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Convulsive status epilepticus — PARA MCQ

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HardEmergency presentations - NeurologyConvulsive status epilepticusPARA

A 67-year-old man with known epilepsy has continuous tonic-clonic seizure activity for 7 minutes despite airway positioning and oxygen. Capillary glucose is normal. What is the most appropriate management?

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Correct answer: C — Give emergency benzodiazepine treatment and call for senior or resuscitation support

A convulsive seizure lasting over 5 minutes is status epilepticus until proven otherwise and requires urgent benzodiazepine treatment and escalation.

Reference: NICE NG217: Epilepsies; Resuscitation Council UK