Article Text
Best evidence topic report
Lorazepam or diazepam for generalised convulsions in adults
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Report by John Butler, Specialist Registrar Search checked by Mark Lewis, Specialist Registrar
Clinical scenario
A 45 year old woman epileptic presents after sustaining a grand mal convulsion at home. She starts fitting again on arrival in the emergency department; the fit does not stop spontaneously after five minutes. The paramedics have secured intravenous access before arrival but have not given any anticonvulsants. You wonder whether …