Responding to Student Seizures in the Classroom: A Teacher's Guide

Immediate Steps for Seizure First Aid

If a student has a seizure in the classroom, remain calm and follow these evidence‑based steps:

1. Ensure Safety

• Clear the area around the student—move chairs, desks, and sharp objects away to create a safe space.

2. Stay with the Student

• Sit beside the student, speak calmly, and offer reassurance. Do not leave them alone.

3. Time the Seizure

• Note the exact start time using a phone or watch. Duration is critical for deciding when to call emergency services.

4. Do Not Restrain

• Never hold the student down or try to stop their movements. Restraint can cause injury.

5. Turn onto Their Side (If Possible)

• If the student is on their back, gently roll them onto one side to help keep the airway clear and prevent choking on saliva or vomit.

6. Clear the Airway

• Loosen any tight clothing around the neck. Check that the mouth is free of obstructions, but do not put anything in the mouth.

7. Protect the Head

• Place a folded jacket, cushion, or other soft item under the head to prevent injury from hitting the floor.

8. Recovery Position After the Seizure

• Once the convulsions stop, keep the student on their side with the head tilted back slightly to maintain an open airway.

9. Monitor Until Fully Conscious

• Stay with the student until they are fully awake and oriented. Speak softly and explain what happened.

10. Seek Emergency Medical Help

• Call 911 (or your local emergency number) immediately if:
  • The seizure lasts longer than 5 minutes.
  • The student has repeated seizures without regaining consciousness.
  • Breathing is labored or absent after the seizure.
  • The student is injured, pregnant, or has diabetes.

11. Inform Parents/Guardians

• Contact the student’s parents or guardians as soon as possible to inform them of the incident.

12. Document the Event

• Record the start time, duration, description of movements, any triggers observed, and the student’s behavior afterward. This information is valuable for medical professionals and the student’s seizure action plan.

13. Follow‑Up and Seizure Action Plan

• Collaborate with the student’s family and healthcare team to create or update a seizure action plan. The plan should outline specific triggers, medications, emergency contacts, and steps for future seizures.

Key Reminders

• Your primary goal is safety and well‑being during and after the seizure.
• Work with the family and medical team to provide consistent support.
• Educate yourself on seizure first aid and any individualized instructions from the student’s medical providers.