Question

A 24-year-old man with known focal epilepsy has a generalised tonic-clonic seizure lasting 8 minutes at home and another on arrival to ED. He is still convulsing. IV access is obtained. What is the most appropriate first-line pharmacological treatment for status epilepticus?

Accepted Answer

IV midazolam or diazepam

Answer

IV phenytoin

Answer

IV levetiracetam

Answer

Oral clonazepam

Answer

General anaesthesia with propofol as first step

Practice question

A 24-year-old man with known focal epilepsy has a generalised tonic-clonic seizure lasting 8 minutes at home and another on arrival to ED. He is still convulsing. IV access is obtained. What is the most appropriate first-line pharmacological treatment for status epilepticus?