A 29-year-old man is brought to the emergency department after a witnessed generalised tonic–clonic seizure lasting 7 minutes. He continues to have ge...

Question

A 29-year-old man is brought to the emergency department after a witnessed generalised tonic–clonic seizure lasting 7 minutes. He continues to have generalised jerking movements with no recovery of consciousness. Intravenous access is not yet obtained. What is the most appropriate first-line treatment?

Accepted Answer

Intramuscular Midazolam into the thigh or buccal Midazolam.

Answer

Rectal Diazepam 10–20 mg.

Answer

Oral Diazepam solution via nasogastric tube.

Answer

Intravenous Lorazepam 4 mg.

Answer

Intravenous Phenytoin loading dose.

uk-plab-1 MCQ (SBA): Status epilepticus