Seizures lasting longer than how many minutes require aggressive management?

Seizures lasting longer than 5 minutes are typically classified as status epilepticus, which is a medical emergency that requires aggressive management. This duration indicates that the seizure is not self-limiting and increases the risk of complications such as respiratory failure, prolonged postictal state, or even neurological injury.

In emergency medical services, it is crucial to recognize the significance of a seizure lasting over this threshold, as timely intervention can prevent adverse outcomes. Common management strategies may include administering benzodiazepines, followed by other antiepileptic medications as needed, along with supportive care such as ensuring the patient's airway is secure.

Lower durations noted in other choices may indicate the onset of a seizure, but they do not signify the same level of emergency that the 5-minute mark does. It is essential for EMTs to utilize this 5-minute guideline in their assessments and interventions for patients experiencing prolonged seizures.