Alex Sharp
Journal of Paramedic Practice, Vol. 8, Iss. 9, 13 Sep 2016, pp 447 - 451

Febrile convulsions are relatively common presentations to the ambulance
service and occur in 2-5% of the population. A febrile convulsion is a
convulsion associated with a temperature above 38C in paediatrics aged
between six months to six years with peak occurrence at 18 months of age. The
majority of febrile convulsions (70%) are classed as simple febrile convulsions
which are limited in duration with no long-term neurological impact on the
child. These simple febrile convulsions can be safely managed within the
community in many cases except where it is their first febrile convulsion, aged
under 18 months old, are already on antibiotics or there is no obvious cause of
infection resulting in the convulsion. The risk of a febrile convulsion being the
sole indicator of epilepsy is extremely low.

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