28th February 2024

A 10-year-old boy with known epilepsy is brought into resus by paramedics after a seizure which has not spontaneously resolved.

A 10-year-old boy with known epilepsy is brought into resus by paramedics after a seizure which has not spontaneously resolved. His father called the ambulance after the seizure continued for five minutes. The paramedics administered buccal midazolam. The seizure continued, another dose of midazolam was given but it did not stop the seizure. The patient has now been seizing for over fifteen minutes. On arrival at the emergency department, IV access was established.

He weighs 32kg.

Prescribe the drug which should now be administered to the patient.