For a child with tonic-clonic seizures, what is a priority action during a seizure episode?

Prioritizing the safety of the child during a tonic-clonic seizure is crucial, and protecting the child's head from injury is the most immediate action to take. During a seizure, a child may fall to the ground and their body will experience muscle contractions and convulsions, which can lead to potential head trauma. By cushioning the head or ensuring it does not hit hard surfaces, one can significantly reduce the risk of injury.

While other actions such as administering oxygen or calling for emergency assistance are important, they are not as immediate as ensuring the protection of the child's head. Additionally, placing the child on their back can pose risks, especially if they are not in a position that allows for the airway to remain clear. Therefore, focusing on head protection is a critical and immediate intervention to ensure the child's safety during the seizure.