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Intranasal midazolam. An alternative in childhood seizures
  1. Ray McGlone,
  2. M Smith
  1. Accident and Emergency Department, Royal Lancaster Infirmary, Ashton Road, Lancaster LA1 4RP, UK
  1. Correspondence to: Dr McGlone (ray{at}

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Editor,—The fitting child is a common problem presenting to the emergency department. Prolonged fitting is potentially harmful and early treatment of seizures may reduce actual mortality and morbidity.

The gold standard against which new treatments have to be compared has been rectal diazepam or intravenous lorazepam.

Obtaining intravenous access in a fitting child can be difficult. The rectal route has become popular both in hospital and …

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