A 40-year-old man is brought to the emergency department following a generalised tonic-clonic seizure lasting 12 minutes. He has received adequate air...

Question

A 40-year-old man is brought to the emergency department following a generalised tonic-clonic seizure lasting 12 minutes. He has received adequate airway support and IV access. Convulsive activity is ongoing despite a first dose of intravenous Lorazepam. What is the next best step in management?

Accepted Answer

Administer a second dose of intravenous Lorazepam

Answer

Give intramuscular Adrenaline

Answer

Start intravenous Thiamine

Answer

Observe for a further 10 minutes before acting

Answer

Give oral Diazepam

uk-plab-1 MCQ (SBA): Status epilepticus management

A 40-year-old man is brought to the emergency department following a generalised tonic-clonic seizure lasting 12 minutes. He has received adequate airway support and IV access. Convulsive activity is ongoing despite a first dose of intravenous Lorazepam. What is the next best step in management?