After the tonic-clonic phase of a seizure, how should a patient be positioned if there is no injury?

Positioning a patient on their left side after the tonic-clonic phase of a seizure is vital for several reasons. This position, known as the left lateral recumbent position, helps to maintain an open airway and facilitates drainage of saliva or secretions, reducing the risk of aspiration. Additionally, the left side positioning minimizes pressure on the vena cava, which can help circulate blood more effectively if the patient experiences residual effects post-seizure.

After a seizure, patients may be disoriented or have difficulty controlling their muscular movements. Placing them on their left side ensures that if they do vomit, the vomitus can exit the mouth without blocking the airway. This is especially important since patients can be at an increased risk for respiratory complications after a seizure.

This position is generally preferred unless there are specific contraindications based on the patient's condition or medical history that necessitate an alternative approach.