A 35-year-old man presents 1 hour after generalized tonic-clonic seizures lasting 6 minutes at home; still seizing on arrival. Best initial therapy?...

Question

A 35-year-old man presents 1 hour after generalized tonic-clonic seizures lasting 6 minutes at home; still seizing on arrival. Best initial therapy?

Accepted Answer

IM midazolam 10 mg

Answer

IV phenytoin loading first

Answer

IV valproate first

Answer

Oral lorazepam

Answer

Wait for EEG prior to treatment

us-abem MCQ (SBA): Status Epilepticus