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avoid remaining immobile in an upright position for long periods. Avoid bondage that relies for safety and security on the bottom keeping a standing position: especially avoid anything that will put undue pressure on the neck if the bottom collapses. Make sure that if the bottom falls, it is onto something soft: the biggest danger with fainting is cracking your head when you fall. Just before fainting someone will most likely go pale and report dizziness, nausea, ringing in the ears or 'feeling faint'. At this point you may be able to avert a faint by removing bonds, gags and breathing obstructions, and getting the person to sit in a chair taking deep breaths with their head between their knees. Stay calm, quiet and reassuring and remember they may feel disoriented or panic-stricken. If someone does lose consciousness, instantly remove all bonds and obstructions, lay them down on their backs and raise and support the legs, and ensure a good supply of fresh air. Consciousness should be quickly regained, though the person will be disoriented for a few minutes and will probably require comfort and reassurance. Keep them quiet and resting for half an hour or so. If the person doesn't regain consciousness quickly, seek emergency help. Check breathing and pulse and be prepared to resuscitate if you know how. Place in the recovery position, lying on the side with head tilted well back and supported by a hand, and uppermost leg bent to prop the body up. Medical help should also be sought if the person remains listless and irrational, or if they drift in and out of consciousness, especially if drugs have been used. Sources: Johans 1988, St John Ambulance 1992. Back to the top Seizure Management by Jay Wiseman A seizure is a disorder of central nervous system function that leads to sensory and/or motor disturbances, often including unconsciousness and generalized convulsions. In my experience, they are the second most common SM-related medical (ie non-trauma or non-injury) emergency after fainting. There are many different types of seizures, and they can manifest in ways ranging from the very subtle to the all-too-obvious. Seizures are usually not directly life-threatening, but can be and have been fatal. Here I deal primarily with a very common and dramatic type of seizure often called the grand mal seizure. It is also sometimes known as the complex seizure or the major motor seizure. Back to the top What are Seizures? One important thing to remember about any type of seizure is that it is a symptom, not a disease process in itself. Actually, it's more correctly called a 'sign', because it is
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