رجل عمره ٣٠ سنة معروف بالصرع، منوم بعد التهاب رئوي وفاتته جرعة من دوائه. وهو مستلقٍ في سريره بدأت معه نوبة صرع توترية رمعية، وزوجته تصرخ. ما التصرف الصحيح أثناء النوبة؟

A 30-year-old man with known epilepsy, admitted with pneumonia, missed a dose of his medication. While lying in bed he has a tonic-clonic seizure and his wife is shouting. What is the correct action during the seizure?

1. Turn him on his side, protect his head and note the start time
2. Hold his arms and legs firmly so he is not hurt while jerking
3. Insert an oral airway between his teeth to protect his tongue
4. Give a sip of water as the jerking slows to prevent choking

Answer: A) Turn him on his side, protect his head and note the start time. During a seizure we protect, not restrain: a side-lying position protects the airway, the head is cushioned, and timing matters because seizures over 5 minutes need treatment. Anything in the mouth breaks teeth, restraint causes injury, and nothing is given by mouth until he is fully awake.