What should parents do if their baby has a high temperature convulsion?

Convulsions caused by fever usually refer to what we call febrile convulsions, which manifest as limb twitching and brief loss of consciousness, making parents very frightened.

Febrile convulsions are a sudden increase or decrease in body temperature that causes abnormal electrical discharge activity in the brain, causing spasmodic attacks in muscles throughout the body.

Febrile convulsions have no temperature limit, but are related to a sudden rise or drop in body temperature. Some children twitch when their body temperature rises rapidly, and some children twitch when their body temperature drops rapidly. To put it bluntly, It is said that improper cooling measures can also lead to febrile seizures!

Fortunately, febrile convulsions are usually benign and do not cause brain damage, and not all children will have febrile convulsions. Febrile convulsions have a very strong familial nature, and only some Up to 4% of children respond to sudden increases or decreases in body temperature.

If a child has a febrile seizure at home, parents must remain calm. Specific treatment methods for febrile seizures:

First, let the child lie down on the floor or bed, away from hard and sharp objects to prevent accidental injury.

Then, put the child's head Turn sideways to prevent vomitus from being aspirated.

Next, loosen the child's collar and any clothing that may affect breathing.

At the same time, record the child's convulsions. time and situation, so that you can communicate with the doctor during medical treatment and facilitate the doctor's diagnosis.

Remember what you must not do: do not shake the child, do not forcefully press or tie his body, do not pinch the child, do not Put a towel or any other object in your mouth.

The convulsions usually last from a few seconds to a few minutes and end. If the child only has one convulsion within 24 hours after the fever starts, and the convulsions all over the body end within 5 minutes, and everything returns to normal after the convulsions end, parents do not need to worry too much.

But if you have more than one convulsion during the fever, and it lasts for a long time, or the convulsion only involves one part of the body, or the convulsion does not completely return to normal, you should go to the hospital for further treatment. examine.

Parent Hall will answer for you:

Febrile convulsions are more likely to occur in children between 6 months and 5 years old. Children will have high fever (body temperature generally exceeds 39 degrees Celsius). Because high fever can cause Leading to increased central nervous system excitability, resulting in febrile convulsions. Children who experience febrile convulsions should go to the hospital for prompt medical treatment every time to avoid delaying the true cause of the child's illness.

Make sure your children have a reasonable daily diet, get enough sleep, improve their resistance, pay attention to personal hygiene, and avoid going to densely populated places to reduce viral infections. When the weather is hot, you can turn on the air conditioner to cool down appropriately, but the room temperature should be controlled between 24 and 26 degrees Celsius to avoid the room temperature being too low, which may cause the child's subcutaneous blood vessels to contract, which is not conducive to the baby's heat dissipation.

When a child has febrile convulsions, parents can do the following 5 things.

1. Stay calm

If a child has a febrile seizure, parents should first stay calm and not panic. Secondly, let the child lie down (prevent the child from lying on sharp or hard objects), then unbutton the child's clothes, and use physical cooling at the same time.

2. Do not press the philtrum

Pressing the philtrum may block the airway and will not stop the convulsion. Do not do this.

3. Do not put tongue depressors or other objects into the child’s mouth

Many parents are afraid that their children’s tongues will be bitten, so they will put human fingers or tongue depressors into their children’s mouths. , in fact, children will not bite their tongues, and even if they are bitten, they will heal quickly. If you use a tongue depressor, etc., not only may the airway be blocked, but you may also bite the tongue depressor or other objects due to convulsions, causing damage to the teeth or gums.

4. Do not feed

When a child has a convulsion, do not feed him water or food to avoid accidentally entering the trachea, causing suffocation and pneumonia.

5. Seek medical attention promptly

Generally, febrile convulsions do not last long. If the convulsions last for more than 15 minutes, parents should take their babies to see a doctor immediately.

