While in the majority of such cases parents will present to secondary care, first febrile convulsions can present to general practice or be seen initially by a paramedic advanced clinical practitioner. to explore the value of ensuring a secondary care assessment, we need to look at the answers to a few other questions. What tests are needed following a febrile convulsion? if the diagnosis of febrile convulsion is as above and was a self limiting generalised tonic clonic seizure, no tests are required. so what happens when a child is seen in secondary care following an uncomplicated febrile convulsion? the history and examination is repeated.
The majority of febrile seizures are classified as simple (a generalised seizure occurring once in a 24 h period and lasting <10 min). simple febrile convulsions are not in themselves harmful, and are not necessarily indicative of serious infection . most children who have experienced a simple febrile seizure will gradually return to a normal. Long term treatment of the child with simple febrile seizures.”2 for a child who has experienced a simple febrile seizure, there are potentially 4 adverse outcomes that theoretically may be altered by an effective therapeutic agent: (1) decline in iq; (2) increased risk of epilepsy; (3) risk of recurrent febrile seizures; and (4) death. neither. Fever is one of the most common presenting symptoms of pediatric illnesses. fever in children under age five years signifies systemic inflammation, typically in response to a viral, bacterial, parasitic, or less commonly, a noninfectious etiology. patients’ ages and geographic settings can help direct the appropriate diagnostic approach and treatment, if local epidemiology is well understood. The evaluation and management of young infants presenting with fever remains an area of significant practice variation. while most well appearing febrile young infants have a viral illness, identifying those at risk for invasive bacterial infections, specifically bacteremia and bacterial meningitis, is critical. this statement considers infants aged ≤90 days who present with a rectal.
Fever is one of the most common presenting symptoms of pediatric illnesses. fever in children under age five years signifies systemic inflammation, typically in response to a viral, bacterial, parasitic, or less commonly, a noninfectious etiology. patients’ ages and geographic settings can help direct the appropriate diagnostic approach and treatment, if local epidemiology is well understood. The evaluation and management of young infants presenting with fever remains an area of significant practice variation. while most well appearing febrile young infants have a viral illness, identifying those at risk for invasive bacterial infections, specifically bacteremia and bacterial meningitis, is critical. this statement considers infants aged ≤90 days who present with a rectal. Afebrile febrile seizure. fever and all of the following: generalised tonic clonic seizure. duration of less than 15 minutes. complete recovery within 1 hour. do not recur within the same febrile illness. fever and any of the following: focal features at onset or during the seizure. duration greater than 15 minutes. Studies have shown an overall risk of 2 7% of a child developing epilepsy following febrile seizures. there also appears to be a difference between simple and complex febrile seizures. the risk ranges from 2.4% among children with simple febrile seizures, to 6 8% among children with febrile seizures with a single complex feature (13,18).
Afebrile febrile seizure. fever and all of the following: generalised tonic clonic seizure. duration of less than 15 minutes. complete recovery within 1 hour. do not recur within the same febrile illness. fever and any of the following: focal features at onset or during the seizure. duration greater than 15 minutes. Studies have shown an overall risk of 2 7% of a child developing epilepsy following febrile seizures. there also appears to be a difference between simple and complex febrile seizures. the risk ranges from 2.4% among children with simple febrile seizures, to 6 8% among children with febrile seizures with a single complex feature (13,18).
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