Patients presenting with status epilepticus should be treated with airway management and anticonvulsants as necessary. Patients presenting with history and physical examination findings consistent with a simple febrile seizure should have frequent neurologic examinations to monitor mental status. Other causes of seizure should be ruled out. The cause of the febrile illness should be sought and treated. Antipyretics should be considered.
Parental anxiety needs to be addressed.
For further discussion on the treatment of seizures, see Pediatrics, Status Epilepticus . Antipyretics - Antipyretics should be used in patients who appear uncomfortable secondary to fever. Antipyretics do not appear to prevent recurrence of febrile seizures. Inhibits the formation of prostaglandins. Most patients should be observed in the ED until awake and alert.