A 26-month-old girl with no known epilepsy is brought in convulsing. The seizure began 14 minutes ago; paramedics gave buccal midazolam at six minutes and a further dose intravenously at eleven minutes. She continues to have generalised tonic-clonic movements. Blood glucose is 5.4 mmol/L, temperature 39.2 degrees Celsius, and oxygen saturation 96% with high-flow oxygen. Intravenous access is patent and her airway is being supported. Which one of the following should be given next?
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Filed under paediatrics › neurology › seizure-disorders-and-febrile-convulsions › seizure-disorders

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