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I recently overheard a talk between a nurse and an epilepsy patient, where the nurse states, that "nowadays we don't do something when a patient seizures, just wait and monitor". She actually said this twice in the talk and acted like this was actual knowledge and commonly known in the medical field. The talk was about the patient with a known epilepsy, wanting to debate the procedures in a (his) possible emergency. It is a neurological ward, the nurse is the chief nurse on this ward. Unfortunately I couldn't ask the nurse for some real source of this statement. At home I checked the most-recent national seizure guidelines, covering pre-clinical as well as hospital treatment, and they give a fast intervention as standard (drugs, oxygene, ...), with the target to break the seizures as soon as possible. However, those guidelines are from 2008 (last updated/revised, originally they are from 2002). Does anyone know about new treatment strategies to simply wait for a seizure to stop for itself? Some years ago I had several discussions with fresh medics from one specific school, who told me that giving no oxygene in seizure would terminate it earlier, so giving oxygene would be false treatment. After beeing confronted with 1) guidelines and 2) the question for the base of their statement, the discussions usually went silent soon. Some neurologists I asked and finally, our organizations state-wide chief medical director made clear, oxygene still is within the treatment plan of seizures if indicated by cyanosis and/or low SpO2-readings. So I smell another strange thing here, only now it's not some fresh minted medic from just one school with a possible misunderstood teacher, but the well respected chief nurse of a neurological ward... As soon as I have the chance and time, I will get back to this nurse or someone other of this hospital/ward to check things, but maybe someone already has some insight here. Would be great!