Diagnosis:
Seizures associated with fever in children from 6 months to 6 years old
Complicated febrile seizure:
>15 minutes, recur within 24 hours, localising signs i.e. complex febrile seizures, multiple seizures
These need more evaluation and observation
Investigations to consider:
FBC, U&E, glucose
Blood cultures
Urinalysis +/-urine culture
CSF analysis
Consider EEG and MRI
Treatment:
Antipyretics:
Paracetamol orally or ibuprofen orally but these don’t decrease the incidence [RCT]
Treat underlying cause