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Highlights from the literature

PREHOSPITAL SEIZURE MANAGEMENT Obtaining venous access and administering drugs to terminate seizures is difficult in the prehospital environment. Intramuscular (IM) midazolam is attractive as a potential treatment option for status epilepticus, as the drug is easily stored and can be rapidly administered. A randomised controlled trial from the USA recruited almost 900 patients of all age groups and compared the efficacy of IM midazolam and intravenous lorazepam. The results revealed IM midazolam to be at least as effective as intravenous lorazepam (N Engl J Med 2012;366:591e600).