Age | Less than 1 year |
Neurology | Glasgow coma scale (or equivalent) <15 (>1 hour post-fit) |
New neurological signs |
Raised intracranial pressure | Papilloedema, tense fontanelle |
Generally unwell | Irritable, uninterested, vomiting |
Meningism | Kernig’s sign positive, photophobia, neck stiffness |
Complex seizure | Prolonged (>15 minutes), focal, recurrent |
Signs of aspiration | Respiratory distress, need for oxygen, chest signs. |
High parent or carer anxiety | Parents/carers do not feel happy to take the child home following a full discussion |