On-site First Aid for Pediatric Convulsive Seizures Convulsions are a common pediatric outbreak, some of which are generalized tonic-clonic seizures. In a convulsive seizure the child suddenly stares, loses consciousness, falls, stiffens (the tonic part of the seizure), and convulses (the clonic component of the seizure), and the seizure usually lasts no more than 3 minutes. Regardless of the cause of the seizure, the witness should administer help as follows: 1. Remain calm, notice and remember the performance of the seizure and the duration of the seizure. 2. Help the child to lie down and place a soft cushion under the head and neck, away from sharp objects. 3.Turn the child to one side with the head and corner of the mouth toward the ground so that excess saliva or fluid can flow out to prevent accidental swallowing, aspiration, tongue drop and airway obstruction. 4. Loosen the collar, unbutton and belt, and remove the glasses. Do not put any objects into the child’s mouth. A strong bite can sometimes break fingers or objects and cause asphyxia. Do not feed the child pills, drinks or food until the child is fully awake. 5. Stay with the child until he or she is fully awake and regains orientation. Do not restrain the child after the seizure is over to avoid inducing excessive behavior in a confused state of consciousness after the seizure. Keep the child in a safe environment and allow walking. 6. If the seizure is the first tonic-clonic seizure or lasts more than 5 minutes, if the state of consciousness does not return in the middle of successive seizures within a short period of time, or if the child still cannot regain consciousness after 10-15 seizures have stopped, call an ambulance. 7, during and after the seizure, it is best to leave only 1-2 people to help, too many people will not only add to the chaos, but also increase the patient’s tension and embarrassment after waking up. 8. After the seizure is over and calmness is restored, do a good job of comforting and providing moral support, and choose pediatric neurology or epilepsy specialist for consultation.