Question

A 36-year-old man in the ED is having a generalised tonic-clonic seizure lasting 6 minutes. IV access is available. What is the first-line medication?

Accepted Answer

IV lorazepam 4 mg

Answer

IV phenytoin 20 mg/kg immediately

Answer

Rectal diazepam 10 mg as first choice

Answer

IV levetiracetam 60 mg/kg immediately

Answer

Intubation and anaesthesia now

Practice question

A 36-year-old man in the ED is having a generalised tonic-clonic seizure lasting 6 minutes. IV access is available. What is the first-line medication?