Hello parent, febrile convulsions, also known as febrile convulsions, are usually called "convulsions" or "convulsions" by parents. They are general or local spasms and convulsions that occur in children when they have a high fever, accompanied by disturbance of consciousness. , 90% of febrile convulsions occur between 6 months and 3 years old. The main reason is that the symptoms of children during convulsions are very frightening. The eyes are straight, squinted or turned up, accompanied by loss of consciousness. In severe cases, foaming at the mouth, lips and eyes may appear. Symptoms such as purple peripheral hair and cessation of breathing generally return to normal within 5 minutes. Emergency treatment at this time is very important. The most important thing is that there should be no foreign matter in the baby's throat to prevent breathing during this period, which will be life-threatening. The onset of convulsions is short-lived and the situation is urgent. In most cases, it is impossible to send the patient to the hospital for treatment in time. Parents and friends should master simple emergency measures.

1) At this time, lie the baby flat or on his side, with his face turned to one side to prevent saliva and other foreign objects in the mouth from flowing back and inhibiting breathing. At this time, do not give medicine or water to the baby, and do not put your hands or other things into it. Baby's mouth to keep breathing smooth;

2) Loosen the child's collar and buttons to ensure the child can breathe smoothly, do not give the child any restraints, and try to let the child enter a relaxed state;

3) Record the time when the baby's symptoms appear and end. If the symptoms are within 5 minutes, most of them are likely to be benign. Parents can take the child to the hospital for further examination after the child has symptoms.

Children are at high risk of febrile convulsions. This is because before the age of 4, during the development of the child's nervous system, the cerebral cortex has limited control capabilities, which can easily lead to excitement when a fever occurs. In addition, genetic factors can also cause febrile convulsions. One of the factors is that if other members of the family have had convulsions, the child should pay attention to it, try not to let the child continue to have a high fever, and do not quickly cool down the child with fever.

As for preventive measures, we can avoid this situation by strengthening the child's physical fitness and preventing the occurrence of fever. In case the baby has a fever, we need to record the child's body temperature at any time. If the high temperature continues, or the problem suddenly increases , we need to cool down the child, physical cooling, and drug cooling can be used alternately, try to keep the child calm or happy, and let the child rest as much as possible.

For physical cooling, it is strictly forbidden to use low-temperature towels or alcohol to scrub the child's body. You can give the child a warm bath and wash the child's feet with warm water. If the child's hands and feet are cold, it may indicate that the child will have a raised body temperature.

Treatment of acute febrile convulsions: When children have convulsions outside the hospital, parents should not panic. Most simple febrile convulsions are a short, single attack lasting 1 to 3 minutes. There is no need to rush for anticonvulsant drugs. treat. The child should be helped to lie down on the spot to prevent trauma caused by convulsions and falls. Candies and food in the mouth should be removed as appropriate, the collar should be untied, the clothes and quilt should be loosened, the head should be turned to one side, and the secretions from the child's mouth and nose should be wiped clean. Prevent children from inhaling suffocation. Keep the environment quiet, do not feed water or food, keep the respiratory tract open, and prevent falls or injuries; do not irritate the child, and do not pinch the child, pry open the teeth, press or shake the child to cause further harm; there is a lot of secretion during convulsions, The child can be tilted to one side or lying on his side to clear the secretions from the mouth and nose to avoid suffocation; at the same time, monitor vital signs, ensure normal cardiopulmonary function, inhale oxygen if necessary, and establish intravenous access.

If the convulsive attack lasts for 5 minutes, medication will be needed to stop the convulsion. Intravenous injection of diazepam 0.3 mg/kg (10 mg/time) is simple, fast, safe and effective, and is a first-line anticonvulsant. If it is difficult to establish intravenous access immediately, intramuscular injection of midazolam 0.3 mg/kg (10 mg each time) or 0.5 ml/kg 10% chloral hydrate solution as an enema can also satisfactorily produce an anticonvulsant effect. For cases with an attack time of 30 minutes, intravenous medication is required to actively stop convulsions, and the post-attack state should be closely monitored, fever should be actively reduced, and the causes of fever and convulsions should be found and treated. The management process of febrile seizures in the acute phase is shown in Figure 1.

