What is the first choice for treating status epilepticus?

At present, midazolam or diazepam is the first line of treatment for status epilepticus, which is about 6 to 20 minutes after the onset of seizures. The most common drug at this stage is diazepam, which is usually 0.15-0.2 mg per kg per dose, up to 10 mg per dose, which can be repeated once. These drugs can effectively block the status epilepticus in patients. If the condition persists for more than 20 minutes and does not resolve, drugs such as valproic acid, levetiracetam, or phenobarbital may be added as a second-line option, given in a single dose. In this case, seizure timing should also be calculated and oxygen levels assessed. Oxygen may be administered via nasal catheters or masks. If necessary, some respiratory assistance should be given at the same time, which may be more than 20 minutes to about 40 minutes. If it is clear that the seizure cannot be completely relieved, some drugs of anesthetic dose may be required, and auxiliary intubation may be required. The above scheme is for reference only. Please follow the drug instructions or go to a regular hospital for medication.