febrile seizures…

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grand mal seizure, central nervous system, seizure, fever induced, a febrile seizure, convulsion, child triggered by a fever, such convulsions occur, underlying brain, spinal cord infection, neurologic cause, 3-5% of otherwise healthy children between the ages of 9 months, 5 years, seizure, a fever, toddlers, most commonly affected, tendency, febrile seizures to run in families, most febrile seizures, triggered by a rapid rise of body temperature over 102.2°f, most occur well, the first 24 hours of an illness, not necessarily, the fever is highest, seizure, the first sign of a fever, first febrile seizure is one of life's most frightening moments, parents, most parents, afraid that child, die, have brain damage, thankfully, simple febrile seizures, harmless, no evidence that simple febrile seizures cause death, brain damage, epilepsy, mental retardation, a decrease in iq, learning difficulties, most febrile seizures, triggered by fevers from viral upper respiratory infections, ear infections, roseola, meningitis causes, less than 0.1% of febrile seizures but should always be considered, in children less than one year old, who still look ill, the fever comes down, a simple febrile seizure stops, a few seconds to 10 minutes, followed by a brief period of drowsiness, confusion, anticonvulsant medicines, generally not needed, a complex febrile seizure is one that lasts longer than 15 minutes, occurs in an isolated part, recurs, same illness, a third of children, had a febrile seizure, have another one, a subsequent fever, half, third seizure, few children have more than three febrile seizures in lifetime, family history, first seizure happened, 12 months of age, seizure happened, a fever below 102, a child is more likely to fall, in the group that has more than one febrile seizure, a febrile seizure, the child's eyes rolling, limbs stiffening, quite often a fever triggers a full-blown convulsion that involves, whole body, febrile seizures, the sudden sustained contraction of muscles on both sides of a child's body, the muscles, the face, trunk, arms, legs, a haunting, involuntary cry, moan often emerges, child, force, the muscle contraction, contraction continues, seemingly endless seconds, tens of seconds, child, fall, standing, pass urine, vomit, bite his tongue, child, not be breathing, to turn blue, sustained contraction is broken by repeated brief moments of relaxation, the child's body begins to jerk rhythmically, child is unresponsive, parent's screams, a febrile seizure diagnosed by the health care provider, a grand mal seizure occurs, child, a fever, no prior history of seizure disorders, epilepsy, in infants, young children, important to rule out other causes, first-time seizure, meningitis, typical febrile seizure, examination, shows no abnormalities other than the illness causing the fever, a full seizure workup, an eeg, head ct, lumbar puncture, spinal tap, not warranted, child's condition must meet strict medical criteria, to be avoided, child must be developmentally normal, seizure must be generalized, not focal, meaning more than one part, the body is involved, seizure, not last longer than 15 minutes, child cannot have had more than one febrile seizure in 24 hours, child's neurologic exam performed by a physician must be normal to be, a simple febrile seizure, all of these criteria, met, no further studies, likely to be required, seizure, leave child on the floor, want to slide a blanket under him floor is hard, move him only, he, dangerous location, remove objects, injure him, loosen any tight clothing, around the neck, open, remove clothes, waist up, he vomits, saliva, mucus build up, in the mouth, turn him on his side, stomach, important, it looks, tongue is getting, in the way of breathing, not try to force into his mouth, prevent him from biting the tongue, increases the risk of injury, not try to restrain child, try to stop the seizure movements, focus attention on bringing the fever down, inserting rectal acetaminophen, great first step, happen to have some, not try, to give by mouth, apply cool washcloths, forehead, neck, sponge the rest, lukewarm, not cold, water, cold water, alcohol, make the fever worse, seizure is over, child is awake, give the normal dose of ibuprofen, acetaminophen, seizure, most important step, identify the cause, the fever, most children outgrow febrile seizures by age 5, a small number of children, had a febrile seizure go on to develop epilepsy, the febrile seizures, children who would develop epilepsy anyway, have first seizures, fevers, prolonged, complex seizures, previous neurologic problems, a family history of epilepsy also make future epilepsy more common, number of febrile seizures has no correlation, future epilepsy, an injury from falling down, bumping into objects, biting oneself, breathing fluid, lungs, pneumonia, injury from prolonged, complicated seizures, side effects of medications, treat, prevent seizures, complications, a serious infection, meningitis, caused the fever, seizures unrelated to fever, children should see a doctor, after first febrile seizure, seizure is lasting several minutes, to have an ambulance bring child, hospital, seizure ends quickly, drive the child to an emergency room, it is over, a child should also see a doctor, repeated seizures occur, same illness, looks, a new type of seizure, child, go in, any other symptoms occur, seizure, nausea, vomiting, rash, tremors, abnormal movements, coordination, drowsiness, restlessness, confusion, sedation, children to sleep, briefly drowsy, confused immediately following a seizure, prevent future febrile seizures, give acetaminophen, ibuprofen, first sign of a fever, want to keep acetaminophen suppositories on hand, sponge child, lukewarm water, give him cool liquids to drink, to lower the temperature, keep him well hydrated, febrile seizures, the first sign of illness, prevention, not possible, neither an initial nor recurrent febrile seizure suggests that child is not properly cared, a physician, prescribe diazepam, prevent, treat recurrent febrile seizures, zupanc m, first seizure in childhood, don't, something, stand there! neurology, 64(5), 774-775, warren cr, evaluation, febrile seizures, in the out-of-hospital, emergency department settings, ann emerg med, 41(2), 215-222, jankowiak j, seizures in children, fever, generally good outcome, neurology, 60(2), e1-2.