1. Please remain calm
2. For generalized seizures keep the person safe clear surrounding area of hard or sharp objects so they won’t hurt themselves protect their head
3. Stay with the student until the seizure is over or they are fully awake
4. Keep Airway clear and loosen any tight clothing around the neck keep track of how long the seizure last
5. When does seizure has stopped, turn student on their side to prevent choking and place something small and soft under their head
6. Monitor students as they may need to sleep a while or maybe confused
7. When student is fully awake, explain to the student what has happened.

It is just as important to know what not to do when a seizure happens also:

1. Do not hold the student down or try to stop their movement
2. Do not put anything in the students mouth
3. Do not try to give CPR (except if student is not breathing after the seizure stops)
4. Do not offer the student any food or drink until they are fully awake

Only call 911 for the following:

1. Student has never had a seizure before
2. Student is having trouble breathing or waking up after the seizure
3. The seizure is lasting longer than 5 minutes
4. The student has another seizure soon after the first one
5. The student is injured during a seizure
6. The student has a health condition such as diabetes or pregnancy
7. The seizure happens in water

Some students may have an emergency drug such as Diastat or Nasal Versed ordered to help stop their seizures. If these drugs are given 911 should be called.

• Review your class roster to be aware of any students that may have seizures in your class
• Prepare a list for any substitutes so that they can also be aware of any seizures students.
• Know how to recognize signs and symptoms of when a person is having a seizure and how to respond quickly
• Encourage those students with a diagnosis of seizures to bring in a written seizure emergency action plan that explains exactly what needs to be done if they have a seizure. Review the plan and become familiar with it.
• Collaborate with your school nurse

Seizure First Aid

First Aid for Seizures

First Aid for Seizures 2

https://www.epilepsy.com/ 

• The following symptoms can be serious and progress quickly to the point where emergency care is needed:

  • Skin: itching, redness, swelling and hives
  • Mouth: itching, swelling of lips and tongue
  • Stomach: vomiting, diarrhea, cramps
  • Respiratory: shortness of breath, wheezing, coughing, chest pain and/or tightness
  • Heart: weak pulse, dizziness, faintness
  • Headache, nasal congestion, watery eyes, sweating
  • Confusion, feeling of impending doom
  • Loss of consciousness

  Anaphylaxis typically occurs when at least two organ systems (skin, mouth, stomach, respiratory, heart) are involved in symptoms.

• Please remain calm. Students will pick up on your fear and they may panic
• Administer the EpiPen immediately and call 911 student will need to be monitored at the hospital
• Consider giving an antihistamine Benadryl or albuterol inhaler to student
• Follow the students food allergy emergency plan
• Have student to lie down flat and raise their legs.
• A second dose of the EpiPen can be given after 5 minutes if symptoms do not improve or they return.
• Transport student with the used EpiPen injector to the hospital to be monitored.

• Review your classroom roster to be aware of any students with food allergies in your class and what those allergies are.
• Prepare a list for any substitute teachers so that they can be aware of students who have food allergies in your class also.
• Know how to recognize food allergy symptoms and how to respond quickly
• Reduce exposure to food allergens in the class by eliminating eating in the class and being sure to clean surfaces after eating.
• Encourage students to wash hands before and after eating
• Encourage students with food allergies to bring in a written food allergy emergency action plan that tells exactly what needs to be done if that student has a food allergy emergency. Review the action plan and become familiar with it.
• Collaborate with your school nurse

Recognizing and Responding to a Reaction

https://allergyasthmanetwork.org/anaphylaxis/

https://www.foodallergy.org/

https://acaai.org/allergies/types/food-allergy

• Hypoglycemia– low blood sugar level

  • Usually caused by not eating as much food as usual
  • Taking too much insulin
  • Exercising more than usual with hat without having eaten an extra snack

Hypoglycemia can happen fast and needs to be treated immediately as blood sugar levels can continue to drop and student may lose consciousness.

• Review your classroom roster to be aware of any students with a diagnosis of diabetes that is in your class.
• Prepare a list for any substitute teachers so that they can be aware of any student with a diagnosis of diabetes in the class
• Know how to recognize the signs and symptoms of hypoglycemia and hyperglycemia and know how to respond
• Encourage your students with Diabetes Type 1 to bring in a written diabetes action plan that tells exactly what to do for them daily. Review the action plan and become familiar with it.
• Know your students blood sugar monitoring needs and support this.
• Ensure that student can eat snacks at a scheduled time and have snacks available to treat low blood sugar
• Prepare in advance for field trips or special events involving food.
• Collaborate with your school nurse

Low blood sugar

High blood sugar

How teachers can support students with type 1 diabetes

https://www.diabetesatschool.ca/tools/video-series

https://www.diabetes.org/sites/default/files/2020-06/tips-for-teachers.pdf

https://www.diabetesatschool.ca/uploads/docs/D%40S-TeacherSupport.pdf

https://www.diabetes.org/

https://www.jdrf.org/

• Student is having trouble breathing even when sitting down
• Student is having difficulty talking or is pausing a lot when talking
• Student is feeling tired or appears drowsy
• Lips become blue
• Nostrils start flaring
• Area below and between the ribs and around the neck speak in with each breath

If the student is having severe asthma symptoms and is not getting better with quick relief inhaler, emergency services needs to be called!

• Please remain calm. Students will pick up on your fear and they may panic.
• Have the students sit in a position that is comfortable for them.
• Give the student 2 puffs of a quick relief inhaler (Albuterol) Follow the students written asthma action plan.
• Monitor student until symptoms have resolved
• Stay with student and provide reassurance

• Review your classroom roster to be aware of any students with a diagnosis of asthma
• Prepare a list for any substitute teacher so that they can be aware of any students with a diagnosis of asthma
• Know how to recognize the signs and symptoms of an asthma attack and how to respond quickly
• Encourage those students with asthma to bring in a written emergency action plan that tells them exactly what to do if they have an asthma attack. Review the action plan and become familiar with it.
• Reduce possible asthma triggers in the classroom.
• Reduce classroom clutter
• Collaborate with your school nurse

Asthma in School Printable Sheet

Allergy & Asthma Network 

Asthma and Allergy Foundation of America (AAFA)