You are the FACEM in charge in a tertiary ED. A 37-year-old woman, 35 weeks’ gestation, is brought in after a generalised tonic-clonic seizure terminated by IV midazolam. She has no previous seizure history. Her vitals: HR 115 bpm, BP 195/110 mmHg, RR 22, SpO₂ 100% (NRBM), T 36.8°C, BSL 7.2 mmol/L.

1. State (3) diagnostic criteria for pre-eclampsia. 3 marks

2. Besides eclampsia, list (4) other potential causes of her seizure and their emergency treatments. 4 marks

3. She seizes again – outline your immediate management priorities. 5 marks