When the ambulance finally arrived at McKinley High School, right in the middle of their club period, the school fell into chaos. Figgins stood, only able to stare as the boy in a wheelchair and the black girl guiding them to where they needed to be. Figgins felt a cold sweat coming on. It was probably the Hummel boy. He hadn't had a seizure during school in a long time, but he could remember a time when the Hummel boy had been having seizures so constantly that he hadn't been able to attend classes for almost a month.

He followed them, needing to see which parent he needed to call. He could only hope that it wasn't Mr. Hummel; they'd had a hell of a time with Burt Hummel when they tried to put Kurt in a special education class with an aide. Figgins definitely did not want to go another round with Hummel Sr.

Figgins could have screamed when he realized that yes, they were going for the school choir room. Then they entered the classroom to find the young teenager seizing violently, for what could only be one of multiple times if they were calling the paramedics.

"He came out of it for a few seconds," Finn explained as one of the paramedics moved him away. "Then he started seizing again. He's only 15. Fourth seizure so far. He has Refractory Epilepsy with no notifiable syndrome." He wanted to stay by his brother, but he backed away so that the paramedics could do what they needed.

"He was also coughing up red mucus the last time he was awake. He doesn't feel warm to the touch," Sue provided. She also backed away, standing next to Will. They all hovered as Figgins tried to clear out the room as much as he could.

The paramedics nodded, getting right to work. Kurt's body was stiff and trembling, almost as if he were being electrocuted. His arms crossed against his chest, his head thrown back to bare his neck, and his legs ram-rod straight. The trembling never stopped as Kurt's muscles, in what seemed to be coordinated groups, relaxed and then reengaged.

"How long has he been seizing?"

"Six minutes," Santana provided. "Frankenteen was too surprised by this seizure to start counting."

It wasn't said with malice, simply stated. Finn gave her a small glance, but found no anger or heat in her expression. There was only fear.

"What's he on?"

Finn looked up, shocked to see that the paramedic was rubbing his knuckles against Kurt's sternum.

"No pain response. Unresponsive Level of Consciousness. Kid, what is he on for his seizures?"

Finn grabbed Kurt's medical necklace out of his pocket; he'd grabbed it off Kurt's neck almost as soon as he realized that his brother was seizing. He read it off quickly, hands shaking.

"Onfi, Lamictal, Prednisone, and Epilim. He's had seizures since he was 6. No other medications."

The female paramedic nodded and turned to her partner, pointing to Kurt's lips. He was slightly cyanotic.

"Non-rebreather, 10 liters to start. I'll get it, secure his airway."

James had to admit, the kid's brother had done a pretty good job of securing the area as soon as he realized his brother was really seizing. All of the dangerous items like chairs, music stands, and hard objects had either been moved out of the way or covered with something soft in case Kurt moved and hit his head. He'd even remembered to remove the medical alert necklace.

He turned to his patient and quickly made sure that the boy was able to breathe. He wrinkled his nose and clicked his tongue when he realized that there were thick secretions in the teen's mouth. None of it looked particularly bloody, but there were red spots in the boy's mouth that came from clenching his jaw and biting down.

"Airway is slightly closed off, but could be head positioning. I'm going to readjust his head and neck. I don't really want to put in an airway if we don't have to," James decided.

"Less is more," Sarah agreed, and continued to set up the oxygen. She watched carefully as James frowned as he felt that the young teen was warm and sweaty, but continued to adjust the boy's head positioning. They heard a rushed wheeze of air as the boy's airway was opened, and James nodded. He picked his head up to glance at Sarah.

"Airway is clear, but with increased secretions. I'm going to suction. Got the O2 ready?"

She nodded to James and held up the non-rebreather. Quickly, they gave Kurt some extra oxygen and then slid the suction catheter in, managing to get most of it. It took a few tries, of course, as Kurt was still below 18 and couldn't be suctioned for more than 5 seconds at a time.

As soon as James was finished clearing everything, they slid the non-rebreather mask onto the boy's face, securing the strap behind his head, and watched as the minutes ticked on and on. The paramedics managed to gain IV access and gave Kurt a dose of Lorazepam via the IV.

Finn watched as his brother, who hadn't fully surfaced for over 30 minutes by now, finally stopped seizing and his eyes slid open thirty seconds after the end of the seizure.

"Kurt? My name is James, can you tell me where you are?" the paramedic asked, putting his face into Kurt's line of sight.

Kurt wrinkled his nose and closed his eyes, looking fully exhausted. He puffed out a breath and tried to bring himself out of his exhausted fugue state.

"Choir room," Kurt finally pushed out. "McKinley. Hell on Earth."

James nodded, a smile on his face. He barked out a tiny laugh as he heard the boy say 'Hell on Earth.'

"Okay, Kurt. I've got your brother and your friends here with me. This is Sarah, we're going to take you to the ER for some more treatment. You've had four seizures and moved into a status state before we got here."

James had found that it was best to give the patients all the information, even if they weren't fully aware yet. Kurt would be exhausted from the IV Lorazepam, but they needed to try and keep him as alert and oriented as they could as the boy came out of his postictal state.

There were a few moments of silence, as the young teen took everything in. Then he pulled his eyes open and stared the paramedic in the eyes.

"Can Finn come? Call my dad."

James turned back and looked to Finn, giving him the nod that the young man could come closer. Finn was immediately standing by his brother as Sarah hooked him up on the portable oxygen at a higher level.

"I called Burt. Then I sent him a text," Finn chattered. As they did so, James gave Sarah the nod and they were off to the ambulance, Kurt hooked up to monitors and tubes and settled on the gurney, Finn holding one hand and walking beside them to keep his brother calm.

NOTES:

Postictal State- State after a seizure where patients come out of their seizure. It's sometimes referred to as the 'Calming State' as your brains and the neurons that were previously firing are able to stop. Postictal States can last 5-30 minutes, normally. (Sometimes more in larger seizures. Can cause severe migraines, nausea, vomiting, and drowsiness.

Non-Rebreather- A type of oxygen mask. People sometimes remember it as the 'Bagged mask'. It has a bag under the mask that keeps you from rebreathing CO2 (Carbon dioxide) as you receive oxygen treatment.

Status Epilipeticus (Mentioned in Ch 1 )- A 'type' (And I use that word very lightly) of seizure state characterized by a seizure lasting 30 minutes or more OR two seizures with no regaining of this fic, Kurt had several seizures back to back. That is indicative of a Status Epilepticus state, where your mind doesn't pull you out of a seizure or is stuck in a seizure cycle for whatever reason. In Kurt, it was most likely his change of medication. Status Epilepticus is EXTREMELY dangerous, as your mind doesn't have a chance to break out of the seizures and simply continues on.