All children who seize for the first time and many with a known Seizures disorder should be evaluated by a doctor.
Most children who have seized for the first time should be taken to the emergency department for an immediate evaluation.
Your initial efforts should be directed first at protecting the child from additionally injuring himself or herself.
After the Seizures ends, place the child on one side and stay with the child until he or she is fully awake. Observe the child for breathing. If he or she is not breathing within 1 minute after the Seizures stops, then start mouth-to-mouth rescue breathing (CPR). Do not try to do rescue breathing for the child during a convulsive Seizures , because you may injure the child or yourself.
If the child has a fever, acetaminophen (such as Tylenol) may be given rectally.
Do not try to give food, liquid, or medications by mouth to a child who has just had a Seizures .
Children with known epilepsy should also be prevented from further injury by moving away solid objects in the area of the child. If you have discussed use of rectal medication (for example, Valium) with your child's doctor, give the child the correct dose.
Most Seizures cannot be prevented. There are some exceptions, but these are very difficult to control, such as head trauma and infections during pregnancy .
The prognosis for children with Seizures depends on the type of Seizures . Most children do well, are able to attend regular school, and have no limitations. The exceptions occur with children who have other developmental disorders such as cerebral palsy and in children with neonatal Seizures and infantile spasms. It is important to talk with your child's doctor about what to expect with your child.
Many children "outgrow" Seizures as their brains mature. If several years pass without any Seizures , doctors often stop the child's medications and see if the child has outgrown the Seizures .
A Seizures in general is not harmful unless an injury occurs or status epilepticus develops. Children who develop status epilepticus have a 3-5% risk of dying from the prolonged Seizures .
Children with febrile Seizures "outgrow" them, but they often have repeated Seizures when they develop fevers while they are young. Some children with febrile Seizures go on to have epilepsy, but most doctors believe the epilepsy was not caused by the febrile Seizures .
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