In a patient who had a convulsive seizure and is now unresponsive with a brief tonic phase followed by clonic activity, what is the most appropriate next action?

• A. Remove clothing and begin to cool him.
• B. Administer oxygen and check vitals.
• C. Check blood glucose and give glucose if needed.
• D. Protect the head and begin transport.

Answer: (D)

After a convulsive seizure ends, the immediate priority is airway protection and safe transport. The patient may be in a postictal, unresponsive state with risk of airway compromise or aspiration, so you cushion and protect the head, keep the airway clear, and move the patient toward rapid transport to the hospital for further evaluation. While checking blood glucose and providing oxygen are useful steps if indicated, they do not take precedence over preventing injury and ensuring timely transport in this scenario.