Emergency Plan For Giving Rectal Diazepam For A Seizure

The illustration is a step-by-step seizure action plan with images and text arranged in a flow chart format. A black vertical bar on the left marks the time from 0 minutes to 5 minutes.

At the top, the title says:
'WHAT TO DO IF YOUR CHILD IS HAVING A SEIZURE'

A green box below adds:
'Give diazepam if the seizure lasts over 5 minutes or if ___ seizures happen within ___ minutes'.

At 0 MINUTES – Seizure starts:

• A black box lists actions:
  • Start timing the seizure
  • Stay calm
  • Move your child to a safe place
  • Reassure your child
  • Video the seizure if possible

If the seizure CONTINUES:

• An image shows a hand holding a Stesolid® tube.
• Text: Prepare the diazepam (Stesolid® tube)

If the seizure STOPS at any point:

• A child is placed in the recovery position with labels pointing to:
  • Head tilted to keep airway open
  • Hands support head, mouth toward the ground
  • Knee stops body from rolling

At 5 MINUTES if seizure continues:

• An image shows rectal administration of the medicine.
• Text: Give diazepam into the bottom (rectally)
  • Green text adds: Call 111 unless instructed otherwise by your doctor

If the seizure STOPS after diazepam:

• Green box: Let child rest & recover
  • Stay with them until back to normal
  • Record in seizure diary
  • If advised, let medical team know
  • Line to write doctor’s name: Dr ____________

Bottom of the illustration:

• A green banner with a QR code reads:
  'For more detailed information see Seizure First Aid on KidsHealth by scanning the QR code or visiting www.kidshealth.org.nz/seizure-first-aid'

At the bottom right is the KidsHealth logo with the website: kidshealth.org.nz.

The illustration is a step-by-step numbered list showing what to do if your child has a seizure. There are ten numbered steps, some with small illustrations alongside.

At the top, the title reads:
'WHAT TO DO IF YOUR CHILD IS HAVING A SEIZURE'

Underneath is a green banner with the instruction:
'Give diazepam if the seizure lasts over 5 minutes or if ___ seizures happen within ___ minutes'.

The steps are:

1. Stay calm and reassure your child.
2. Make sure your child is in a safe place.
   If not, lay them down on the floor, or move furniture or sharp objects.
3. Start timing the seizure.
   Video the seizure if possible.
4. At 4 minutes of seizure activity prepare the diazepam (Stesolid® tube).
   (Illustration of 2 hands holding the Stesolid® tube is shown.)
5. At 5 minutes of seizure activity, place your child in the recovery position and give diazepam into the bottom (rectally).
   (An illustration shows how to give rectal Stesolid®.)
6. Call 111 for an ambulance when you give the diazepam, unless instructed otherwise by your doctor.
7. Watch your child’s breathing.
8. When the seizure has finished keep your child in the recovery position.
   (Illustration of the child in recovery position with labels:
   • 'Head tilted to keep airway open'.
   • 'Mouth is toward the ground'.
   • 'Hands support head'.
   • 'Knee stops body from rolling'.)
9. Let your child rest and recover in a calm and quiet space until back to normal.
10. Record seizure in seizure diary.
    If advised, let your medical team know about the seizure.

At the bottom of the illustration is a green box with a QR code and text:
'For more detailed information, see Seizure First Aid on KidsHealth by scanning the QR code or visiting www.kidshealth.org.nz/seizure-first-aid'

At the bottom right is the KidsHealth logo with the website: kidshealth.org.nz.