First Aid for Seizures (Adults, Children and Public Places – UK Guide)

  • 5 min reading time

Seizures can be frightening to witness, particularly when they happen suddenly in public or unfamiliar settings. Many people are unsure what to do, and well-intended actions can sometimes cause harm.

This guide explains how seizures are approached in UK first aid, what to look for, what actions are appropriate, and when emergency services should be contacted. It applies to adults, children, workplaces, schools and public environments.

The information below is general first aid guidance and does not replace medical advice or ongoing care.

What is a seizure?

A seizure occurs when there is a sudden surge of electrical activity in the brain. This can temporarily affect movement, awareness, behaviour or consciousness.

Seizures may occur in people with epilepsy, but they can also happen due to:

  • High fever (particularly in young children)
  • Head injury
  • Infection or illness
  • Low blood sugar or other medical conditions

Not all seizures look the same, and some are more serious than others.

Common types of seizures you may see

In first aid, it is helpful to recognise broad seizure patterns rather than medical classifications.

You may observe:

  • Loss of consciousness with stiffening and jerking movements
  • Sudden collapse followed by shaking
  • Brief staring episodes or unresponsiveness
  • Confused or unusual behaviour after the event

The most widely recognised type involves full-body convulsions.

What to do during a seizure

If someone is having a seizure:

  • Stay calm and keep others away
  • Protect them from injury by moving nearby hazards
  • Place something soft under their head if possible
  • Allow the seizure to run its course

Time the seizure if you can, as this information is useful for emergency services.

What not to do during a seizure

You should not:

  • Restrain the person
  • Put anything in their mouth
  • Give food or drink during the seizure
  • Try to stop the movements

These actions can increase the risk of injury.

After the seizure ends

Once the seizure has stopped:

  • Check breathing and responsiveness
  • Place the person on their side if they are unconscious
  • Reassure them as they regain awareness
  • Stay with them until they have fully recovered

Confusion, tiredness and headache are common after a seizure.

When to call 999

You should call 999 if:

  • The seizure lasts longer than five minutes
  • Another seizure follows without recovery
  • The person is injured during the seizure
  • The seizure occurs in water
  • It is the person’s first known seizure
  • Breathing does not return to normal afterwards

When in doubt, seek emergency help.

Seizures in workplaces, schools and public places

Seizures can occur anywhere, including environments with members of the public.

Organisations should consider:

  • Staff awareness of basic seizure first aid
  • Clear emergency procedures
  • Access routes for emergency services

Risk-based planning is explained in Workplace First Aid Risk Assessment (UK).

Seizure considerations by environment

Environment Typical concerns First aid focus
Home Known medical history Monitoring and recovery care
School or childcare Children with known conditions Clear plans and staff awareness
Workplace Mixed medical backgrounds Immediate safety and response
Public places Unknown medical history Protection and emergency access

Recording seizure incidents

Where seizures occur in workplaces, schools or public venues, incidents should be recorded.

Records help organisations:

  • Review emergency response procedures
  • Identify environmental risks
  • Demonstrate reasonable management

Guidance on recording incidents is provided in Accident Reporting & First Aid Records (UK).

Common myths about seizures

  • You should hold someone down during a seizure
  • You must put something in their mouth
  • All seizures require immediate hospital treatment
  • Seizures are always caused by epilepsy

Understanding correct first aid helps reduce harm and panic.

Why awareness matters

Calm, informed action during a seizure can prevent injury and provide reassurance to the person affected.

Clear procedures and staff awareness support safer environments for everyone.

Seizures — First Aid FAQ

Should you always call 999 for a seizure?
No, but emergency help is needed if the seizure is prolonged, repeated or unusual.
Can seizures happen without epilepsy?
Yes. Seizures can occur for many medical reasons.
Should you restrain someone during a seizure?
No. Restraining can cause injury.
Is it safe to put something in the mouth?
No. This can cause harm and is not recommended.
Should seizure incidents be recorded at work?
Yes. Recording supports review and preparedness.

 


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