Status Epilepticus Management — NDEB AFK MCQ
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Correct answer: D — Administer midazolam 10 mg buccally or IM and activate EMS
Status epilepticus (seizure lasting >5 minutes or two seizures without recovery of consciousness between them) is a medical emergency requiring pharmacological intervention. Midazolam (10 mg buccal/IM for adults) is the preferred first-line benzodiazepine in the dental office as it does not require IV access. EMS (911) should be activated immediately. The patient should be protected from injury, positioned on their side (recovery position) when possible, and airway patency maintained. Supplemental oxygen should be administered.
Reference: Malamed – Medical Emergencies in the Dental Office, 8th ed., 2022