Seizure First Aid During Air Travel

Experiencing a seizure in a crowded plane miles above land can be a unique experience but it can be planned for ahead of time.

The following are a few simple, common-sense steps that can be taken when preparing for air travel and for responding to a seizure situation during flight:

• Notify the airline in advance about the patient’s diagnosis.
• Inquire about any possible restrictions which may apply.
• Patients with Vagus Nerve Stimulator (VNS) may need to follow specific guidelines depending on each airline’s standard operating procedures.
• Make sure the anti-seizure AND rescue medications are with you and appropriately labeled in your carry-on baggage.
• Liquid medications should be packaged in three ounce bottles, labeled appropriately and placed in Ziploc bags.
• In the event of a seizure in-flight
• Note the time seizure started.
• Always stay calm and protect (rather than restrain) the person.
• Lie the patient down across the seats (or the aisle, if unable to utilize the seating).
• Turn the person on their side, making sure the airway is clear and breathing is not obstructed.
• Clear the immediate area by folding up seat arms and asking the flight attendant to re-assign seats for the passengers affected by these accommodations
• Loosen tight fitting clothing and arrange pillows or blankets to prevent injury during the seizure.
• Do not place anything in the patient’s mouth.
• Observe the patient during the seizure, recording how long it lasts and the recovery time.
• Reassure and remain with the person.
• Have rescue medication available if prescribed by the physician.
• Provide privacy in the event rescue medication needs to be administered.