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                              MAJOR EPILEPSY
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   Most major epileptic attacks come on unexpectedly. However, sometimes
   a person experiences an aura which serves as a warning that something 
   more severe is about to happen. The aura may differ from one person
   to the next. For example, it may take the form of a strange feeling in
   the body or a particular smell or taste.

   During an aura a persons mood may be altered although this will not 
   last long.

   SYMPTOMS & SIGNS
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   All cases of epilepsy follow a two stage pattern: rigidity/loss of
   consciousness, followed by jerking.

   Casualty suddenly loses consciousness and falls to the ground,
   sometimes letting out a strange cry.

   The casualty becomes rigid for a few seconds and breathing may cease.
   Mouth an lips may turn blue (Cyanosis) and there will be congestion
   about the face and in the neck.

   The muscles then relax and begin convulsive movements. They consist of
   contraction and relaxation of alternate groups of muscles. These 
   convulsions may be quite vigorous.

   Finally, the muscles will relax although the casualty will remain
   unconscious for a few minutes more.

   After the fit is over, usually around five minutes, breathing will
   return to normal and the casualty will regain consciouness but may feel
   dazed or confused and may act strangely. This feeling can last for
   several minutes to an hour and the person may want to rest quietly.

   
   THE AIM
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   Quite simply, is to protect the casualty from injury during the fit and
   provide care once consciousness is regained.

   
   THE TREATMENT
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   1:  If the casualty is falling, try to support or ease the fall and lay
       down gently.

   2:  Clear a space around the casualty and, unless you want somebody to
       help, ask all bystanders (gawpers) to leave. If possible, carefully
       loosen clothing around the neck and place something soft under the
       head.

   3:  When the convulsions cease, place the casualty in the Recovery
       Position, ( See Resusitation ) to aid breathing.

   4:  When the attack is over, stay with the casualty until you are
       certain recovery is complete.

   5:  Even if the casualty makes a quick full recovery, advise the 
       casualty to inform the doctor about the latest attack.

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