You might recall Jake’s story from the TBI module:
Jake is a 24y.o builder who suffered a severe TBI as a result of a one hit punch. He received a trache in ICU but was discharged to the wards 2 months ago and then to neuro rehab just last week. He has now been sent into ED with seizures. In ED, he has 2 generalised tonic-clonic seizures in a 30 minute period, the first terminated with 5 mg of midazolam IV, the second requiring a second 5mg IV midazolam and he was GCS 13 between seizures. He is now GCS 9 (E2 V2 M5) post midazolam and agitated.
Jake has no other medical history. He was discharged to rehab on 500mg levetiracetam twice daily and had only 1 seizure on day 8 of ICU admission.