Pediatric Febrile Emergency

Section 7 - PEDIATRIC / OBSTETRICAL

7.10 PEDIATRIC FEBRILE EMERGENCY

INITIAL MEDICAL CARE (2.01), OXYGEN @ 100% via NRB mask, via “blow by” or assist with BVM.

• Move patient to cool environment. (Cooler environment described as cooler than surrounding air or body temperature) - DO NOT CHILL PATIENT.
• Remove clothing if appropriate.
• If AMS, apply water to patient’s torso and lightly fan to facilitate evaporation process.
• If seizure activity present, refer to SEIZURE PRACTICE PARAMETER (5.12).
• If the patient has experienced a febrile seizure, still has a temperature (>100.5 degrees), and has not been given acetaminophen within the last 4 hours. Administer ACETAMINOPHEN SUPPOSITORY
  • 3 - 36 months 80 mg rectal
  • 3 - 6 years 120 mg rectal
  • 6 yrs and older 325 mg rectal

In a case of a pediatric febrile emergency where no oral ACETAMINOPHEN has been given or is not available, rectal suppositories may be administered.

• Definition of a febrile emergency in all children Temperature greater than 100.5o F AMS, and/or Febrile seizures
• All infants age four (4) months or less with a fever of 100.5o F or greater without any other symptoms are treated as a febrile emergency at all times