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Lactation and Breast Feeding Resources

The Lactation Crew at Kidcrew will support you and your vision of feeding success.

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Occupational therapy promotes independence in everyday life.

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First-Time Seizure: Urgent Care or Emergency Room?

Navigating the Frightening Reality of a Child’s First Seizure

It’s a typical weekday evening. Your child is playing quietly in the living room when, suddenly, they begin to experience unusual movements or stiffening. You rush over to find them unresponsive and shaking uncontrollably. Your heart races—this is their first seizure. The critical question now: Should you head straight to the emergency room, or is urgent care sufficient?

“Seeing your child experience a seizure for the first time is terrifying. Immediate medical evaluation is crucial, as it can be a sign of a serious condition,”

– Dr. Dina Kulik

Understanding Seizures in Children

Seizures can be alarming, and they manifest in various ways, from convulsions and twitching to a full loss of consciousness.

Recognizing what warrants an emergency room visit is key to ensuring your child gets the right care.

Signs that Require Emergency Room Visits:

  • First-Time Seizure: Any first-time seizure should be evaluated in an emergency room. Medical professionals need to determine the cause and prevent potential complications.
  • Prolonged Seizure: If a seizure lasts more than 5 minutes, it’s considered a medical emergency.
  • Prolonged seizures can cause damage to the brain.
  • Multiple Seizures: If your child has more than one seizure within a 24-hour period, they need to be seen in an emergency setting.
  • Difficulty Breathing or Waking After a Seizure: If your child has trouble breathing during or after a seizure, or if they do not return to their usual level of alertness, they require immediate medical attention.

When Is Urgent Care Appropriate?

For children who have known seizure disorders like epilepsy, and who experience a typical seizure for their condition, follow-up care can often be handled by their regular healthcare provider or at an urgent care facility:

  • Known Minor Seizures: If your child has a history of seizures and experiences one that fits their known pattern, and they recover quickly, follow-up care can sometimes be handled through urgent care.
  • Post-Seizure Check-ups: If your child is already under a neurologist’s care and has a seizure that isn’t unusual for them, a follow-up appointment at an urgent care or with their specialist might suffice.

“After a first seizure, it’s important to get a thorough evaluation to rule out causes that need immediate treatment. This is typically done in an emergency room.”

– Dr. Dina Kulik

Conclusion: Safety First

The immediate aftermath of a seizure, especially a first-time event, is critical. Choosing the right place for care—usually the ER for first seizures—ensures that your child receives the best possible evaluation and treatment.

Preparing ahead of time, knowing the signs, and understanding when to seek immediate help can make a significant difference in managing this scary situation effectively and calmly.

Remember, when it comes to seizures, it’s always better to err on the side of caution. Emergency medical services (EMS) or an immediate trip to the ER can provide the necessary support and potentially life-saving intervention.

Dr. Dina Kulik | Kidcrew

Urgent Care | Walk-In by Appointment | Kidcrew Medical Multi-Disciplinary Pediatric Care
Urgent Care | Walk-In by Appointment | Kidcrew Medical Multi-Disciplinary Pediatric Care

The general information provided on this website is for informational purposes and is not medical advice.

Do NOT use this website for medical emergencies.

If you have a medical emergency, call a physician or qualified healthcare provider, or CALL 911 immediately. Under no circumstances should you attempt self-treatment based on anything you have seen or read on this Website. Always seek the advice of your physician or other licensed and qualified health provider in your jurisdiction concerning any questions you may have regarding any information obtained from this Website and any medical condition you believe may be relevant to you or to someone else. Never disregard professional medical advice or delay in seeking it because of something you have read on this Website.

Dr. Dina Kulik

Dr. Dina Kulik completed her Pediatrics Residency and Pediatric Emergency Medicine Fellowship at the Hospital for Sick Children. Dr. Dina is one of Canada’s leading child health media experts, providing child health information through television, radio, print media, and via her blog DrDina.ca. Above all, Dina’s greatest joy is her family, and being the mom of four lovely boys.

Dr. Dina Kulik

Dr. Dina Kulik completed her Pediatrics Residency and Pediatric Emergency Medicine Fellowship at the Hospital for Sick Children. Dr. Dina is one of Canada’s leading child health media experts, providing child health information through television, radio, print media, and via her blog DrDina.ca. Above all, Dina’s greatest joy is her family, and being the mom of four lovely boys.
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