initial management at home if history of previous febrile convulsion
Last reviewed 01/2018
initial management of febrile seizure at home
Due to the risk of 1 in 3 children developing recurrences, parents should be given appropriate advice on how to manage a child if further febrile seizures occur at home.
- take necessary steps to prevent injury to the child during the seizure
- avoid restraining the child or putting anything in the mouth
- check the airway and place the child in the recovery position once the seizure stops
- clear the area around the child
- time the seizure
- inform that
- the child may sleep for up to one hour following the seizure
- if seizure lasts for less than 5 minutes - get medical help
- if seizure lasts for more than 5 minutes - call an ambulance
- in recurrent febrile seizure - provide rescue treatment if the tonic-clonic component continues for more than 5 minutes
- buccal midazolam is used as first line treatment or rectal diazepam if preferred or midazolam is not available
Reference:
criteria for admission if febrile convulsion/seizure