Case Study Febrile Convulsion
In this case study I am going to discuss a call which I attended whilst on my undergraduate internship. The call was for a nine month old baby boy who was suffering from pyrexia and had a history of febrile convulsions (1). Mum called an ambulance as she could not get his temperature down, she was giving him oral paracetamol but he had vomited after each dose that he had been given so he was not getting the required amount into his system and she was afraid that he would have another febrile convulsion. I’ll explain the call and the treatment we provided to the patient. I will also show how the PHECC scope of practice which changed from 2012 to 2014 made us proactive practitioners instead of reactive practitioners but I fell it needs to go
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We put his baby seat on the stretcher and strapped him in, mum was sat next to him on the passenger seat so he could see her easily and she could comfort him en route. The heating was left off in the vehicle and we did not place a blanket over him due to his high temperature, we placed a pillow case over the sides of the baby seat. We departed the scene at 05:55, monitoring him constantly en route.
We arrived at the ED at 06:11 he still had a high temperature of 39.1°C despite the passive cooling and the paracetamol. The handover was given in the form of an IMIST AMBO:
He went straight to the paediatric area we left him in the car seat as we did not want body heat from him been carried to increase his temperature any further.
I called back to the paediatric area the next night for a follow up and I found out that he was admitted to the paediatric ward for further treatment for an ear infection and an upper respiratory tract infection. I called to the paediatric ward the following week when I was on days and found out that he was discharged two days later once the vomiting had stopped and he was feeding properly, with a course of PO antibiotics.
Pyrexia often commonly called a fever. Fever is best described as “an abnormally high body temperature, usually accompanied by shivering, headache, and in severe instances,
We put his baby seat on the stretcher and strapped him in, mum was sat next to him on the passenger seat so he could see her easily and she could comfort him en route. The heating was left off in the vehicle and we did not place a blanket over him due to his high temperature, we placed a pillow case over the sides of the baby seat. We departed the scene at 05:55, monitoring him constantly en route.
We arrived at the ED at 06:11 he still had a high temperature of 39.1°C despite the passive cooling and the paracetamol. The handover was given in the form of an IMIST AMBO:
He went straight to the paediatric area we left him in the car seat as we did not want body heat from him been carried to increase his temperature any further.
I called back to the paediatric area the next night for a follow up and I found out that he was admitted to the paediatric ward for further treatment for an ear infection and an upper respiratory tract infection. I called to the paediatric ward the following week when I was on days and found out that he was discharged two days later once the vomiting had stopped and he was feeding properly, with a course of PO antibiotics.
Pyrexia often commonly called a fever. Fever is best described as “an abnormally high body temperature, usually accompanied by shivering, headache, and in severe instances,