Many family members of people with epilepsy ask their doctors, “What should we do when he or she has a seizure? What can we do to stop the seizure?” Some family members pinch the person, some “urgently” feed the patient anti-seizure medication, and some directly call 120 to contact an ambulance. …… So, what is the right way to handle the situation? What are the misconceptions of the above mentioned treatment methods? When should I take the patient to the hospital? Generally speaking, a “convulsive” seizure lasts only a few minutes, and it takes about 15 minutes for consciousness to return. If the patient is still unconscious 15 minutes after the seizure, or even still “twitching”; or if the seizure is frequent and consciousness does not return between seizures, you need to seek medical attention as soon as possible, otherwise, general home treatment is sufficient. In addition, there are many other types of seizures besides “convulsive” seizures, in which the patient may be “dazed”, “confused” or twitching although clearly conscious (If these symptoms last for more than half an hour, it is also necessary to seek medical attention and not to delay treatment because the patient is not convulsing or is conscious. Is there any way to stop the seizure immediately? Neither forcible pressure on the patient’s hands and feet, nor pinching and pressing on the human middle, nor temporary medication can shorten the duration of seizures and reduce their intensity. On the contrary, if the pressure is not properly controlled, it will cause secondary injuries such as soft tissue damage, joint dislocation and fracture; if the nails are too much stuck and pinched, it will cause local tissue damage; if the medicine is instilled or inserted into the airway by mistake, it will cause serious consequences such as aspiration pneumonia. In fact, except for persistent status, the duration of seizures is relatively fixed for each patient, and the intensity of seizures will diminish and gradually calm down on their own. There are no temporary measures to immediately abort seizures. The patient should be protected from trauma and asphyxiation, which is the most important part of seizure management. 1. Avoid tongue bite: In the early stage of seizure, place gauze wrapped pressure plates, wooden chopsticks, spoons, etc. between the patient’s upper and lower molars to avoid biting the tongue; however, they should not be forcibly placed, especially when the patient is “rigid and convulsing”. If the patient is wearing dentures, you cannot forcefully pry open the patient’s closed mouth, otherwise the dentures will fall off and accidentally enter the respiratory tract; and you cannot put hard objects into the patient’s mouth, such as hard openers, spoons, etc., otherwise the mouth will be damaged. 2. Avoid fractures and other traumatic injuries: When the patient has a seizure, the patient should be quickly put on his back to avoid fractures and other traumatic injuries caused by falls. 3. The patient’s head should be turned to one side to facilitate the discharge of respiratory secretions and vomit to prevent choking and even asphyxiation caused by the inflow of trachea. Do not put anything in the mouth during convulsions, and do not instill drugs to prevent accidental aspiration or even asphyxiation. There is no need to perform mouth-to-mouth artificial respiration immediately. Patients may have apnea and blue face and lips during the seizure due to the tonicity of respiratory muscles, and most of them can be relieved by themselves after the tonicity period, and no respiration is still implemented for more than 1 minute. Seizure records are valuable medical history information. The patient’s family members are often in a mess during the seizure, not knowing that the recorded video data of the seizure at this time is precious medical history information, which is important for the doctor’s diagnosis, antiepileptic drug selection and prognosis judgment, which is helpful for the patient’s condition. Therefore, while protecting the patient, you should actively record the video data of the seizure. If you do not have the conditions to record the video, you should also record the seizure time, seizure performance, duration, etc. in descriptive text, as an important medical history information for the doctor’s reference during the consultation.