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Simple Febrile Seizure Management — RACP Paediatrics MCQ

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EasyEmergency PaediatricsSimple Febrile Seizure ManagementRACP Paediatrics

A 3-year-old presents after a tonic-clonic seizure lasting 2 minutes that has now stopped. He has a fever of 39.5°C. He is post-ictal. There is no neck stiffness and he is fully vaccinated. What is the management?

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Correct answer: C — Investigate the cause of fever, provide seizure first aid education, and reassure parents

A simple febrile seizure (generalised, <15 minutes, single episode, age 6 months-5 years, normal examination post-ictally) requires investigation of the fever source only. LP is not routinely needed if the child is fully immunised and recovers to normal. Parents should be educated about seizure first aid and reassured about the benign nature of simple FS.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Febrile Seizures