A 6 y/o is admitted to the pediatric unit with a diagnosis o…

A 6 y/o is admitted to the pediatric unit with a diagnosis of new onset seizures. He has been observed “staring” in the classroom and it takes the teacher a few minutes to address him. In kindergarten, he was very active and had difficulty sitting still for any activity. He is still active but not focused with this new behavior. His EEG is negative. What is a likely diagnosis for this child, if these events are not considered seizures?

A 3 y/o with known seizure disorder had a prolonged seizure…

A 3 y/o with known seizure disorder had a prolonged seizure at home for which she has received rectal valium 5 mg. She continued to have seizure activity and arrived to the ED with continued persistent bilateral eye twitching and lip movements. She is unresponsive to stimuli, but oxygen saturation is 100% on a non-rebreather mask. The paramedics were unable to start an IV. What would be the best first step in management?