When should a first aider call 9-1-1 for a seizure victim?

A first aider should call 9-1-1 for a seizure victim if the seizure lasts longer than five minutes, if the person has multiple seizures in a row without regaining consciousness in between, or if the individual is injured, has difficulty breathing, or does not wake up after the seizure ends. Additionally, if the seizure occurs in water or if the person is pregnant or has a known medical condition related to seizures, emergency assistance should be sought immediately.