Children with febrile convulsions should not panic parents

Children growing up, attacked by a variety of pathogenic factors, fever, with the rise in body temperature, when the body temperature exceeds 38.0 ℃, there is a possibility of sudden onset of convulsions, which can be manifested as a sudden onset of generalized or localized muscle group convulsions, the child’s loss of consciousness, the head tilted backward or tilted to the side, the eyes hanging up or blinking involuntarily, the face, the mouth and lips pale or bruised, the teeth are clenched, foaming at the mouth (if the bite of the tongue will spit blood foam), limbs stiff and rhythmic twitching, there may also be incontinence. (If the tongue is bitten, it will spit blood foam), limbs stiff and rhythmic twitching, and incontinence may also occur. This is what is clinically known as febrile convulsions, a common pediatric emergency; the first time you see this, most of the time, the child’s parents will be under a big jump, especially the child’s grandparents, grandparents and grandparents, grandma and grandpa. Febrile convulsions occur most often in children between the ages of 6 months and 5 years, and are more common in boys than girls. The child’s nervous system development is immature, high fever makes the central nervous system over-excited, resulting in the thalamus strong discharge and spread to the limbic system and the cerebral hemisphere, is the inner cause of fever convulsions. What can parents do when their children have febrile convulsions? Immediately after the child has a febrile convulsion, you should let the child lie on his back, loosen the collar, and gently hold the child’s body so as not to cause joint injuries or falls. Tilt the child’s head to one side and clean out secretions from the mouth and nose to prevent choking due to inhalation. Use gauze-wrapped bamboo chopsticks or tongue depressors between the child’s upper and lower teeth to prevent tongue bite. If the convulsions do not resolve within a short period of time (usually 1-3 minutes), transfer the child to a hospital as soon as possible and as close as possible. Shaking the child hard, forcibly controlling limb twitching, and covering sweat to reduce fever are all incorrect methods. Prompt and effective cooling of the child after high fever can prevent the emergence or recurrence of febrile convulsions. First use physical methods to lower the temperature, you can use about 20 ℃ cool water wet compresses on the baby’s neck, armpits and thigh roots, or alternating wet compresses with cold and hot water. If the baby is conscious, you can repeatedly bathe him with lukewarm water (water temperature is 3 ℃ ~ 4 ℃ lower than the body temperature). In addition, you can make your own ice packs at home (bagged milk, bottled water, etc. frozen in the refrigerator and wrapped in a towel) to cool the baby. If the effect of these methods is not obvious, it is necessary to use antipyretics to reduce fever, including rectal antipyretic pessaries or oral antipyretics for infants and children. Note that when the child convulsions, do the following things are wrong, and even endanger the child’s life: 1. to the child’s mouth to stuff things, due to the child’s teeth closed, forcibly stuffed things, on the contrary, may hurt the child’s teeth or mouth, if the child’s mouth has something, you should gently take off. Some parents even stuff their own fingers into the child’s mouth, which not only does not end the convulsion, but also the fingers are bitten.2. Pinching, this practice does not help to stop the convulsive convulsions, but rather hurts the child’s delicate skin.3. Forcibly holding down the baby’s hands and feet will hurt the child’s limbs. The right thing to do is to protect the child’s head and limbs to prevent the child from hurting himself/herself during the convulsions. 4. Feeding medicines, water and food to the child will only increase the risk of airway obstruction and choking. When do I need to see a doctor? Febrile convulsions are categorized as simple and complex. Simple convulsions are those in which the convulsions are generalized, last less than 10 minutes, are mostly only 1 episode of high fever at a time, and are not followed by neurological abnormalities. Complex convulsions are those in which the seizure is localized, lasts more than 15 minutes, is repeated several times with a high fever, and is often followed by neurological abnormalities. Febrile convulsions that are long lasting and recurrent can cause varying degrees of brain damage, leading to a variety of acute complications and long-term sequelae. These poor prognoses are related to the child’s age of onset, type of convulsion, family history, and other factors. It is necessary to see a doctor or even call 120 immediately if the following situations occur: febrile convulsions occur within 1 year of the child’s age; the child’s first febrile convulsions; a history of febrile convulsions or epilepsy in the immediate family, especially in the parents; frequent complex febrile convulsions; recurrent febrile convulsions, but with seizures that are significantly different from the previous presentation.