What is recommended during a febrile seizure?

• A. Restrain the person and place something in their mouth
• B. Stay with the person and do not restrain or put anything in the mouth
• C. Hold the person down and rub their back
• D. Give water or food

Answer: (B)

During a febrile seizure the priority is safety and observation, not trying to stop the seizure with force or inserting objects in the mouth. The best approach is to stay with the child, protect them from injury, loosen tight clothing, and keep the airway clear. Do not restrain the person or put anything in the mouth; doing so can cause injury or choking. Rubbing the back isn’t helpful, and giving water or food during the seizure risks choking. Time the seizure and seek help if it lasts longer than about five minutes, if this is the first febrile seizure, or if seizures occur back-to-back. After the seizure ends, place the child on their side, monitor breathing and responsiveness, and manage fever with appropriate fever-reducing meds once they are fully awake. Most febrile seizures are brief and don’t cause lasting harm.