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First time seizure

If pregnant or postpartum

Know epileptic or >/=1 seizure

Still seizing or recurrent seizure

Active seizure/Postictal/Status epilepticus

Send samples for UEC MPS, HIV (urinalysis if pregnant or postpartum)

load with IV magnesium sulphate 4 mg diluted in 100 mL NS over 15 mins

Send samples for UEC MPS, HIV, antiepileptic drug levels as applicable

Set up IV access and give Midazolam 0.1 mg/Kg

>5 minutes of a continuous seizure or >/=2 discrete seizures between which there is incomplete recovery of consciousness