What should be done for a patient experiencing body-jerking movements suspected to be a seizure without IV access?

In cases of a suspected seizure, particularly when a patient is experiencing body-jerking movements, it is essential to provide rapid intervention for seizure control, especially in the absence of intravenous access. Midazolam, which can be administered intramuscularly, is a preferred agent in this scenario due to its effectiveness in quickly terminating seizures and its rapid onset of action.

Midazolam is a benzodiazepine that offers several advantages: it has reliable absorption through the intramuscular route, allowing for effective management of seizures when IV access is not available. The dosing of 10 mg IM is appropriate for adults, providing a quick means to achieve therapeutic levels that can control seizure activity.

In contrast, the other medications proposed for this scenario are less suitable. Lorazepam, while effective, requires IV administration, making it impractical without access to a vein. Diazepam could be an option due to its IM formulation, but it carries a higher risk of variability in absorption and may not act as quickly as midazolam for acute seizure management. Levetiracetam, though an effective antiepileptic drug, is not suitable for use outside of an intravenous setting in this emergency context, especially at such a high dose, which is excessive and could