Interventions for the Management of Febrile Seizures in Children in the Emergency Room

Abstract

Febrile seizures are one of the most common neurological disorders in childhood, affecting around 2-5% of children between the ages of six months and five years. These seizures are generally benign, but can cause great anxiety for parents and caregivers, as well as posing a significant challenge for healthcare professionals in the emergency room. The aim of the study was to identify the best practices for the management of febrile seizures in children. This systematic review was conducted following the PRISMA methodology, covering publications from the last five years (2018-2023). The search was conducted in the PubMed, Cochrane, LILACS and SciELO databases, the search strategy included the terms “Febrile seizures”, “Hospital Emergency Department” and “Child”.  Clinical studies, systematic reviews and meta-analyses were included. The results indicate that the administration of benzodiazepines, whether intravenous, intranasal or rectal, is widely recognized as an effective intervention. Parental education is also a crucial intervention that can significantly improve clinical outcomes and reduce unnecessary demand for emergency services. The implementation of ongoing, well-structured training programs is essential to ensure that healthcare professionals are prepared to use these interventions effectively.