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Lorazepam or diazepam for generalised convulsions in adults
  1. John Butler,
  2. Mark Lewis
  1. Department of Emergency Medicine, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK

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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 …

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