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Seizures: First Aid Response and When to Call 911 (Canada)

 

A seizure can be frightening to witness, but staying calm and knowing what to do can prevent serious injury. Most seizures are short-lived and do not last longer than 60–90 seconds, even though they may feel much longer in the moment.

If you are assisting someone who is having a seizure, your role is to protect them from harm, not to stop the seizure itself.

🚨 Call 911 immediately in Canada if:

  • The seizure lasts longer than 5 minutes
  • Another seizure starts without recovery
  • The person is pregnant
  • The person is injured, has trouble breathing, or does not regain consciousness
  • This is their first known seizure

What Is a Seizure?

A seizure is a sudden disruption of electrical activity in the brain that can temporarily affect:

  • Muscle control
  • Movement or balance
  • Speech or awareness
  • Vision
  • Consciousness

Some seizures cause full-body shaking (convulsive seizures), while others may involve staring, confusion, or brief loss of awareness.

Seizures vary widely in severity and presentation, and not all seizures mean someone has epilepsy.


How to Help Someone During a Seizure

Your priority is injury prevention.

Seizure
The initial step is to protect the individual from injury. Prevent him/her from falling if possible or guide him/her gently to the floor.

During the seizure:

  • Stay calm and note the time the seizure starts
  • Guide the person gently to the ground if they are standing
  • Clear the area of furniture or sharp objects
  • Place something soft under their head
  • Turn them onto their side if possible to allow saliva or vomit to drain
  • Loosen tight clothing around the neck

🚫 Do NOT:

  • Put anything in their mouth
  • Hold them down or restrain movement
  • Attempt to give food, drink, or medication
  • Perform CPR unless breathing stops after the seizure ends

Helping After the Seizure Ends

Once the seizure stops, the person may be confused, drowsy, or embarrassed. This is called the postictal phase.

Aftercare steps:

  • Check for injuries
  • Keep them on their side if they are not fully alert
  • Clear the mouth gently only if breathing is obstructed
  • Provide a quiet, safe space to rest
  • Stay with them until they are fully awake and oriented
  • Reassure them calmly and explain what happened

Do not offer food or drink until the person is fully alert and able to swallow safely.


Why Seizure First Aid Training Matters in Canada

Seizures can happen anywhere — at work, school, public spaces, or at home. Knowing the correct response:

  • Reduces the risk of head injury and airway obstruction
  • Helps you recognize medical emergencies
  • Builds confidence when responding to sudden medical events

This knowledge is a core component of Canadian first aid and CPR training.

More Information / Disclaimer

The information posted on this page on a seizure is for learning purposes only. Learn to recognize and manage seizures by taking a St Mark James Training first aid course with one of our training providers.

 

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The information posted on this page is for educational purposes only.
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