A 33-year-old man is brought actively seizing for 8 minutes. Triage acuity is ESI 1; BP 152/86 mm Hg, HR 132/min, SpO2 88%. He has generalized

Question

A 33-year-old man is brought actively seizing for 8 minutes. Triage acuity is ESI 1; BP 152/86 mm Hg, HR 132/min, SpO2 88%. He has generalized tonic-clonic activity and no IV access yet. Fingerstick glucose is 118 mg/dL. Which of the following is the most appropriate initial action?

Accepted Answer

Give intramuscular midazolam while supporting airway and oxygenation

Answer

Perform CT head before anticonvulsant therapy

Answer

Administer flumazenil

Answer

Wait for seizure cessation before medication

Answer

Give oral levetiracetam tablets

Status epilepticus — ABEM Board MCQ

A 33-year-old man is brought actively seizing for 8 minutes. Triage acuity is ESI 1; BP 152/86 mm Hg, HR 132/min, SpO2 88%. He has generalized tonic-clonic activity and no IV access yet. Fingerstick glucose is 118 mg/dL. Which of the following is the most appropriate initial action?