Background
If the child is still seizing at the time of presentation, initial management is directed towards resuscitation and stopping the convulsion in accordance with APLS guidelines on the management of status epilepticus.
Management is directed towards identifying the cause and excluding serious infection.
If hypoglycaemic, please ask the labs for a ketone assay (an extra 0.5ml Lithium Heparin - orange top).
Links
- Parent information / advice on Febrile Convulsion
- Parent information / advice on Fever in Children
References
- C. M. Verity and J. Golding, "Risk of epilepsy after febrile convulsions: a national cohort study," BMJ, vol. 303, no. 6814, pp. 1373–1376, 1991, doi: 10.1136/BMJ.303.6814.1373
- N. Patel, D. Ram, N. Swiderska, L. D. Mewasingh, R. W. Newton, and M. Offringa, "Febrile seizures," BMJ, vol. 351, Aug. 2015, doi: 10.1136/BMJ.H4240
- D. Sapir, Y. Leitner, S. Harel, and U. Kramer, "Unprovoked seizures after complex febrile convulsions," Brain Dev., vol. 22, no. 8, pp. 484–486, 2000, doi: 10.1016/S0387-7604(00)00187-X
- "Febrile seizure - Symptoms, diagnosis and treatment | BMJ Best Practice." [Online]. Available: https://bestpractice.bmj.com/topics/en-gb/566. [Accessed: 16-Nov-2021]
- "Febrile seizure | Health topics A to Z | CKS | NICE." [Online]. Available: https://cks.nice.org.uk/topics/febrile-seizure/. [Accessed: 16-Nov-2021]