3 When the seizures have finished, place the victim in the recovery position (p.292). Check the victim's breathing and pulse at regular intervals, and be prepared to resuscitate if necessary (see ABC of resuscitation, p.290).

Other leg bent to prop up body

4 If the victim has a severe seizure, in which he or she remains unconscious for more than 10 minutes or convulses for more than 5 minutes, or if the person has repeated seizures, call an ambulance. Stay with the victim and monitor breathing and pulse until the ambulance arrives.

Do not use force in an attempt to restrain the victim. Do not put anything in the victim's mouth.

5 If the victim has not had a severe seizure or repeated seizures and you know that he or she has epilepsy, stay with the person until he or she has recovered. lf you are not certain that the person has epilepsy, call an ambulance and stay with the victim until the ambulance arrives.

Spinal injury

The main risk when dealing with someone who has spinal injury is that any movement may damage the spinal cord. The most dangerous injuries are those to the neck, but any spinal injury is potentially serious. When calling the emergency services, try to tell them how the injury to the spine occurred. If you suspect an injury to the spinal cord, it is vital to keep the victim still until a doctor arrives. Signs of possible damage to the spinal cord include a burning sensation or tingling in a limb or loss of feeling in a limb. The victim may also have breathing difficulties.

ICall an ambulance. Reassure the victim and keep him or her as still as possible. If the victim was found face down and must be moved, place your hands over his or Rescuer's her ears to hold the head aligned while helpers straighten hands hold the victim's limbs and roll him or her gently over. If the head aligned victim was found on his or her back, go to Step 2. with spine

2 The safest position for a victim with a suspected spinal injury is the neutral position in which the head, neck, and spine are aligned. To check alignment, make sure that the victim's nose is in line with his or her navel.

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