Febrile Seizures without Neurologic Disease — Discharge — Clinical Pathway: Emergency Department, Inpatient, Outpatient Specialty Care and Primary Care

Febrile Seizures without Neurologic Disease Clinical Pathway — Emergency Department, Inpatient, Outpatient Specialty Care and Primary Care

Discharge

Discharge Criteria
  • Return to neurological baseline
  • Well-appearing, tolerating PO
  • Fever source does not require inpatient treatment
  • Parental concerns addressed
  • Follow-up plan established
Seizure Medications
  • Provide seizure rescue medication prescription and teaching if child ≥ 6 mos of age and:
    • Had seizure lasting ≥ 15 mins
    • Needed benzodiazepine to stop seizure
    • ≥ 3 febrile seizures in 24 hrs
  • Per Neurology recommendation
Discharge Instructions
Neurology Follow-up
  • Per neurology recommendations if met criteria for urgent consultation
  • Healthy children with normal development and < 3 lifetime febrile seizure episodes do not require neurology referral
  • Consider non-urgent neurology referral
    • ≥ 3 lifetime febrile seizure episodes
    • Known or suspected neurological disorder, developmental delay or autism
    • Strong family history of epilepsy or multiple febrile seizures in first-degree relative
  • If seen in an outpatient encounter with a history of a febrile seizure that would have triggered urgent neurology consult, consider an urgent referral or contact neurology through 1-800-TRY-CHOP