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paediatrics emergency-medicine neurology

Febrile Seizure Risk Stratification

Classifies febrile seizures as simple vs complex and stratifies meningitis risk and recurrence. Guides LP decision and anticonvulsant use.

Used in: Meningitis & Encephalitis Seizures & Epilepsy

Score interpretation

Simple febrile seizure in child >=18 months

→ Reassurance; treat underlying fever cause; discharge if well; parent education on recurrence (30%) and first aid; no anticonvulsant prophylaxis needed

Complex features or young age — observe

→ 4-6h observation; antipyretics; bloods if source unclear; consider LP if <18 months and no clear source or first seizure; EEG if recurrent complex febrile seizures

High-risk: complex + meningism or very young

→ Urgent LP after CT if papilloedema or focal signs; IV ceftriaxone before LP if bacterial meningitis suspected; PICU; IV status epilepticus protocol if seizure ongoing

Interpretation bands for the Febrile Seizure Risk. Apply clinical judgement and local guidance.

References

Related

Curated clinical cross-links plus same-class fallbacks.

Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.