When providing seizure first aid for generalized tonic clonic (grand mal) seizures, these are the key things to remember:

• Keep calm and reassure other people who may be nearby.
• Don’t hold the person down or try to stop his movements.
• Time the seizure with your watch.
• Clear the area around the person of anything hard or sharp.
• Loosen ties or anything around the neck that may make breathing difficult.
• Put something flat and soft, like a folded jacket, under the head.
• Turn him or her gently onto one side. This will help keep the airway clear.
• Do not try to force the mouth open with any hard implement or with fingers. A person having a seizure CANNOT swallow his tongue. Efforts to hold the tongue down can injure teeth or jaw.
• Don’t attempt artificial respiration except in the unlikely event that a person does not start breathing again after the seizure has stopped.
• Stay with the person until the seizure ends naturally.
• Be friendly and reassuring as consciousness returns.
• Offer to call a taxi, friend or relative to help the person get home if he seems confused or unable to get home by himself.