Status Epilepticus in a Young Adult with Missed Antiepileptic Doses
A branching clinical case simulation for a patient presenting with generalized tonic-clonic seizure for 12 minutes after missing medication doses. Take a history, examine, investigate, diagnose and treat while the patient responds to every decision, then see the score by clinical domain with the reasoning for each mark.
Year 4medium20 min4 stages
- Patient
- 24 years, male
- Presenting complaint
- Generalized tonic-clonic seizure for 12 minutes after missing medication doses
- Decision stages
- Examination, Treatment, Monitoring
The presentation
A 24-year-old man with known epilepsy is brought to the emergency department by ambulance. He has been convulsing for 12 minutes. Paramedics report that he missed two doses of levetiracetam. He is in the resus bay, actively seizing. You are the Year 4 medical student on your emergency medicine placement. Your registrar is present but expects you to take a structured approach.
What this case teaches
Protect airway and check glucose; give benzodiazepine at the right dose and route; escalate to second-line antiepileptic at the right time; anticipate intubation.
How the case unfolds
- 1Immediate AssessmentExamination
- 2First-Line AntiepilepticTreatment
- 3Second-Line TreatmentTreatment
- 4Post-Ictal Monitoring and AirwayMonitoring
The decisions available at each stage, and what each one costs or earns, appear when you run the case.
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A free account opens the simulator: the patient's observations move with your decisions, and every choice is scored and explained.
Taught in
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Educational content for students and clinicians in training. It does not replace professional judgement, local protocols or current prescribing information.