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Simple febrile seizure — RCPSC EM MCQ

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EasyPaediatric emergenciesSimple febrile seizureRCPSC EM

CTAS 3: An 18-month-old has a 2-minute generalised seizure with fever at home. In the ED the child is alert, interactive and drinking. Vitals are T 38.6°C, HR 132, SpO2 99%. Exam shows otitis media and no meningism or focal deficits. What is the most appropriate disposition?

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Correct answer: C — Discharge with fever advice and follow-up after treating the source

A brief generalised febrile seizure with full recovery and no concerning features does not need routine CT, labs, EEG or admission.

Reference: Choosing Wisely Canada Paediatric Emergency Medicine; Canadian Paediatric Society