You are asked to review a 23-year old female in the Emergency Department who has presented via ambulance with her first seizure. She was still fitting after being given 5mg of diazepam IV by the ambulance officers and a further 20mg of midazolam by the staff in the Emergency Department. She was then intubated and taken for a head CT scan, which is reported as normal.
She is currently intubated, sedated with fentanyl and midazolam, has been paralysed with vecuronium, with a BP 140/80, HR 98, O2 saturation 100%, temp 37.8°C.
What will you look for on initial assessment as she arrives in the ICU?
The rest of the questions focused on the causes of seizures in a young patient, monitoring (including role of EEG) during status and management of status.
(Neurology and Neurosurgery) - Pass rate ; highest mark .