JBL EMT Practice Exam

After a generalized tonic-clonic seizure, it is crucial to consider the patient's current lack of seizure medication as the critical factor influencing the decision to insist on transport. Seizure medications are essential for controlling and preventing seizures, and the absence of these medications indicates an increased risk of further seizures, which could endanger the patient's safety. It is necessary to ensure that the patient receives appropriate medical attention and seizure management to prevent any potential complications or recurrence of seizures.

The other factors mentioned in the question, such as the frequency of seizures since age 20, normal Glasgow Coma Scale score, and wife's assertion of a typical seizure pattern, while relevant to the overall assessment and management of the patient, do not directly address the immediate need for seizure medication following a generalized tonic-clonic seizure.