In this large trial of patients being transported by EMS for seizures, the use of IM midazolam ceased seizures as well as IV lorazepam (73% vs 63% ceased by the time they arrived to the ED, respectively), with no difference in adverse event rates. IM benzodiazepines are as safe and effective as IV in patients with status epilepticus (abstract)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.