Reducing unnecessary investigations in paediatric seizures in the emergency department

What you need to knowSimple febrile seizure or new onset afebrile seizure in children with no known comorbidities who return to their baseline neurological status do not require investigation by laboratory testing or urgent neuroimagingBlood tests and computed tomography scans of the head are low yield, costly, and expose children to painful procedures and risks from radiation and sedationSpecific risk factors, noted during history and physical examination can identify the minority of patients who may benefit from laboratory testing or head imaging after a seizureSeizures in children are common, representing ~1-2% of all visits to paediatric emergency departments in the US.1 Seizures in children are often categorised as febrile and afebrile. Febrile seizures are the most common neurological disorder in young children, with approximately 3-5% of children having a febrile seizure in the first five years of life.2 These seizures occur between the ages of 6 months and 6 years…
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