First aid for convulsions is mainly divided into two aspects: first, pre-hospital first aid measures, which mainly include calling the emergency phone, preventing vomiting and accidental aspiration, keeping the airway open, preventing secondary injuries, and observing vital signs; second, hospital treatment, which mainly includes general measures, assessing the patient’s vital signs, and treating the cause of the disease. Pre-hospital first aid 1. Call the emergency telephone: If you encounter a patient with a convulsive seizure outside the hospital, you should immediately call the emergency telephone (120). If the environment is noisy, the ground is uneven and there are many debris, you should place the patient in an open place with quiet, level ground and no obstacles; 2. 3. Keep the airway open: untie the collar and belt and observe the chest rise and fall (for women) and abdominal rise and fall (for men) from the side to determine whether breathing is usual; 4. Prevent secondary injury: when controlling the patient’s seizure, do not press the patient’s limbs to avoid fractures caused by the simultaneous force of both sides; to avoid tongue bite injuries use soft sticks or use chopsticks wrapped in cloth to place Wooden stick placed at the root of the patient’s teeth, such as with the teeth closed, do not force open, so as not to cause injury; 5, observation of vital signs: while waiting for medical personnel, pay attention to observe the patient’s heart rate, breathing, state of consciousness. Second, to hospital treatment 1, general measures: keep the patient’s airway open, if there is oral and nasal secretions, you need to prepare a negative pressure suction at any time to attract. If conditions are available, oxygen therapy can be given. In case of asphyxia or respiratory arrest, tracheal intubation and ventilator-assisted ventilation therapy are required; establish intravenous access quickly; ask family members and field personnel about the patient’s medical history, cause of illness, onset of symptoms, etc.; 2. Assess the patient’s vital status: immediately perform continuous monitoring of blood pressure, electrocardiogram, oxygen saturation, blood, urine routine, blood sugar, electrolytes, renal function If the patient has a seizure, apply sedative drugs to treat the seizure, and the first-line drug recommended by clinical research is benzodiazepine. The first-line drugs recommended by current clinical studies are benzodiazepines. class drugs, including lorazepam, diazepam, midazolam and so on. The most commonly used clinical drug is diazepam, i.e. Valium injection, which is overwhelmingly effective and can be injected repeatedly. However, attention needs to be paid to the risk of respiratory depression, and advance preparation for tracheal intubation and mechanical ventilation is required. If the effect is not good, intravenous midazolam, propofol and other anesthetic drugs can also be used; if it is tetanus, place the patient in a quiet and dark environment to reduce sound and light stimulation, apply tetanus immunoglobulin for symptomatic treatment, and use mannitol to improve cerebral edema for symptomatic treatment, etc.; if the convulsion is caused by hypocalcemia, inject 10% calcium gluconate injection.