What is the most appropriate management for febrile seizures?

The most appropriate management for febrile seizures in children typically involves the use of supportive care rather than aggressive interventions. Ibuprofen is an effective antipyretic that helps to reduce fever and may provide comfort to the child. It is commonly recommended to help lower the fever, which can indirectly help reduce the likelihood of recurrence of seizures associated with high fever.

While acetaminophen is also an antipyretic that can be used, ibuprofen is often preferred in managing febrile seizures due to its anti-inflammatory properties and potency in lowering fever. In cases where the febrile seizure has occurred, the immediate focus is often on ensuring the child's safety and comfort rather than on using other options such as anticonvulsants or considering hospitalization unless there are concerning features (e.g., prolonged seizures, unusual presentation).

Phenobarbital is usually reserved for more refractory seizures or specific seizure disorders and is not indicated for the management of simple febrile seizures. Emergency hospitalization may be warranted in certain situations but is not a standard response for uncomplicated febrile seizures, where these simple supportive measures are more appropriate.