Aaron Nelson, MD, MBS, FAAP, FCNS, an expert in pediatric neurology and director of epilepsy at Bellevue Hospital, explores critical insights about first-time seizures in children. He breaks down the implications of abnormal neuron firing and common misconceptions surrounding seizures. Nelson discusses the importance of diagnostic evaluations, the balance between treating children and addressing parental concerns, and how rescue medications can be managed. He also highlights the value of seizure monitoring devices and education for families navigating this challenging experience.