If your child has a Fit with Fever
How to Deal With a Child's Fits with Fever
Closely check on child when ill. If febrile – give paracetamol 10-15mg per kg early to prevent rise in temperature(not aspirin). Therefore check with the thermometer early. Tepid sponging (tap water used : face & body sponged), remove clothing / sheets .Switch on the fun.
If fit occurs; remove anything in the vicinity that may injure the child or move the child away from danger,loosen tight clothing, lay the child left lateral position (so that saliva/vomits can drain out), extend the neck and stay with child until the fit stops. If continuing for a long period or after fit has resolved-take to hospital.when the fit stops she will be drowsy-let him to sleep
If this is a first attack ,this may not be a simple febrile convulsion.It is better tolook for medical advice.
Other causes for fever with fits
1. Atypical febrile convulsion
4. Cerebral malari
Atypical febrile convulsions
1 fit occur 24 hours after the onset of fever
2 A seizure lasting for more than 15 min
3 Repeated convulsions for several hours or days
4 A focal seizure.
Risk factors for the development of epilepsy
1 Positive family history of epilepsy.
2 First febrile seizure prior to 9 months of age.
3 A prolonged or atypical febrile seizure.
4 Delayed developmental milestones.
5 An abnormal neurological examination
Approximately 50% of children have recurrent febrile seizures.
Incidence of epilepsy is approximately 9% when positive risk factors.
Incidence of epilepsy 1% when there is no risk factors.