Question

A 26-year-old man with generalised tonic-clonic status epilepticus in the ED (ongoing seizure >5 minutes) has IV access. What is the first-line drug and dose?

Accepted Answer

IV lorazepam 4 mg

Answer

IV diazepam 5 mg

Answer

IV phenytoin 20 mg/kg immediately

Answer

IM midazolam 10 mg

Answer

Rectal diazepam 10 mg

Practice question

A 26-year-old man with generalised tonic-clonic status epilepticus in the ED (ongoing seizure >5 minutes) has IV access. What is the first-line drug and dose?