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Free Open Access Short Answer Questions for ED Fellowship Study
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Case: PNES and status epilepticus management
A 39-year-old woman has been brought into your tertiary ED with 2 x “seizure-like” episodes, each lasting approximately 1 minute. She has a GCS of 14, BP 140/85, HR 99, Sats 99%RA, BSL 5.0. You suspect that she may have had a psychogenic, non-epileptic seizure (PNES). Shortly after presentation, she develops another tonic-clonic seizure lasting for more than 5 minutes. You deem that she is in status epilepticus.