In the case of an epileptic fit, what should be given if the episode is prolonged?

In cases of a prolonged epileptic fit, the appropriate response is to administer oxygen if possible and Midazolam buccal gel. This intervention is crucial because prolonged seizures, also known as status epilepticus, can lead to significant complications including hypoxia, which is a lack of oxygen to the brain. Providing oxygen helps to maintain adequate oxygenation to prevent further brain injury.

Midazolam is a fast-acting benzodiazepine that is used in emergency situations to terminate seizures. When given buccally, it is effective in rapidly controlling prolonged seizures and can be administered even if intravenous access is not available. This combination of oxygen and Midazolam addresses the immediate health risks associated with extended epileptic episodes and aligns with the guidelines for emergency management of seizures.

Other options are less effective for managing a prolonged seizure situation. Calming the patient and applying a cold compress might be comforting, but they do not address the underlying issue of the seizure activity or its potential consequences. Providing only oxygen without administering antiepileptic medication may not be sufficient to control the seizure. Offering food and drink is inappropriate during or immediately after a seizure due to the risk of choking and because the patient may not be in a condition to swallow safely.