How to deal with pediatric febrile convulsions?
It is a long-standing misconception to stuff hard objects into the mouth of a child with a febrile convulison to avoid biting the tongue.
Literally, children rarely bite themselves during febrile convulsions, and not only is there no benefit of taking such treatment, but forcing a hard object between the teeth can damage the teeth or mouth because of the children's muscle contracture and trismus during a convulsion.
The National Institute of Neurological Disorders and Stroke website clearly state the management of febrile convulsions: "When possible, gently remove any objects from the child's mouth. Nothing should ever be placed in the child's mouth during a convulsion."
In addition, the American Academy of Pediatrics' popular science website states the following: "Do not put anything into her mouth; she will not swallow her tongue"
How to deal with the stabilization stage of convulsions?
The effect of taking routine examinations of EEG or even cranial CT or MRI is imprecise for children who experienced the convulsion with high fever to rule out a diagnosis of epilepsy. The vast majority of febrile convulsions perform as simple types and it is futile to routinely take costly tests.
The American Academy of Pediatrics 2011 guidelines and Nielsen Pediatrics said that it is unnecessary to take routine EEGs in children of simple febrile convulsions without neurological symptoms,because EEGs do not predict the risk of developing epilepsy in these children, even if they present with the abnormal EEG results.
