Key messages

• The first priorities in managing seizure patients remain airway, breathing, and circulation, and the attempt to keep the patient from harm.

• Single seizures do not always require either pharmacological termination or prophylaxis against subsequent spells. These decisions must be made individually.

• Currently, the most effective drug for terminating generalized convulsive status epilepticus is lorazepam 0.1 mg/kg.

• Refractory status epilepticus should be treated aggressively in an attempt to prevent further brain damage.

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