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Convulsive status epilepticus — RCPSC EM MCQ

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HardNeurological emergenciesConvulsive status epilepticusRCPSC EM

A 26-year-old woman has a witnessed generalised seizure lasting eight minutes despite airway positioning and oxygen. Point-of-care glucose is 5.8 mmol/L. IV access is obtained and she remains convulsing with oxygen saturation 91%. What is the most appropriate disposition?

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Correct answer: B — Monitored resuscitation bay with benzodiazepine treatment, second-line antiseizure loading and ICU involvement if refractory

Convulsive status epilepticus requires immediate benzodiazepine therapy, airway support, correction of reversible causes and second-line antiseizure medication if ongoing. Refractory seizures require critical care involvement.

Reference: Canadian neurological emergency practice; ACLS