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                                    Generalized Tonic-Clonic Seizure ManagementEnsure%u2022 Ensure ABC (Airway, Breathing, Circulation)Check%u2022 Check blood glucoseEstablish%u2022 If seizure >5 minutes, establish IV accessAccess%u2022 With IV access:%u2022 Give IV Lorazepam or IV Diazepam%u2022 If no response, consider IV Phenobarbital or Phenytoin%u2022 For refractory status, consider IV Midazolam, Propofol, or Thiopental sodiumAccess%u2022 Without IV access:%u2022 Give Buccal Midazolam (max 2 doses)
                                
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