What is the priority for an EMR caring for a patient who is actively seizing?

The priority for an Emergency Medical Responder when caring for a patient who is actively seizing is to protect the patient from injuring themselves. During a seizure, the risk of injury is significantly heightened due to uncontrolled movements. The EMR should focus on ensuring the patient is in a safe environment, free from potential hazards like sharp objects or hard surfaces that could cause harm if the patient convulses.

Protective measures include placing padding under their head, clearing the area of obstacles, and gently guiding their limbs if possible to prevent injury. It’s essential to avoid placing anything in the patient's mouth, including giving them water, as this can lead to choking or dental damage.

While administering rescue medications can be necessary in certain situations, it typically falls under the purview of higher-level medical personnel or specific protocols rather than the immediate responsibilities of an EMR during an active seizure. Positioning the patient on their stomach is generally not recommended; the best practice is to position them on their side (recovery position) after the seizure has ceased to maintain an open airway and prevent aspiration. Therefore, priority is given to protecting the patient from injury during the seizure event.