Question

A 40-year-old man is brought to the emergency department after a witnessed generalised tonic-clonic seizure lasting 3 minutes. On arrival 10 minutes later he is post-ictal but protecting his airway and gradually improving. Which is the most appropriate immediate management?

Accepted Answer

Maintain airway, breathing and circulation, check blood glucose and observe

Answer

Administer intravenous diazepam repeatedly until fully awake

Answer

Intubate and ventilate all post-seizure patients

Answer

Give long-term antiepileptic drugs immediately

Answer

Discharge him as soon as he wakes without assessment

Practice question

A 40-year-old man is brought to the emergency department after a witnessed generalised tonic-clonic seizure lasting 3 minutes. On arrival 10 minutes later he is post-ictal but protecting his airway and gradually improving. Which is the most appropriate immediate management?