Management of febrile convulsion in children
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Management of febrile convulsion in children

Siba Prosad Paul Specialty trainee year 8 in paediatrics, Bristol Royal Hospital for Children, part of University Hospitals Bristol NHS Foundation Trust
Eleanor Rogers Fourth-year medical student, University of Bristol
Rachel Wilkinson Advanced paediatric nurse practitioner, St Richard’s Hospital, Chichester, part of Western Sussex Hospitals NHS Foundation Trust
Biswajit Paul Consultant resident neurologist, Gauhati Medical College and Hospital, Guwahati, India

Siba Prosad Paul and colleagues discuss the aetiology, clinical presentation, diagnosis and management of the most common type of seizure in children, and set out best practice for their care

The causes of febrile convulsions are usually benign. Such convulsions are common in children and their long-term consequences are rare. However, other causes of seizures, such as intracranial infections, must be excluded before diagnosis, especially in infants and younger children. Diagnosis is based mainly on history taking, and further investigations into the condition are not generally needed in fully immunised children presenting with simple febrile convulsions. Treatment involves symptom control and treating the cause of the fever. Nevertheless, febrile convulsions in children can be distressing for parents, who should be supported and kept informed by experienced emergency department (ED) nurses. This article discusses the aetiology, clinical presentation, diagnosis and management of children with febrile convulsion, and best practice for care in EDs. It also includes a reflective case study to highlight the challenges faced by healthcare professionals who manage children who present with febrile convulsion.

Emergency Nurse. 23, 2, 18-25. doi: 10.7748/en.23.2.18.e1431


Peer review

This article has been subject to double blind peer review

Conflict of interest

None declared

Received: 01 March 2015

Accepted: 14 April 2015

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