Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
1
Is any of this happening now?
Call 911
Call emergency services for a seizure lasting five minutes or longer, unless the person's emergency plan gives different instructions.
Emergency help is also needed for repeated seizures without recovery, severe breathing difficulty, blue or grey lips, a serious injury, or failure to wake as usual after a seizure.
Other emergency signs, for anyone
Someone who is struggling to breathe, gasping, choking, or cannot get words out
Someone who has chest pain, tightness or pressure lasting more than a few minutes
Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
Someone who is unconscious, or cannot be woken
Someone who is bleeding heavily and it will not stop with firm pressure
Someone who has had a seizure that will not stop, or does not wake up afterwards
Someone who has lips or skin that look pale, blue, grey or blotchy
Someone who you believe has taken an overdose or swallowed something poisonous
2
Is any of this happening?
Be seen today
Seek urgent medical advice for:
Repeated vomiting or signs of dehydration
A clear increase or change in seizures
New difficulty swallowing or frequent choking
Fever or infection in someone known to have immune problems
Unusual sleepiness or reduced responsiveness
A sudden decline in walking or movement
3
Does any of this apply?
Book an appointment
Arrange routine medical review if there are changes in feeding, growth, seizure frequency, alertness, movement, sleep, hearing, vision, behaviour, or communication.
New coughing during meals, repeated chest infections, constipation, pain, or loss of a previously used skill also deserve assessment.
The article also says
Follow any individual seizure rescue plan provided for the person.
Do not place anything in their mouth or hold them down during a seizure.
Every sign above is quoted from the sofidex article on Wolf syndrome. If you are not sure, err upward — it is always reasonable to be checked.