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. 2014 Sep 10;2014(9):CD003723. doi: 10.1002/14651858.CD003723.pub3

Shaner 1988.

Methods Randomisation by sealed envelopes
 No blinding
Participants Patients aged over 15 years
Interventions Arm 1 = diazepam 2 ‐ 20 mg IV + phenytoin 6 ‐ 18 mg/kg IV based on initial drug levels
 Arm 2 = phenobarbitone 10 ‐ 30 mg/kg IV
Outcomes Cessation of seizures
 Requirement for ventilatory support
 Mortality
 Complications
 Adverse effects
Notes Study from California
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk The method of sequence generation not given
Allocation concealment (selection bias) Unclear risk Sealed envelopes have been used but it is not clearly mentioned whether they were opaque and serially numbered
Blinding of participants and personnel (performance bias) 
 All outcomes High risk There was no blinding
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Even though there was no blinding, the outcome measures are unlikely to be susceptible to high degree of bias