1. Stabilize patient (airway, breathing, circulation, disability - neurologic exam)
2. Time seizure from its onset, monitor vital signs
3. Assess oxygenation, give oxygen via nasal cannula/mask, consider intubation if respiratory assistance
needed
4. Initiate ECG monitoring
5. Collect finger stick blood glucose. If glucose < 60 mg/dl then
Adults: 100 mg thiamine IV then 50 ml D50W IV
Children ≥ 2 years: 2 ml/kg D25W IV Children < 2 years: 4 ml/kg D12.5W IV
6. Attempt IV access and collect electrolytes, hematology, toxicology screen, (if appropriate) anticonvulsant
drug levels