What to do when a child has a fever and convulsions

Children with fever and convulsions should be cleared of oral secretions to prevent aspiration. The cause of fever and convulsions in children may be febrile convulsions, intracranial infections, etc., and the cause should be identified and treated promptly. For fever when the temperature <38.5 ℃ can use warm water bath and other physical methods to reduce temperature, when the temperature ≥ 38.5 ℃ need to follow the medical advice to use ibuprofen, acetaminophen and other drugs to reduce fever. For children with convulsions, attention should be paid to tilting the child's head to one side, removing foreign objects from the mouth in a timely manner to prevent aspiration, and keeping the airway open. Also do not press the child too hard to avoid fractures; give oxygen if necessary. When convulsions occur at the beginning of fever or during the period of rapid rise in body temperature, they are considered to be febrile convulsions. In addition to the basic treatment mentioned above, medications such as chloral hydrate and diazepam can be used to control the symptoms of convulsions under the guidance of a doctor. Patients with intracranial infections may also have high fever, vomiting, and convulsive seizures. Dehydration drugs such as mannitol are commonly used to reduce intracranial pressure, and antiepileptic drugs such as phenobarbital are given. For bacterial infections, appropriate antibiotics should be selected according to the results of drug tests, and commonly used drugs include ceftriaxone and penicillin. If necessary, surgical treatment such as ventriculotomy and drainage is performed. All of the above drugs should be used under the guidance of doctors, avoid self-medication. Children with fever and convulsions need to consult a doctor in time to identify the cause of the disease and carry out targeted treatment.