How is status epilepticus defined and what is the ED treatment sequence?

How is status epilepticus defined and what is the ED treatment sequence?

• A. A seizure lasting less than 2 minutes; treat with observation.
• B. Seizure lasting more than 5 minutes or multiple seizures without return to baseline; benzodiazepines first-line (lorazepam); then second-line antiseizure meds (phenytoin/fosphenytoin or valproate); consider intubation.
• C. Only focal seizures require treatment; avoid benzodiazepines.
• D. Seizures always resolve spontaneously within 1 minute.

Answer: (B)