In a seizure lasting longer than 5 minutes, what is recommended?

• A. Check breathing.
• B. Put in recovery position.
• C. Call 999 and administer buccal Midazolam.
• D. Loosen tight clothing around neck.

Answer: (C)

When a seizure lasts more than five minutes, it becomes a medical emergency and needs rapid treatment to stop it and get professional help. The most appropriate action is to give buccal Midazolam if the patient has a prescribed rescue dose and you’re trained to administer it, while calling emergency services. This fast-acting benzodiazepine works quickly when absorbed through the cheek and is specifically used to terminate prolonged seizures, reducing the risk of further complications. Having emergency services on the way ensures the patient gets definitive care if the seizure continues or if other problems develop.

While checking breathing and ensuring safety are important, they don’t halt a prolonged seizure as effectively as administering the rescue medication and obtaining urgent help. Loosening tight clothing around the neck isn’t a primary step during an active convulsion and could impede airway safety. After the seizure subsides, monitor breathing and place the person in the recovery position if appropriate.