High temperature convulsions

Generally, when a child has a fever of 39 or above, the whole body or local muscle groups will twitch, and the eyes will stare, squint, straighten or turn up, accompanied by loss of consciousness. Breathing may stop for 1-2 minutes, and in severe cases, the lips may become purple, sometimes accompanied by incontinence of urine and feces. It is also commonly known as smoking.

Generally lasts from seconds to minutes. It tends to occur between 6 months and 3 years old.

Let’s talk about the important thing first, what should be done when a convulsion occurs

1. Immediately remove the baby’s pillow, lay it flat, and turn his head to one side to prevent obstruction of the respiratory tract;

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2. Press the baby's Hegu point, Neiguan point and Renzhong point for two or three minutes;

Speaking of this, I suddenly remembered that I was smoked by gas once when I was a child, and I no longer felt anything. , the neighbor’s grandma pinched me directly, and it is said that I regained consciousness for a while. Therefore, Chinese medicine sometimes requires some preparation.

3. Put a cold towel on the baby's forehead, palms and thighs for emergency cooling;

4. Don't rush to give medicine to the baby, as it may cause aspiration pneumonia.

5. Watch the child's convulsion, which usually ends within 2 minutes. If it exceeds 5 minutes, you should go to the hospital in time; even if it does not exceed 5 minutes, you can go to the hospital to check the cause afterwards. Prevent future troubles.

How to prevent high temperature convulsions

1. Pay attention to heat dissipation

Many parents, especially the older generation, have a method called covering the sweat, which is also used by children when they have a high fever. Cover it, saying that it will be fine if you cover it and sweat. Actually wrong. The nervous system of young children is immature, and the antipyretic mechanism is not like that of adults. After fever occurs, physical methods should be used to reduce fever, such as warm water bathing.

2. Drink light salt water

Children need to replenish water in time when they have a high fever. It is best to add light salt water to prevent dehydration.

3. When a child has a fever, you can use ginger dipped in white wine, wipe the back, or apply Huoxiang Zhengqi water on the navel. I have used both methods, and they are quite useful.

In addition, not all fevers will cause convulsions. Some people say that fevers can burn out the brain. In fact, this is only caused when combined with other diseases such as meningitis. Simple fever and hyperthermic convulsions will not burn out the brain.

Moms don’t have to worry too much.

Hello, this is a febrile convulsion in your baby, which is a convulsion caused by abnormal brain discharge caused by excessive body temperature. To diagnose febrile seizures, other diseases that cause convulsions must be ruled out, and the child's fever must be greater than 38 degrees Celsius. If a child has meningitis or has convulsions with a body temperature of 37 degrees Celsius, it does not belong to this disease. This disease is quite scary, but it is usually a simple attack. The attack does not damage the child's brain, cause the child to suffocate, or bite the child's tongue, and the attack will be over and it will be fine. It will have a negative impact on the child's future intelligence. There is no impact on development, etc., so there is no need to go too one-way. Here, in order to allow parents to be more calm and respond appropriately when their children encounter this situation, today we will talk about how parents should deal with it immediately. 1. Let the child lie in a safe and soft place (such as a quilt) to avoid secondary injuries caused by hitting the seat, bed legs, or body friction on the floor during convulsions. 2. Let the child lie on his side and loosen the collar of the child. This way, if the child has vomitus, it can be easily vomited out and easily cleaned by adults instead of being accidentally inhaled into the lungs. After completing the above two points, just look at the child and wait for him to respond on his own. Don't do anything else, especially the following behaviors: 1. Don't hold down the child's body hard to stop the child from twitching. Don't tie up the child's arms, legs and feet, just let the child recover on his own. Because when a child twitches, the muscles are twitching, and you are controlling the entire trunk. Even after holding down, the muscles are still twitching and cannot be stopped. In addition, pressing too hard may cause injury to the child's limbs. 2. Do not put spoons, tongue depressors, etc. into the child's mouth. Because although the child has trismus, he cannot bite his tongue. If he bites off something stuffed into his mouth, it may damage the mouth, and in severe cases, it may get stuck in the trachea, causing the child to suffocate. 3. Do not pinch the human philtrum or the tiger's mouth. These have no effect on making the child wake up and can only damage the skin. It is enough for parents to do the above points well. It would be better if parents are strong-minded and record a video of their child's convulsions so that doctors can better judge the type of convulsions in their children.

