Febrile convulsions

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4 min 55 sec

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Febrile Convulsions in Children

Overview

Febrile convulsions are seizures that can occur in children with high temperatures. They are typically seen in children between 6 months and 6 years old.

Causes

Febrile Illnesses: Febrile convulsions often accompany illnesses causing high temperatures, such as flu or ear infections.
Vaccinations: Convulsions may occur 8 - 14 days after certain vaccinations, though they are more commonly associated with the measles virus itself.

Symptoms

Appearance: Hot and flushed skin, dazed or confused, may lose consciousness.
Muscle Symptoms: Muscle tightening, twitching, shaking, arching of the back, clenched fists.
Other Symptoms: May stop breathing briefly, loss of bladder or bowel control, sweating.

Patient Care

Safety Measures: Place the child on a flat surface, clear the area around them, and pad with towels to prevent injury.
Loosen Clothing: Ensure clothing is loose, especially around the neck.
Do Not Restrict: Do not restrain the child's movements.
Protect Airways: Do not insert anything into the mouth; clear vomit or food from the vicinity.
Cooling: Cool the room, loosen clothing, but do not sponge or bathe the child.
Recovery Position: Place the child in the recovery position.
Medication: Administer paracetamol as directed to lower temperature; avoid ibuprofen for children under six months.
Monitor Vital Signs: Keep track of the child's vital signs and report any concerns to a doctor.

Emergency Action

Activate emergency medical services (EMS) if:

The child's condition does not improve after the convulsion.
The seizure is focused on one part of the body.
Breathing difficulties occur or the seizure lasts more than 15 minutes.
Another seizure follows shortly after the first.

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