An 18-month-old child presents to a Brisbane ED, triage category 3, after a 2-minute generalised seizure with fever. The child is now alert,

Question

An 18-month-old child presents to a Brisbane ED, triage category 3, after a 2-minute generalised seizure with fever. The child is now alert, immunisations are current, examination suggests viral URTI and there are no meningism or focal neurological signs. What is the most appropriate disposition?

Accepted Answer

Discharge after observation with safety-net advice

Answer

Admit to ICU for EEG monitoring

Answer

Perform immediate CT brain

Answer

Give prophylactic antibiotics

Answer

Start long-term sodium valproate

Simple febrile seizure — ACEM Fellowship MCQ

An 18-month-old child presents to a Brisbane ED, triage category 3, after a 2-minute generalised seizure with fever. The child is now alert, immunisations are current, examination suggests viral URTI and there are no meningism or focal neurological signs. What is the most appropriate disposition?