Usually fever in children is often a benign consequence of an acute infectious process. It may lead to complications, most commonly febrile seizures. This protocol relates to long transports and seizures.

1. Perform patient assessment and ABC's.
2. Administer oxygen by the most appropriate device to insure adequate patient oxygenation.
3. Monitor vital signs in accordance with S.O.P. protocol.
4. Obtain thorough history of events with emphasis on time and duration of fever, intake, output, emesis, diarrhea etc.
5. Patient should be covered in a manner appropriate to the environment. External cooling should be minimal (this is not an external heat emergency).
6. Measure blood glucose level using glucometry if evidence of altered LOC or suspected significant malnutrition.
7. For long transports of febrile seizures, administer Acetaminophen 10mg/kg orally.
8. Consult with Medical Control reference appropriate transport attendance.

INTERMEDIATE LIFE SUPPORT

1. If vital signs are significantly altered or unstable, or documented hypoglycemia exists, establish IV access using an isotonic solution.
2. Refer to DEHYDRATION (PEDS) protocol for IV therapy.
3. Refer to DIABETIC EMERGENCIES protocol for treatment of hypoglycemia.

ADVANCED LIFE SUPPORT

1. If febrile seizures are present and do not subside or cause further respiratory compromise, attach ECG monitor.
2. Be prepared to administer Diazepam in accordance with STATUS EPILEPTICUS protocol. This is particularly true in cases of febrile patients with prior history of seizures of unknown etiology.
3. Be prepared to intubate and/or ventilate.