b'ChapterSwimming and EpilepsyPeople with epilepsy who swim should always be cautious. They should not swim alone if they have missed their regular medication or if they are tired or unwell.If a seizure occurs:Support the patients head, neck and upper body to keep the face clear and above the water(this may be quite difficult). Keep supporting the upper body and wait for the seizure to subside then remove the patient from the water, as soon as it is safe to do so.Call Ambulance 000. Place into the recovery position and closely monitor patient for response, airway, normal breathing while waiting for Ambulance. Even if the patient appears to have fully recovered, call Ambulance 000. The patient needs to be monitored as inhaling water can cause lung/heart damage.A seizure that happens in water can result in drowning.Be prepared to resuscitate.Seizures whilst confinedIf a patient suffers a seizure while:Confined in a wheelchairSeated on a train, tram, aircraft, taxi or busStrapped in a stroller or pramDo not try to remove the patient from their position because in most cases, the seat providesgood support.However, if there is food, water or vomit in their mouth, the person will need to be immediately removed from their seat and placed into the recovery position.During the seizure:Protect the patient by preventing them from falling especially if there is no seat belt.Ensure the wheelchair or stroller is secure. Protect the patient by supporting their head. Something soft under the head will help if there is no moulded head-rest.Check if you need to move any hard objects (that might injure arms and legs).Do not attempt to stop or restrain the patient, unless it is essential to avoid injury.Do not insert anything into the patients mouth.When the seizure subsides, ensure the airway is clear. If there is food, water or vomit in theirmouth, place into the recovery position.Call Ambulance 000 Consciousness usually returns within a few minutes. Rest, reassure and comfort the patient.Explain what happened and closely monitor patient for response, airway, normal breathing while waiting for Ambulance.206 Medical Emergencies'