If someone starts to have a seizure while confined in a wheelchair, seated on a bus, train or tram or strapped in a pram or stroller:
- Protect the person by preventing them from falling if there is no seat belt
- Make sure the wheelchair or the stroller is secure
- Protect the person by supporting their head. Something soft under the head will help if there is no moulded headrest
- Check whether you need to move any hard objects that might hurt arms and legs in particular
- Consciousness usually returns within a few minutes
- Reassure the person and tell them what has happened
NB: When the seizure has finished you need to ensure their airway is clear. This may involve removing food or vomit from their mouth and supporting their head to maintain a clear airway. It may or may not be appropriate to remove the person from the chair a the end of the seizure. This will depend on your assessment of the safety issues involved both for you and for them.
- Try to stop the seizure
- Put anything in the persons mouth
- Try to remove them from their position, in most cases the seat provides some support
Call an ambulance – 000 – if:
- The seizure activity lasts 5 or more minutes or a second seizure quickly follows
- The person remains non-responsive for more than 5 minutes after the seizure stops
- The person is having a greater number of seizures than is usual for them
- The person is injured
- The person is pregnant or has diabetes
- You know, or believe it to be, the person’s first seizure
- You feel uncomfortable dealing with the seizure at the time
Click hyperlink to your Wheelchair First Aid Poster.
Information from the Epilepsy Australia webpage.