Management of febrile convulsions within the pre-hospital environment

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 38oC 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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