If a patient is having a seizure, what should a medical assistant do first?

In the context of a patient experiencing a seizure, the correct action to take first is to loosen clothing around the patient's neck. This step is crucial because during a seizure, the patient may have difficulty breathing, and any constriction around the neck could exacerbate this problem. By loosening the clothing, the medical assistant helps to ensure that the airway is as open and unobstructed as possible, facilitating easier breathing for the patient.

Calling for emergency help is certainly important, especially if the seizure lasts longer than five minutes or if the patient is injured, but it may not be the immediate action to take in the moment. Similarly, while administering medication might be necessary for a patient with a known seizure disorder, it is not something that should be done without proper assessment and physician direction in an acute situation. Holding the patient still could lead to injuries, as forcing someone who is actively seizing could cause harm.

By prioritizing the loosening of clothing first, the medical assistant can create a safer environment for the patient while also preparing to take further necessary actions as the situation unfolds.