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Pediatric Epilepsy

Seizure First Aid for Children in Wheelchairs

Epilepsy is a medical condition which occurs as a result of brief disturbances in the brain causing recurring seizures. If you think someone may be having an epileptic seizure, always stay calm, protect (rather than restrain) the person, remain with them and reassure them.


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To schedule an appointment with a UH Rainbow pediatric epileptologist, call 216-844-6644.

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During and After a Seizure

  • Remain calm and allow the seizure to run its course or follow procedures as otherwise instructed to do so.
  • Note the time seizure started.
  • Ask someone to contact the school nurse (if in school) and/or parents.
  • Do not remove a child from the wheelchair during a seizure as they could be injured while being moved. The child is safer in the wheelchair as it provides padding and support.
  • Wheelchair related maneuvers:
    • Make sure the wheelchair brakes are on.
    • Secure the child’s seatbelt. If no seatbelt, stand in front of the child keep them from falling forward.
    • As a preventive measure, remove or pad any hard object on or around the wheelchair, which may cause injury.
    • Do not hold the child down or use anything to limit their movements during a seizure.
    • Hold the wheelchair secure in place, to prevent it from toppling to one side.
    • If able, partially recline the wheelchair. If unable, the child may need to be removed to keep the airway clear and open.
  • Keep the airway clear and open. Gently turn the child’s head to one side so the saliva can flow out, to prevent aspiration of secretions.
  • Never place anything in the child’s mouth.
  • Loosen tight fitting clothes, remove glasses or nearby hazards.
  • Allow the child to rest if needed.
  • Provide support and reassurance as the child recovers.
  • Observe the child during and after the seizure, while continuing to keep him/her safe.
  • Have rescue medication available if prescribed by the doctor.
  • Calmly stay with the child as he or she recovers from the seizure.
  • Offer help and comfort to aid in the child’s recovery.
  • Note the duration of the seizure and the length of recovery time.
  • Administer rescue medication if physician recommended criteria are met.
  • Observe for any side effects that may be caused by the rescue medication.
  • Call 9-1-1 if:
    • Seizure lasts >5 minutes if rescue medication is NOT PRESCRIBED.
    • Seizure continues 5 minutes AFTER rescue medication was administered.

If you have any additional safety questions or concerns, please contact your epilepsy specialist.

Your child’s health is important. Get expert care.

To schedule an appointment with a UH Rainbow pediatric epileptologist, call 216-286-6644.