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A simple febrile seizure (generalized, <15 minutes, no focal features). What is the recommended immediate management?

Fever management and observation; no routine antiepileptics; evaluate underlying infection.

Simple febrile seizures are brief, generalized events in a child who is otherwise well and has fever, with no focal signs. The immediate approach is supportive care and fever control rather than anticonvulsants or extensive testing. Treat the fever with appropriate antipyretics, ensure airway and circulation, and observe as the child returns to baseline. Routine long-term antiepileptic therapy is not indicated after a single simple febrile seizure because it does not reduce recurrence and carries risks. An EEG is not routinely helpful in this scenario and won't change management unless there are abnormal neurologic findings or recurrent events. Look for the source of fever to address the underlying infection, but avoid unnecessary investigations.

Start daily anticonvulsants.

Place the child on life support.

Order an EEG.

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