Weekly First-aid Topic: Emergency dispatcher’s assistance to 1-year-old baby with high fever and convulsions
From:Beijing Municipal Health Commission
Date:12/13/2024

On November 19, 2024, two parents arrived at the Dispatch and Command Center of the Beijing Emergency Medical Center, holding their 1-year-old baby. They presented a banner inscribed with the words "Being Professional and Patient, Saving Lives with Dedication" to Zhang Wanrou, a dispatcher and Youth League member. The baby curiously looked around and smiled sweetly, while the parents, visibly moved, said to Zhang Wanrou: “Thank you for your help. You have saved not only a child, but also an entire family.” The banner symbolizes the family’s profound gratitude and their recognition and support of the emergency medical work.

On the evening of November 10, 2024, the Dispatch and Command Center received a call for help. “Hello, 120! My 1-year-old baby has suddenly lost consciousness. What should I do?” The caller’s voice was trembling, full of panic, almost breaking into tears. Drawing on her extensive work experience, Zhang Wanrou quickly extracted the key details and preliminarily assessed that the child was likely experiencing a febrile seizure. She promptly asked further questions: “Is the child breathing? Does he have a high fever?” The parent replied, “Yes, he has a fever and is breathing, but we can’t wake him no matter what we do. We’re on our way to the hospital now!” “Please stay calm,” Zhang advised. “When a child’s temperature rises too high or too quickly, convulsions can occur. Try patting the soles of his feet to provide a pain stimulus and see if he responds. Be careful not to put anything in his mouth. Monitor his breathing closely, and if there’s vomit, make sure to clear it immediately.” Following Zhang’s instructions, the parents administered first aid. Gradually. The child stabilized, and his consciousness began to return. A relieved and excited voice came through the line: “He’s much better now, thank you so much! We’re heading to the hospital for further checks.” Only then did Zhang hang up the phone with reassurance. A follow-up later confirmed that the child had fully recovered after treatment at the hospital.

Beijing 120 reminds families that febrile seizures commonly occur in children aged 6 months to 5 years, usually within the first 24 hours of a fever, especially when the temperature rises rapidly. During a seizure, the child’s body temperature typically exceeds 38.5°C (101.3°F). Symptoms may include upward rolling of the eyes, stiff or twitching limbs, bluish lips, clenched teeth, and unresponsiveness. If a child experiences a febrile seizure, it’s essential for family members to stay calm. Position the child on their side or tilt their head to one side, avoid placing anything in their mouth, and do not attempt to restrain their limbs. It is suggested to record the duration and characteristics of the seizure, call 120 promptly, and follow the dispatcher’s guidance to administer appropriate first aid.