Ver el código de «Prehospital protocol breathing difficulty (less than 2 yo)»

==Wheezing or course breath sounds?==
===Yes===
#Suction and give epinephrine 1:1000 3mL nebulized

==Evidence of Stridor?==
===Yes===
#Give epinephrine 1:1000 3mL in nebulizer
===No===
#Reassess continuously during transport for respiratory distress

==Ongoing Respiratory Distress?==
===Yes===
#Give epinephrine 1:1000 3mL in nebulizer
#Immediately assess for respiratory failure.
===No===
#Reassess continuously during transport
#Further orders per '''Online Medical Control'''

==Signs of respiratory failure?==
#Increased decreased or no respiratory effort?
#Poor or absent air movement?
#Tachycardia (early sign) or bradycardia (late sign)?
#Changes in level of consciousness?
===No===
#Continue to reassess patient

===Yes===
#Perform BVM Ventilation
#Normal saline (weight *20)ml/kg bolus IV/IO
====Is BVM effective?====
If BVM is not effective, perform the following:
#Reposition the airway
#Check correct mask size
#Check O2 source
#Place [[OPA]]
#Assess for gastric distention
=====Yes=====
#Transport, monitor and continue to reassess
=====No=====
#If continued failure to ventilate or oxygenate with BVM, then place endotracheal tube or supraglottic airway
#Contact medical control for further orders

[[Category: EMS]]