True or False: When the complaint strongly suggests a generalized seizure, you should go to Protocol 12 regardless of consciousness and breathing status.

• A. True
• B. False
• C. Only if fever is present
• D. Only if patient is under 18

Answer: (A)

When a call strongly suggests a generalized seizure, you activate the seizure protocol (Protocol 12) immediately, regardless of whether the patient appears conscious or is breathing normally. The reason is that seizures can affect airway and breathing at any moment, and the risk of ongoing seizure activity or status epilepticus is time-sensitive. Following Protocol 12 ensures rapid actions to protect the patient, monitor airway and breathing, manage the seizure safely, suction if needed, provide oxygen as indicated, and arrange urgent transport.

Consciousness and current breathing status can be misleading during and after a seizure, so delaying protocol activation in hopes of waiting to see how the patient presents can miss critical needs. Fever or age do not change the decision to use the seizure protocol; the presentation of a generalized seizure supersedes those factors, and treatment remains appropriate for all ages.