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Refractory Status Treatment — RACP Paediatrics MCQ

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HardNeurology & DevelopmentRefractory Status TreatmentRACP Paediatrics

Status epilepticus continuing despite benzodiazepines and phenytoin. Next step?

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Correct answer: DIV phenytoin or levetiracetam (second-line agent)

After failed benzos: second-line (phenytoin/levetiracetam/valproate). If still refractory → RSI + anaesthetic agents.

Reference: RCH Melbourne – 2024