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Initial management at home if history of previous febrile convulsion

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

initial management of febrile seizure at home

Due to the risk of 1 in 3 children developing recurrences, parents should be given appropriate advice on how to manage a child if further febrile seizures occur at home.

  • take necessary steps to prevent injury to the child during the seizure
  • avoid restraining the child or putting anything in the mouth
  • check the airway and place the child in the recovery position once the seizure stops
  • clear the area around the child
  • time the seizure
  • inform that
    • the child may sleep for up to one hour following the seizure
    • if seizure lasts for less than 5 minutes - get medical help
    • if seizure lasts for more than 5 minutes - call an ambulance
  • in recurrent febrile seizure - provide rescue treatment if the tonic-clonic component continues for more than 5 minutes
    • buccal midazolam is used as first line treatment or rectal diazepam if preferred or midazolam is not available

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