skip to main content

Paediatric febrile seizure with red flags — DipIMC MCQ

Instant feedback + full explanation. One question, done properly.

HardPaediatric and Obstetric EmergenciesPaediatric febrile seizure with red flagsDipIMC

At a crowded community event, a 15-month-old is drowsy 25 minutes after a brief fever-associated seizure. He has a non-blanching rash, capillary refill 4 seconds and temperature 39.4°C. What is the triage category?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: E — Priority 1 (red)

Persistent drowsiness, non-blanching rash and poor perfusion suggest sepsis or meningococcal disease rather than a simple febrile seizure. This is a time-critical paediatric presentation and should be prioritised for immediate assessment and transfer. A short seizure duration does not downgrade the triage category when shock features are present.

Reference: JRCALC Guidelines; MIMMS