These guidelines do not establish a standard of care to be followed in every case. It is recognized that each case is different and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare guidelines for each. Accordingly, these guidelines should guide care with the understanding that departures from them may be required at times.
Objective of the Guideline
The objective of this guideline is to standardize care of the child with a simple febrile seizure in the Emergency Department/ Urgent Care (ED ED/UCC) setting.
ED/UCC providers including physicians, fellow, resident physicians, advance practice nurses and direct care nurses.
Clinical Questions Answered by Guideline
1. Should a child seen in the ED/UCC with a simple febrile seizure:
- Have laboratory tests performed?
- Have radiological imaging (CT)?
- Have an EEG performed?
- Be treated with medications?
- Be sent home with medications?
- Have a neurology consult?
- Be admitted to the hospital?
2. Should a lumbar puncture and laboratory testing of CFS be done for children with a simple febrile seizure?
Seizure; Simple Febrile
Children's Mercy Kansas City, "Seizures, Simple Febrile Seizure" (2016). Clinical Practice Guidelines. 7.