Emergency treatment of a prolonged epileptic seizure using buccally administered 10mg in 2ml Midazolam using an oral syringe

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NES has created this training video at the request of the Scottish Government. It discusses what to do when a patient has a prolonged seizure and requires Midazolam. It demonstrates how to draw up Midazolam from a glass vial of 10mg in 2ml solution and how to administer this into the buccal sulcus, using an oral syringe. It also highlights the variation in dosage for different aged patients

Video demonstration

Simon Reay demonstrates:

  • What to do when a patient has a prolonged seizure and requires Midazolam
  • How to draw up Midazolam from a glass vial of 10mg in 2ml solution
  • How to administer this into the buccal sulcus, using an oral syringe
  • Highlights the variation in dosage for different aged patients

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Use of Midazolam in Emergency Dental Boxes

Scottish Government Letter to NHS Dental Teams

Further Information

Further guidance on how to deal with an epileptic seizure are available on the SDECP website at:

https://www.sdcep.org.uk/published-guidance/drug-prescribing

Review
  • Published 11/03/2022 
  • Due for Review 11/03/2024