Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
1
Is any of this happening now?
Call 911
Call emergency services if a seizure lasts five minutes or longer, unless the person’s emergency plan gives a different threshold.
Emergency help is also needed for repeated seizures without recovery, serious breathing difficulty, blue or grey lips, severe choking, or unusual unresponsiveness after a seizure.
Other emergency signs, for anyone
Someone who is struggling to breathe, gasping, choking, or cannot get words out
Someone who has chest pain, tightness or pressure lasting more than a few minutes
Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
Someone who is unconscious, or cannot be woken
Someone who is bleeding heavily and it will not stop with firm pressure
Someone who has had a seizure that will not stop, or does not wake up afterwards
Someone who has lips or skin that look pale, blue, grey or blotchy
Someone who you believe has taken an overdose or swallowed something poisonous
2
Is any of this happening?
Be seen today
Seek prompt medical advice for:
New repeated jerks, head drops, stiffening, or bending spells
More frequent seizures or a clear change in seizure pattern
Regular coughing, choking, or wet-sounding breathing during meals
Poor fluid intake, fewer wet diapers, or unexplained weight loss
Increasing stiffness, pain, hip asymmetry, or skin pressure areas
Fever or cough in someone at risk of aspiration
3
Does any of this apply?
Book an appointment
Arrange routine follow-up if seizures, feeding, sleep, movement, constipation, equipment needs, or comfort have gradually changed.
A review is also appropriate if a child has stopped making expected progress or appears to have lost a skill.
The article also says
If rescue seizure medicine has been prescribed, follow the person’s written seizure plan.
Do not place anything in their mouth or try to hold them down during a seizure.
Every sign above is quoted from the sofidex article on Lissencephaly. If you are not sure, err upward — it is always reasonable to be checked.