Describe the treatment.
Uncomplicated seizures usually resolve after a few minutes spontaneously. However, abortive therapy should be administered if seizures ≥ 5 min or complex.
Treatment of choice: IV lorazepam DOSAGE
Alternative: IV diazepam DOSAGE, buccal/intranasal midazolam (when IV access is not possible) DOSAGE
If necessary, repeat medication after 5 min
Additional measures are needed with status epilepticus
Reassure caregivers and provide information
After a febrile seizure, initiate antipyretic therapy (NSAIDs and acetaminophen) at an early stage (temperatures from 38°C (100.4°F)) as they restore the central thermoregulatory setpoint back to normal by reducing the synthesis of prostaglandin E2.
Febrile seizures primarily occur during the rise in temperature; therefore, prophylactic measures are often too late because a seizure cannot be anticipated! Long-term continuous or intermittent prophylaxis with anticonvulsant drugs (e.g., phenobarbital) or diazepam is not recommended.
Describe the prognosis.
The risk of recurrent, simple febrile seizures is 30%.
Risk of developing epilepsy:
∼ 1–2% in children who have had a simple febrile seizure
5–10% in children with complex febrile seizures or a family history of epilepsy
Risk factors for recurrence:
Initial complex febrile seizure
Family history of febrile seizures
Initial febrile seizure with temperature < 40°C
Age of onset < 18 months 
Structural brain lesions, cerebral palsy