A 27-year-old woman is brought to the emergency department after a generalised tonic-clonic seizure lasting 6 minutes. She has now stopped fitting but...

Question

A 27-year-old woman is brought to the emergency department after a generalised tonic-clonic seizure lasting 6 minutes. She has now stopped fitting but is post-ictal and breathing spontaneously. This is her first seizure. Observations are stable. What is the most appropriate immediate management

Accepted Answer

Observe, maintain airway and arrange urgent neurology follow-up

Answer

Give intravenous Lorazepam

Answer

Give intramuscular Midazolam

Answer

Start long-term Sodium valproate in A and E

Answer

Intubate immediately and transfer to intensive care

uk-plab-1 MCQ (SBA): First generalised seizure

A 27-year-old woman is brought to the emergency department after a generalised tonic-clonic seizure lasting 6 minutes. She has now stopped fitting but is post-ictal and breathing spontaneously. This is her first seizure. Observations are stable. What is the most appropriate immediate management