What measures are taken in case of febrile convulsions?

  Febrile convulsions, one of the most common convulsions in children, have a good prognosis in the majority of cases, and are more common from 6 months to 3 years of age. It is characterized by sudden onset of generalized or restricted muscle group tonic and clonic convulsions, mostly accompanied by impaired consciousness, short duration, and more than 90% of the seizures can be spontaneously relieved within 5 minutes. In febrile convulsions, parents should first calm down and then take the following measures: 1. Place the child on a flat place and keep the head tilted to one side to facilitate the flow of oral contents; 2. Do not stuff anything into the mouth, including fingers, chopsticks, tongue depressor to avoid injury to their own fingers or damage to the child’s mouth; 3. Also do not press the patient with excessive force and do not press the thorax to avoid fractures; 4. Avoid Unnecessary stimulation, there is no evidence that pressing the person can shorten the duration of the seizure.  If there is a previous febrile convulsive state or if the current seizure has been unremitting for more than 3 minutes, you should call the emergency number for help as soon as possible and seek medical attention at the first opportunity. The same principle is followed for grand mal seizures.  In other words, if you meet a patient with a grand mal seizure outside the hospital, in addition to the above measures, as long as you ensure that the patient is not harmed, you generally do not need any treatment and wait quietly for the patient to wake up. Unless the patient has a seizure that lasts longer than 5 minutes (i.e., a sustained seizure), develops an obstructed airway, has difficulty breathing at the end of the seizure, or remains unconscious, call for help immediately.  However, in many medical textbooks in the description of the management of grand mal seizures, it is mentioned that a gauze-wrapped tongue depressor needs to be placed between the upper and lower molars on one side to cause a tongue bite. However, it is now internationally accepted that tongue bites hardly ever occur during a seizure and that forcibly prying open the patient’s mouth can damage the jaw and teeth, so stuffing the mouth is not recommended.