Continuous Generalized Tonic–clonic Movements in Pediatrics — 3yo Child | Pediatric Emergency | SMLE Q#1238

SMLE Question #1238

Pediatrics Pediatric Emergency

Objective: OBJ-OPH-REFERRAL-001

Last updated: February 2026
A 3-year-old boy is brought to the emergency department with continuous generalized tonic–clonic movements for 5 minutes. He had cough and rhinorrhea for 2 days and developed fever shortly before the event. He has no prior seizures and takes no regular medications. On arrival, he is still convulsing with upward eye deviation and frothing; airway is maintained and bedside glucose is normal. What is the most appropriate immediate medication to give?

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