Question

A 30-year-old woman with known epilepsy presents in status epilepticus with generalised tonic-clonic activity lasting more than 5 minutes. IV access is available. What is the most appropriate first-line pharmacological treatment?

Accepted Answer

IV diazepam or midazolam

Answer

IV phenytoin as first-line

Answer

Oral carbamazepine

Answer

High-dose IV steroids

Answer

Observe for a further 10 minutes before treating

Practice question

A 30-year-old woman with known epilepsy presents in status epilepticus with generalised tonic-clonic activity lasting more than 5 minutes. IV access is available. What is the most appropriate first-line pharmacological treatment?