Which scenario requires calling EMS and obtaining an AED during a seizure?

• A. Seizure lasts more than a few minutes
• B. The person is pregnant
• C. The seizure occurs in water
• D. The person is wearing a medical alert bracelet

Answer: (A)

Prolonged seizure activity is a medical emergency. When a seizure lasts longer than a few minutes, there’s a higher risk of brain injury, airway compromise, and other complications, so calling EMS promptly ensures advanced care and that an AED is available if it becomes needed after the seizure ends. During the seizure, do not try to shock the person; focus on safety, protect from injury, and time the event. After the seizure stops, check responsiveness and breathing, and apply the AED if the person is unresponsive or not breathing normally.

If the person is pregnant, that alone isn’t a definite trigger for EMS and AED unless there are additional concerns. If the seizure occurs in water, move the person to safety right away and then call EMS. Wearing a medical alert bracelet doesn’t change the immediate steps during the seizure, though it may help responders later.