I saw a patient bitten by a brown snake this week. Wound swab positive for brown snake venom but fortunately not clinically envenomated. It was helpful to revisit the guidelines!
Data were collected on 53 episodes of paraldehyde use in tonic-clonic status epilepticus, which showed it appeared to be effective at terminating seizures in 33 of 53 cases. The median dose was 0.79 ml/kg, in keeping with current APLS guidelines (0.4 ml/kg of paraldehyde plus 0.4 ml/kg olive oil given per rectum)
Review of the efficacy of rectal paraldehyde in the management of acute and prolonged tonic-clonic convulsions
Arch Dis Child. 2009 Sep;94(9):720-3