Witnessing a generalized seizure can be a distressing experience, especially if you are unsure of what to do. Generalized seizures, which affect both sides of the brain, can manifest in various forms, including tonic-clonic seizures. Knowing the appropriate steps to take can not only help manage the situation effectively but can also provide comfort to the individual experiencing the seizure.

The first thing to do is to remain calm. Your composure can significantly influence the environment and help other bystanders feel at ease. It’s crucial to observe the person closely while ensuring their safety. Move any potentially dangerous objects out of the way to prevent injury during the seizure.

If the individual is standing or sitting, gently guide them to the ground to prevent falls. Place a soft item, like a jacket or a cushion, under their head to cushion any impact. This step is vital in reducing the risk of head injuries.

Do not hold the person down or try to restrain their movements, as this can cause additional injury or stress. Instead, give them plenty of space and time to go through the seizure. Most generalized seizures last between one to three minutes. Be sure to watch the duration of the seizure, as seizures that last longer than five minutes can be a medical emergency.

While the seizure is occurring, try to clear the area of onlookers to maintain privacy. Many people feel vulnerable after a seizure, and reducing the audience can be helpful for their comfort and dignity.

After the seizure, the person may be disoriented, confused, or exhausted. Offer your assistance and stay with them until they fully regain awareness. It’s essential to reassure them, as they might not remember what happened. Provide water if they are alert and able to swallow, but avoid putting anything in their mouth, as this can lead to choking.

In some cases, it may be necessary to call for emergency help. You should seek medical attention if:

• The seizure lasts longer than five minutes.
• Another seizure follows immediately.
• The person does not regain consciousness after the seizure ends.
• The individual was injured during the seizure.
• The seizure occurs in water.

Additionally, if the individual has never had a seizure before, it’s advisable to seek medical advice post-episode.

Understanding how to support someone experiencing a generalized seizure is crucial. By staying calm, ensuring safety, and providing post-seizure support, you can be an essential source of help during a challenging time.

For those who have experienced a seizure in the past, it's wise to create an action plan. This plan could include informing friends, family, or colleagues about your condition, how they can help, and who to contact in an emergency. Education and awareness can make a significant difference in managing seizures and ensuring safety.