Quote from TinyNurse
hold their arm up above their face during the seizure and let it drop............... does it land other than their face? ok then..
rofl dont do that. We had a paramedic crew do that one time, which by the way is very common, and for whatever reason the patients hand fell directly on the nose and there was blood everywhere. I was about to get excited when I saw the pt, thinking they may have a bad injury but the paramedic crew although embarassed was honest and told me what happened.
Usually if you see enough seizures you can tell most fake seizures but there are some good actors out there. I always used ammonia. I love putting IVs in while someone is having one of these, their whole body is twitching but for some miraculous reason that arm you are sticking is as still as it can be.
Most of the time it is some form of attention seeking behavior, so I would dwell into their life a bit to see what is going on. Typically these patients are very manipulative.