First Aid for seizures typically involves making the person comfortable, keeping them out of harm’s way and timing a seizure to ensure that it doesn’t last more than 5 minutes. However, when a person has a series of seizures in a row without gaining consciousness or a seizure lasts more than 5 minutes, they could be experiencing what is known as status epilepticus.
First aid for status epilepticus must be considered an emergency and an ambulance should be called immediately. Although the medical profession typically describe the condition as “a continuous state of seizure” that lasts over 30 minutes, the Epilepsy Foundation advises parents or members of the public to call an ambulance if a seizure lasts more than 5 minutes without stopping or if a second seizure begins within a few minutes of the first one.
Status epilepticus is not a common occurrence but it can be life threatening. This is because it can cause brain damage, due to the repeated electrical discharge in the brain, as well as putting the person at risk of breathing failure or breathing in vomit. Convulsive status epilepticus has a higher risk than the non-convulsive form, which is characterised by loss of speech and an altered consciousness, however both situations should be treated as a hospital emergency.
Once under medical care, in most cases status epilepticus can be stopped quickly and the person will be fine. Prompt treatment is the key and research has shown that the mortality rate and long term damage is dramatically reduced if treatment is received within an hour. The video link below gives a summary of advice for status epilepticus first aid:
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