An 86-year-old male has experienced a seizure and is now lethargic and confused. His family states that the patient has a history of seizures and was sleeping in bed when the seizure was witnessed by his wife. He remains in bed with an intact airway, adequate breathing, and a radial pulse that is rapid. You also note him to be incontinent of urine. Appropriate care of this patient would include:

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The patient is exhibiting signs of a postictal state, which is common after a seizure. The priority is to ensure that his airway remains open and he continues to breathe adequately. Supplemental oxygen may be helpful, but positive pressure ventilation is not necessary at this time. There is no indication for a cervical collar or long board. Transporting the patient on his left side can help prevent aspiration in case of vomiting. Securing the patient tightly to the stretcher may cause more harm than good if he seizes again.

An 86-Year-Old Male Has Experienced a Seizure and Is Now