Paediatric seizure — DIPIMC MCQ
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Correct answer: E — Give weight-appropriate buccal midazolam now.
A child with a seizure lasting beyond five minutes is treated with a benzodiazepine, and without intravenous access weight-appropriate buccal midazolam is the practical first choice. Phenytoin is a later-line agent. Antipyretics do not stop the seizure, and treatment is not delayed while waiting for cannulation.
Reference: APLS (Advanced Paediatric Life Support)