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Dr Ruth Evans asked: "Box 3, bullet 5- if under 5 mins seek medical help??? If over 5 mins call ambulance? Is this for first fit or all fits? What is the medical help going to do if under 5 minutes? If it is a recurrent febrile fit and there is a respiratory illness, then I am not sure what medical help will add?"
The point being made here is that a short-lived self-limiting seizure does not require an ambulance transfer to hospital. However, all such events should be reported to the family doctor so that medical advice can be given on the nature of the disorder, prognosis, first aid management of future episodes, and so on following clinical assessment.
I hope this helps.
Best wishes, Richard Newton
No competing interests
11 November 2015
Richard W Newton
Hon Paediatric Neurologist
Nikhil Patel, Dipak Ram, Nina Swiderska, Leena D Mewasingh, Martin Offringa