b'Chapter hapterConvulsions in Children (Febrile Convulsions)Young children aged between six months and six years can have epilepsy, just like adults, but the seizures are more commonly due to a sudden rise in body temperature, known as febrile convulsions. This may be brought on by a cold, viral, throat or ear infection and will normally last a few minutes. Signs and symptoms are similar to a tonic-clonic seizure. The convulsions can be upsetting for parents but they are rarely dangerous if managed correctly. Children who experience a febrile convulsion are not at increased risk of epilepsy.How to RecogniseClear signs of fever such as hot, flushed, sweaty skin.Twitching of the face and sometimes drooling at the mouth.Generalised twitching of the muscles.The back may be arched backwards with fists clenched.Blue, congested face with fixed or upturned eyes.Lethargy followsHow to ManagePlace the child on the floor and protect from anyinjury by putting soft padding or pillows alongside.Do not forcibly restrain the child, unless it is essential to avoid injury. Do not put anything in the mouth. Remove any covering or clothes and ensure fresh air circulation. A moist sponge (but not cold) may be used to provide some comfort to the child. Do not over cool the child because this promotes shivering which producesadditional body heat. Call Ambulance 000.I nfant paracetamol is useful as it reduces temperature but should only be administered with written consent from parents or under advice from a doctor.Monitor temperature and closely monitor child for response, airway, normal breathing whilewaiting for Ambulance.After the Convulsion Place the child into the recovery position and cover with a sheet.Continue to closely monitor temperature and child for response, airway, normal breathing whilewaiting for Ambulance.Medical Emergencies 207'