Febrile Convulsion

Question 1

What are 6 features of febrile convulsion

Answer 1

Stiff child
Child loses consciousness
Legs / arms twitch

Temperature prior to seizure
Lasts less than 15minutes
Vomit / froth from mouth

Question 2

How common is Febrile convulsion?

Answer 2

1/20 children have it between 6m-5yr

Question 3

How to reassure parents about febrile convulsion?

Answer 3

Some children may have this one off event and that’s it

Other children may have multiple but grow out of them after 5yr old

Important to stress this doesnt affect your child development

Question 4

Prognosis in terms of risk of febrile convulsion

Answer 4

Very small 1% risk of developing epilepsy in the future

Question 5

How do manage a febrile convulsion in hospital?

Answer 5

Treat the underlying cause of the fever + supportive management => paracetamol / fluids

Question 6

If a seizure happens at home, what to tell parents (3)

Answer 6

Soft pillows around them
Recovery position
TIME CONVULSION LENGTH

Question 7

What do we tell parents NOT TO DO if a child has a febrile convulsion

Answer 7

Cold bath / shower / sponge

Question 8

What % develop further convulsions?

Answer 8

30-40%