Which statement best reflects recommended initial seizure management?

• A. Time the seizure
• B. Rinse mouth with water
• C. Administer oral glucose
• D. Place the patient in a chair

Answer: (C)

Timing how long a seizure lasts is the most important first action. Knowing the duration helps you judge whether it’s a short, self-limited event or one that may need urgent medical help, since seizures lasting several minutes or occurring in succession without full recovery can indicate status epilepticus. During the seizure, your priority is safety: move hazards away, protect the head, and avoid restraining the person or placing anything in the mouth, which can cause choking. Rinsing the mouth with water doesn’t stop a seizure and could lead to aspiration. Putting the person in a chair doesn’t address safety and could result in injury. Administering oral glucose during a seizure isn’t appropriate because the person may not be able to swallow safely and it won’t stop the seizure. Glucose is only given after the seizure has ended if the person is awake and able to swallow, and with proper medical guidance. Once the seizure ends, place the person on their side in the recovery position, check breathing, and call for help if the seizure was prolonged or there are ongoing concerns.