Please find the power point on Management of febrile seizures. I tried to present it on understandable way and all the contents are reviewed by experts and from very reliable references. Thank you

1. Management of Febrile Seizures
Sunil Kumar Daha

2. Febrile Seizure-Introduction
• Most common seizure occurring in late infancy
and early childhood
• Seizures associated with fever but there may
not always be evidence of CNS infections
• Febrile seizures usually occur between 3 months
and 5 years of age and have a peak incidence
between 18 and 24 months.
• Usually associated with infections like otitis
media, gastroenteritis and viral infections.

3. Classifications
Simple Febrile Seizure:
• The most common.
• Seizures last less than 15 minutes.
• No focal features.
• Occur in series with a total duration less than
30minutes.
Atypical or Complex Febrile Seizure:
• Episodes last more than 15 minutes.
• Focal features.
• Post ictal paresis.
• Series with total duration more than 30 minutes.

4. Clinical Features
Simple febrile:-
• Generalized clonic- atonic- tonic spells.
• Facial and respiratory muscles are commonly involved.
• Mostly in the first day of illness.
• In 25% of cases it occurs between 38⁰C – 39⁰C.
• It is often seen as the temperature is increasing .
Complex febrile:
• Focal
• Longer than 15 minutes.
• Multiple episodes within 24 hours.

5. Investigations
• CBC
• Blood glucose
• Electrolytes
• LP- if signs of meningitis present

6. Treatment
• Airway, respiratory status and circulation are
continuously assessed during seizure
• Lorazepam ( 0.05- 0.1 mg/kg IV) or Diazepam
rectal ( 0.5 mg/kg) in case of complex seizure.
• Paracetamol (10 -15 mg/kg/dose/4-6 hours)
• Appropriate antibiotic therapy should be
started if there is presence of infection

7. References
• Harrisons Principle of Internal Medicine, 18th
edition.
• Nelson’s Essentials of Pediatrics,7th edition.