Simple seizure: May not need urgent evaluation •Child aged between 6 months and 6 years. •Generalised tonic-clonic convulsion, no focal seizures. •Spontaneous cessation of convulsion within 10 min. •Return to alert mental status within 1 h after convulsion. •Documentation of fever (>37.5 °C). •One convulsion within a febrile illness. •Absence of pre-existing neurologic abnormality.

Non-simple seizure: Refer for urgent evaluation •The febrile seizure was not a simple seizure. •No cause for the fever is apparent in a young infant. •Meningitis or encephalitis cannot be excluded by history and examination. •The convulsion was prolonged (>10 min), or recovery took longer than 1 h. •The child is from a poor social setting or has limited urgent access to healthcare. •There are signs of sepsis or abnormal neurological signs, including reduced level of consciousness or excessive irritability. •The child has signs of significant malnutrition.