A 32-year-old man presents to the ED with a generalised tonic-clonic seizure lasting more than 5 minutes, with no recovery of consciousness between se...

Question

A 32-year-old man presents to the ED with a generalised tonic-clonic seizure lasting more than 5 minutes, with no recovery of consciousness between seizures. IV access is available. According to status epilepticus protocols, what is the most appropriate first-line pharmacological treatment?

Accepted Answer

Intravenous diazepam or midazolam

Answer

Intravenous phenytoin as first-line therapy

Answer

Oral carbamazepine via nasogastric tube

Answer

Intravenous propofol induction and intubation as first-line

Answer

No drug therapy until EEG is obtained

au-amc MCQ (SBA): Status epilepticus

A 32-year-old man presents to the ED with a generalised tonic-clonic seizure lasting more than 5 minutes, with no recovery of consciousness between seizures. IV access is available. According to status epilepticus protocols, what is the most appropriate first-line pharmacological treatment?