28th May 2025

An 11/40 pregnant 22-year-old with a pre-existing history of tonic-clonic epilepsy is brought into ED by ambulance after a seizure at home.

An 11/40 pregnant 22-year-old with a pre-existing history of tonic-clonic epilepsy is brought into ED by ambulance after a seizure at home. She had been given her rescue buccal midazolam at home as the seizure had not resolved within 5 minutes. The ambulance crew had given a second dose of benzodiazepine (PR diazepam). She is still in status on arrival in ED. What is the next line treatment?

Select the SINGLE most appropriate option from the list below. Select ONE option only.