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SGEM#265: Total EcLiPSE of the Seizure – What a ConSEPT

The Skeptics' Guide to EM

She presents the emergency department with another seizure for more than five minutes and has not been aborted with two doses of midazolam intramuscularly.You know the guidelines recommend phenytoin as a second line agent, but the junior doctor asks you if levetiracetam would work faster with less side effects.