Pediatric seizures are common and 4-6% of all children will have a seizure by the time they are 16 years old.
Afebrile neonatal seizures require an evaluation of electrolytes, glucose, calcium, magnesium, LP, blood and urine cultures.
Simple Febrile seizures usually do not require any lab testing or admission if the child appears well.
Dilution of formula with too much water is a common cause of hyponatremic seizures in infants. (Treat with 3ml/kg of 3% hypertonic saline)
Complex febrile seizures have a higher risk for meningitis than simple febrile seizures, so perform an LP, give antibiotics, and admit.
When intubating for Status Epilepticus consider using thiopental or propofol for induction given their antiepileptic properties.
References
Berg C, Schumann H. An Evidence-Based Approach to Pediatric Seizures in the Emergency Department. Pediatric Emergency Medicine Practice. Feb 2009. Vol 6, Number 2.
