Admission criteria following an afebrile seizure
| Category | Criteria/signs |
|---|---|
| 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 |