Febrile convulsions in children usually manifest as loss of consciousness, eyes turning up, trismus, foaming at the mouth, and twitching of limbs. They usually occur when the body temperature rises or drops suddenly. This is a febrile convulsion.

Febrile seizures may look scary, but they actually cause very little damage to the child. Therefore, in on-site first aid, it is more necessary to know what not to do than what to do.

1. Don’t pinch people. Pinch people cannot shorten and stop convulsive attacks. Instead, it sometimes makes the airway more unusual. Another child had his upper lip pinched.

2. Don’t put anything in your mouth. Seizures, trismus, and the process of prying open the mouth often cause damage to the teeth and soft tissues. In one case, the child's oral mucosa was punctured, bleeding, and almost suffocated to death. In fact, it is not so easy to bite the tongue during a convulsive attack. At most, the tip of the tongue and the corners of the lips are damaged. Stuffing your fingers is a bit stupid.

All you can do is let him smoke safely and quietly for a while. Pay attention to protect it from injury when it twitches, such as moving away sharp objects around it to avoid hitting it.

Most febrile convulsions will end within 5 minutes, leaving no sequelae and not fatal.

You may not agree, but it is the fact. Don’t doubt the professionalism of emergency nighthawks.

Respondent: Emergency Nighthawk, a self-media author of emergency science with millions of fans.

How to deal with hyperthermic convulsions?

Introduction: The baby is 9 months old. He had a hyperthermic convulsion in the hospital last week, and the doctor dealt with it immediately. If this happens at home, what should parents and friends do?

Hyperthermic convulsions are convulsions associated with fever. They usually occur within 24 hours after fever, especially in the first few hours of fever. There is a certain degree of concealment. Some children may suddenly have convulsions while playing, and only when they are sent to the hospital are they found to have developed a high fever.

So, how to deal with heat seizures at home?

1. Comfortable environment. Hold your baby in your arms or place him or her on a bed or other soft surface so that he or she is unrestrained and lies on his side, keeping his head slightly lower than his body.

2. Empty your mouth. Do not try to feed or put other objects into your baby's mouth. If there is something in your baby's mouth, take it out immediately.

3. Use physical cooling. You can use wet hand towels to wipe the body, use antipyretic patches, bathe the child and other methods to help the child lower his body temperature. 4. Use drugs to cool down. For babies with a fever over 38°C, take an appropriate amount of acetaminophen or ibuprofen in a timely manner to lower the body temperature and prevent the occurrence of high temperature convulsions.

5. Pay attention to the duration of high temperature convulsions. Normally, a febrile convulsion will cause the baby to lose consciousness, but he will recover quickly. If it lasts for more than 5 minutes, you should be sent to the hospital for treatment immediately.

6. Pay attention to the number of high temperature convulsions.

If your baby has a history of high temperature convulsions, it is very likely that the baby will have another high temperature convulsions when he has a fever. Parents should pay close attention to this and seek medical attention immediately if convulsions occur.

Today’s discussion: My child had a hyperthermic convulsion but recovered quickly. Do I still need to go to the hospital?

Fever is just a symptom, not a disease. When the baby has a fever, whether it is a high fever or a low fever, the child's hands and feet must be warm and hydrated. No matter what the cause of the fever is, if the hands and feet are cold, you must find a way to warm it up. No matter what you think of, make sure it is warm. When the temperature of the hands and feet is high, you can warm them or soak them in water. If the temperature of the hands and feet is lower than the temperature of the body or head, convulsions are likely to occur.

If the child still has convulsions after doing the above, it means that the child has poor physical fitness or has genetic factors. After a child has a convulsion, parents should be calm. First, let the child lie on his side to prevent vomiting; then pinch the child's body hard, or pinch the Gu and Taichong points together, and call the child's name while pinching. Wake up and calm down and you'll be fine.