Adult status epilepticus — DipIMC MCQ
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Correct answer: D — Midazolam 10 mg buccal according to protocol
Option D is correct because A convulsive seizure lasting beyond 5 minutes is status epilepticus and needs benzodiazepine treatment with airway support. Option A is less appropriate because that dose is an ALS cardiac-arrest dose and is unsafe for this non-arrest indication; option C is less appropriate because aspirin is useful in ACS but inappropriate for this presentation. Option E is less appropriate because untitrated opioid dosing can cause avoidable hypotension or respiratory depression; option B is less appropriate because steroids have delayed onset and should not replace the immediate treatment. Clinical pearl: in DipIMC-style questions, the best answer is the intervention that changes outcome earliest in the pre-hospital phase.
Reference: JRCALC Guidelines