Febrile Status Epilepticus

Pediatric status epilepticus algorithm

Bottom Line recommendations for assessment and management of status epilepticus in children over 1 month of age. May 2022. Version 1.0

With the help of two of Canada's Pediatric Emergency Medicine seizure experts handpicked by TREKK, Dr. Lawrence Richer and Dr. Angelo Mikrogianakis, we'll give you all the tools you need to approach the child who presents to the ED with a seizure with the utmost confidence.

This infographic provides general information on managing febrile seizures.

This review aims to summarise how to recognise a febrile seizure and rule out other underlying causes, how to manage febrile seizures and how to deal with common questions posed by parents in this situation.

This review describes the differences between simple and complex febrile seizures in pediatric patients. The document provides an overview of clinical assessment, laboratory testing, imaging and discharge instructions.

This review describes current evidence on the evaluation of febrile seizures in the acute setting, the need for further outpatient assessment, and predictors regarding long-term outcomes of these patients

This article discusses the aetiology, clinical presentation, diagnosis and management of children with febrile convulsion, and best practice for care in EDs.

This systematic review assesses the risk of bacterial meningitis among various subgroups of young children with a first seizure in the context of fever, and the utility of routine lumbar puncture in children with an apparent first febrile seizure.

This retrospective study examined the utility of detected epileptiform abnormalities on the initial EEG following a first complex febrile seizure in predicting subsequent epilepsy.

The FEBSTAT study is a prospective study of the consequences of febrile status epilepticus. Acute management, and the relationship between treatment delay, total seizure duration and associated morbidity are analyzed.

Objective: The FEBSTAT (Consequences of Prolonged Febrile Seizures) study prospectively addresses the relationships among serial EEG, MRI, and clinical follow-up in a cohort of children followed from the time of presentation with febrile status epilepticus.

Objective: To determine the likelihood of intracranial pathologic conditions requiring emergency neurosurgical or medical intervention among children without meningitis who presented to the pediatric emergency department after a first complex febrile seizure.

Objective: In children with convulsive status epilepticus with fever, to determine the likelihood of acute bacterial meningitis, the proportion that are treated with antibiotics, and the proportion that have diagnostic CSF sampling.