Simple febrile seizures, defined as generalized seizures lasting less than 15

minutes and not recurring during a 24-hour period, represent the majority of
febrile seizures. 

A convulsion associated with an elevated temperature greater than 38°C

●A child older than six months and younger than five years of age
●Absence of central nervous system (CNS) infection or inflammation
●Absence of acute systemic metabolic abnormality that may produce
convulsions
●No history of
previous afebrile seizures

. Intravenous benzodiazepines (diazepam 0.1 to 0.2 mg/kg or lorazepam 0.05 to

0.1 mg/kg) are effective in aborting seizure in many cases. 
 If the seizure persists, an additional dose may be given

The most commonly used drug in this setting is fosphenytoin (20

mg phenytoin equivalents [PE]/kg intravenously). Efforts should be made to lower
fever with antipyretics and a cooling blanket. 

Midazlom
Intubation

More than 18 months

Developed seizure after 24 hours of illness
Iron deficiency anemia
Strep one

Trough level