What is a first aid step for victim having grand mal seizure?

Here is a brief overview of the first aid steps you should take if you witness someone having a grand mal seizure (the most severe type of seizure, previously known as a tonic-clonic seizure):

1. Stay Calm: It's important to remain composed during the seizure to provide effective assistance and maintain your safety as well.

2. Ensure Safety: If possible, gently guide the person away from hazards in their environment, such as sharp objects or stairs, to prevent further harm during the seizure.

3. Cushion the Head: Place something soft, like a folded coat, beneath the person's head to protect it from hitting the ground. This helps to prevent injury caused by sudden muscle contractions.

4. Turn on Their Side (Recovery Position): If the person is lying on their back, gently roll them onto their side. This position helps to keep the airway open and prevents choking. Make sure their head is slightly tilted back.

5. Clear Obstructions from the Mouth: If possible, gently remove any obstructions from the person's mouth to ensure unobstructed breathing. Some people use a piece of cloth or a rolled-up handkerchief between the teeth to prevent swallowing the tongue. However, this is controversial, and it's best to seek professional medical advice before doing this.

6. Record Seizure Duration: If you have the means, record the time and duration of the seizure. This information is important for medical professionals. Timing typically starts from the initial loss of consciousness rather than the onset of muscle spasms.

7. Stay with the Person: Stay by the person's side until they regain consciousness. Talking or calling their name is not necessary, as they might not be able to respond.

8. Seek Medical Attention: If the seizure lasts longer than 5 minutes or if the person does not regain consciousness afterward, call emergency medical services (911 or your local number).

9. Provide Comfort and Reassurance: When they regain consciousness, speak calmly and reassuringly. Help them sit in a comfortable position and ensure they're not in any immediate danger.

Remember, your aim during first aid is to protect the person and prevent further injury until medical help arrives. Don't panic, and follow these steps as best you can.