In a grand mal seizure: (manifested by shouting, unconsciousness, and twitching of both limbs) Lie flat on your back in a safe place Lie on your side for safety to facilitate breathing Place a comfortable soft pillow or similar on your head Remove your eyes Loosen your tie or lapel button to keep your breathing open If the seizure lasts for 5 minutes, call an ambulance or take you to the hospital as soon as possible.