What should I do if I find a patient having a seizure or having an aura of a seizure? When a patient is found to have a seizure or an aura of a seizure, immediately lay the patient flat on the ground to avoid falling. Adopt a flat or side-lying position with the head tilted to the side to facilitate the flow of oral secretions. Clean up oral and nasal secretions or vomit in time to keep the airway open; remove glasses and denture, loosen the collar and trouser belt, and remove any dangerous objects around. Can I take emergency medication during a seizure? It is not advisable to feed water, food and medication during seizures to avoid choking and choking. And oral medications are absorbed slowly and difficult to work quickly. Giving medications to patients during a seizure should be avoided. How to prevent choking caused by seizures? Vomiting and misaspiration may occur during seizures in patients with epilepsy can lead to choking. Difficulty in breathing, increased heart rate, panic expression, and clutching of hands are often signs of asphyxia. Immediately take the head down position, remove the foreign body or secretion from the oropharynx by hand or suction, or pat the patient’s back or quickly compress the abdomen to squeeze out the foreign body causing asphyxia. Oxygen can be administered if available, while contacting medical units urgently. Should dental pads be placed for seizures? Seizures often occur when the teeth are closed, etc. Some patients may have tongue bites, etc. However, forcibly prying open the patient’s mouth may lead to risks such as gum damage, loose teeth or even loss of teeth. Therefore, it is not advocated to place dental pads for patients. What can be done to shorten or end the course of a seizure? Once a seizure has started, family members generally do not need to and cannot intervene in the patient’s seizure progression, except to keep the airway open and prevent injury. During a convulsive seizure, do not apply strong pressure to the limb to prevent fractures and dislocation symptoms; painful stimulation of acupuncture points such as pinching and tiger’s mouth does not end the seizure. How can family members observe the patient’s seizure symptoms? The symptoms of seizures are important for the diagnosis of epilepsy. Family members should remain calm and not panic during a seizure. While doing safety and first aid work, pay attention to observe and record the whole process of seizure. Observe the symptoms of seizure onset, the start site of convulsion, whether there is head-eye and body tilting to one side, whether the tonicity and convulsion are symmetrical, whether there is loss of consciousness, duration of seizure and other symptomatic manifestations and record them in time. How to manage epilepsy with psychotic disorder seizures? Patients with epilepsy with psychotic disorder or with psychotic disorder as the manifestation of seizures may have psychomotor excitement: such as suddenly going out without purpose, making no sense, undressing and nudity, climbing walls and jumping from buildings, or even injuring and destroying things and setting fire. It can also be accompanied by fear, anger, depression, euphoria and other emotional reactions and hallucinations and delusions. Family members should closely observe the patient’s condition for the above clinical manifestations and contact the doctor for professional guidance. Do a good job of patient supervision to prevent patient accidents. Stabilize the patient’s mood, provide psychological guidance and comfort, and prevent and stop the patient from overreacting. How to deal with persistent status epilepticus? If a grand mal seizure lasts more than 5 minutes, or if the patient does not regain normal consciousness between seizures, the patient should be sent to hospital immediately to terminate the seizure as soon as possible to avoid serious conditions such as persistent status epilepticus. If a patient has a seizure that is life-threatening or even life-threatening, he or she should be taken to a hospital as soon as possible.