The patient in status epilepticus presents many challenges to the emer
gency physician. IV access is frequently difficult to achieve, and pro
longed attempts at access can jeopardize the patient and endanger the
caregiver. We present two cases in which the administration of intrana
sal midazolam appeared to successfully terminate status epilepticus. N
o adverse effects were noted. Studies are needed to clarify the safety
, optimal dosing, and clinical utility of this treatment modality.