruct the airway, or cause choking or aspiration. Restrain the person forcefully or try to hold them down, as this can cause injury to both the patient and you. Giving food or drinks during a seizure is risky because the swallowing reflex isn’t reliable and aspiration can occur. Once the seizure ends, transport for further evaluation, and monitor breathing and level of consciousness as you await advanced care.