skip to main content

Convulsive status epilepticus — RACP Paediatrics MCQ

Instant feedback + full explanation. One question, done properly.

HardEmergency paediatricsConvulsive status epilepticusRACP Paediatrics

A 4-year-old has been convulsing for 12 minutes at home and continues seizing in the ambulance. Capillary glucose is normal and one dose of buccal midazolam has been given. On arrival he is cyanosed with ongoing generalised convulsions. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: C — Give a second benzodiazepine dose while preparing second-line antiseizure therapy

Ongoing convulsion beyond 5 minutes is status epilepticus, requiring airway support and urgent benzodiazepine treatment followed by second-line therapy if persistent. Neuroimaging comes later after stabilisation unless there is a specific immediate indication. Repeated delays increase risk of refractory seizures and hypoxic injury.

Reference: RCH Seizures acute management guideline; AMH Children's Dosing Companion