Febrile seizures in children, management of febrile seizures in children

Febrile seizures are a relatively common disease in children, and as they grow older and their brains develop more gradually, they generally do not occur again. Usually pay attention to a reasonable diet to enhance children's physical fitness. Once you have a fever, keep your body temperature below 38 as soon as possible.

The first thing to do is to take hypothermics; And immediately give physical cooling, with 25% 50% alcohol scrub bath, alcohol scrub bath, alcohol scrub bath, it is forbidden to rub the back of the neck, chest, feet, neck, armpits, groin and other places with large blood vessels. Drug cooling is slower to work than physical cooling.

The child's nervous system is not yet fully developed, once the sudden high fever reaches 39, it is easy to have symptoms of eyes upturning, clenching teeth, body spasms and even loss of consciousness, which has a medical term called "pediatric febrile convulsions". Parents are often so frightened that they want to fly to the hospital in an instant. No matter how fast you act, it will take more than ten or twenty minutes from home to the hospital, and some people will wait for 120 to come to first aid, and the time may take more.

In such a long wait, how can you give your child proper care to stabilize his symptoms and prevent his condition from worsening? The following Mawang Encyclopedia brings you some ways to deal with pediatric convulsions.

1. The child lies on his side or his head is tilted to one side.

Immediately place the child on his or her side with his or her head tilted back and his chin slightly protruding forward, without a pillow. Or go to the pillow to lie flat, head to one side, and do not give medicine to the child during a seizure (to prevent suffocation).

2. Keep the airway open.

Untie the collar and wrap the tongue depressor or chopsticks in a soft cloth or handkerchief between the upper and lower molars to prevent biting the tongue. At the same time, use a handkerchief or gauze to remove the secretions in the child's mouth and nose in time.

3. Control convulsions.

Use your fingers to pinch and press the child's acupuncture points such as Renzhong, Hegu, Neiguan and other acupuncture points for two or three minutes, and keep the surrounding environment quiet, try to move the child as little as possible, and reduce unnecessary **

4. Cool down. Cold compresses——— place cold towels on the forehead, palms, and thighs of the child, and change them frequently; Fill a hot water bottle with ice water or ice packs, wrap it in a towel, and place it on the child's forehead, neck, groin, or with a fever patch.

Warm water scrub bath——— use a warm water towel to repeatedly and gently wipe the large veins such as the neck, armpits on both sides, elbow fossa, groin, etc., so as to make them red, so as to facilitate heat dissipation.

Warm water bath——— water temperature 32-36, the amount of water is not up to the torso, hold up the child's head and shoulders, the body lies in the basin, the time is 5-10 minutes, to scrub more**, to help sweat gland secretion.

Medicated cooling——— oral antipyretics, or embolization of your baby to **

5. Seek medical attention in a timely manner.

In general, febrile seizures in children can be relieved in 3-5 minutes, so when the child loses consciousness, generalized symmetrical tonic paroxysmal spasms or convulsions, parents should not rush to carry the child to the hospital, but should wait for the child to regain consciousness and go to the hospital. After nursing, even if the child's seizures have stopped, it is necessary to go to the hospital to further investigate the true cause of the seizures. However, if the child's convulsions persist for more than 5-10 minutes and cannot be relieved, or if they reverse, it indicates that the condition is serious and must be rushed to the hospital.

On the way to the doctor, expose the child and straighten the neck to keep the airway open. Do not wrap the child too tightly, so as not to block the child's mouth and nose, resulting in unobstructed airway, or even suffocation.

Manifestations of febrile seizures: pre-symptoms1. The child may be extremely irritable or "startled" from time to time, nervous, frightened, and the muscle tone of the limbs increases suddenly.

2. Sudden shortness of breath, pause or irregularity; The body temperature rises suddenly, and the complexion changes drastically; pupil size varies; The edges are uneven.

Manifestations of febrile seizures: typical symptoms1. Sudden onset, loss of consciousness, head tilt back, fixed upward or strabic eyes, foaming at the mouth, trismus, clonic or tonic convulsions of facial or limb muscles, severe cases may appear nuchal rigidity, angular arch reflexion, irregular breathing, bruising or incontinence.

2. The convulsion lasts from a few seconds to a few minutes or longer. This is followed by lethargy or coma. On examination at or shortly after the seizure, signs of mydriasis, obtundation to light, and positive pathological reflexes may be seen, and consciousness is restored shortly after the seizure stops.

Manifestations of febrile seizures: status convulsive1. Those who have seizures lasting more than 30 minutes, or who cannot fully recover consciousness during the interval between two seizures. Critical for convulsions. Hu Tie.

2. Due to the prolonged convulsions, it can cause high fever, hypoxic brain damage, cerebral edema and even a few brain herniations.

Manifestations of febrile seizures: What to do when a febrile seizure occurs1. When febrile convulsions, loosen the clothes and pants, put the baby in a ventilated place, immediately let the baby lie on his back, loosen the collar, and gently support the baby's body to avoid joint damage or falls.

2. In order to prevent the baby's vomit from choking into the airway, consciously turn the baby's head to the side, and clean up the secretion in the mouth and nose in time to prevent the baby from inhaling foreign bodies and causing suffocation.

3. When the baby has convulsions, the baby often has an unconscious tongue bite, and the mother can wrap a small wooden board (or the end of the baby spoon) with clean gauze and put it in the baby's mouth.

4. When the convulsions occur, the mother presses the middle of the person (the middle of the nose) with her thumb to open the body and wake up until the convulsions are relieved, but the nails should not be too sharp, nor too remorseful, so as not to puncture the baby ** and cause unnecessary damage.

Note:

After the baby has febrile seizures, parents should not panic and stay calm.

Manifestations of febrile seizures: how to prevent febrile seizures1. Enhance physical fitness

Febrile seizures are more common in children aged 6 months to 5 years, accounting for about 95%, and special attention should be paid to strengthening nursing care, nutrition, enhancing physical fitness, and minimizing fever and illness in children in this age group.

2. Take antipyretics in time

Children with febrile seizures should be given oral antipyretics (eg, aspirin) and sedatives (eg, luminal) or physical cooling in the early stages of a cold or febrile venereal illness to prevent a sudden rise in body temperature.

3. Medication prevention

For authors who have had multiple episodes in the past, some doctors advocate long-term use of luminals for prevention**. When there are risk factors for febrile seizures to epilepsy, a doctor should go to the hospital for further examination, and the doctor will decide whether long-term medication is needed.