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Febrile seizures

Convulsiones febriles · Febrilní křeče

What it is

A fit with a fever in a young child. Frightening, and almost always harmless.

Symptoms & signs

  • Whole-body stiffening and jerking with a fever
  • under 15 minutes
  • drowsy afterwards
  • age six months to five years

🚩 Get help if…

  • call 112 / 911 now A fit lasting more than 5 minutes, or a second fit
  • call 112 / 911 now Stiff neck, a rash that does not fade when pressed, or hard to wake
  • call 112 / 911 now Blue lips or not breathing normally after the fit
  • see a doctor soon First fit with fever, or weakness on one side afterwards

Where it strikes

Medical treatment

  • Protect the head, recovery position, time it
  • call an ambulance past five minutes
  • treat the source of fever
  • no routine anti-epileptics

Natural & lifestyle

  • Paracetamol for comfort (it does not prevent seizures)
  • fluids
  • a written plan for next time

Emerging & experimental

  • Genetic panels in recurrent complex cases

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Fever medicines to prevent seizures — trials show they do not prevent them not confirmed in trials
  • Cold baths — can cause shivering; not recommended anecdotal / traditional

ICD codes