Podcast 658: Febrile Seizures

<p><strong>Contributor:  Peter Bakes, MD</strong></p> <p><strong>Educational Pearls:</strong></p> <ul> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Febrile Seizure clinical criteria</span></li> <li style="list-style: none; display: inline"> <ul> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">6 months - 5 years of age</span></li> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">Rapid rise in temp</span></li> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">No preexisting seizure disorder</span></li> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">No other explanation for the seizure</span></li> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">Nonfocal seizure lasting less than 15 minutes</span></li> </ul> </li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">If the seizure does not meet the above criteria, a full workup needs to be completed</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Regardless of cause, treat the seizure with IV/IO benzodiazepines or IN versed if unable to obtain access</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Risk of developing epilepsy after a simple febrile seizure roughly doubles</span></li> </ul> <p><strong>References</strong></p> <p><span style="font-weight: 400;">Leung AK, Hon KL, Leung TN. Febrile seizures: an overview. Drugs Context. 2018;7:212536. Published 2018 Jul 16. doi:10.7573/dic.212536</span></p> <p><em><span style="font-weight: 400;">Summarized by John Spartz, MS3 | Edited by Erik Verzemnieks, MD</span></em></p> <p> </p> <p><span style="font-weight: 400;">The Emergency Medical Minute is excited to announce that we are now offering</span> <em><span style="font-weight: 400;">AMA PRA Category 1 credits™</span></em> <span style="font-weight: 400;">via online course modules. To acce