Clinical Case

A 4-year-old boy was brought into the ED fitting. He had a 5-day history of coryza, cough, lethargy, vomiting and pyrexia.

He was previously fit and well, with no previous seizures and no family history of epilepsy.

On arrival to the ED, he had been fitting for 25 minutes despite rectal diazepam 20 minutes ago at home. The seizure was noted to be predominantly left-sided.

Other observations are: Sats 80%, poor trace, HR ? 140, CR 3 sec.

He is transferred to the resuscitation room with a non-rebreathe mask on 10 L/min of oxygen.

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