Obstetric Emergency with Seizure and Haemorrhage

You are the consultant covering labour ward and have been phoned on the obstetric emergency phone to attend the delivery suite as part of the obstetric emergency team in a large tertiary hospital. The patient is a previously well 30-year-old primigravida (38/40) having an induction of labour for prolonged premature rupture of membranes. Her husband had alerted the delivery suite staff that she had become unconscious and was having a seizure. She has an 18 gauge cannula insitu and was recently started on patient controlled epidural analgesia. The obstetrician, neonatal team and midwives are present when you arrive. The seizure has terminated. She is not responsive. Her observations on your arrival are: HR 76 bpm BP 92/55 SaO2 86% on oxygen 6l/min