Diferencia entre revisiones de «Maine:Prehospital protocol pediatric seizure»
(Text replacement - "* " to "*") |
(Add References) |
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| (No se muestran 3 ediciones intermedias de 2 usuarios) | |||
| Línea 7: | Línea 7: | ||
*Check blood glucose | *Check blood glucose | ||
==Blood Glucose < | ==Blood Glucose <60mg/dL?== | ||
===Yes=== | ===Yes=== | ||
*Treat with Dextrose IV/IO | *Treat with Dextrose IV/IO | ||
| Línea 13: | Línea 13: | ||
==Active Seizure?== | ==Active Seizure?== | ||
===Yes=== | ===Yes=== | ||
*Midazolam (weight *0. | *Midazolam (weight *0.2mg/kg) IM (max 10mg) | ||
*Midazolam (weight *0.1mg/kg) IV (Max 5mg) | *Midazolam (weight *0.1mg/kg) IV (Max 5mg) | ||
*Midazolam (weight 0.2mg/kg) IN over 15 sec half in each nostril (max 6mg) | *Midazolam (weight 0.2mg/kg) IN over 15 sec half in each nostril (max 6mg) | ||
| Línea 24: | Línea 24: | ||
*Begin EtCO2 monitoring | *Begin EtCO2 monitoring | ||
===Yes=== | ===Yes=== | ||
*Give IV/IO midazolam (weight *0.1) mg OR | *Give IV/IO midazolam (weight *0.1) mg '''OR''' | ||
*Give IM/IN midazolam (weight *0.2) mg | *Give IM/IN midazolam (weight *0.2) mg | ||
| Línea 31: | Línea 31: | ||
*Further orders as per on-line physician | *Further orders as per on-line physician | ||
==References== | |||
<references/> | |||
[[Category:EMS]] | [[Category:EMS]] | ||
Revisión actual - 09:36 22 mar 2026
Baseline Assessment
- 100% O2 NRB and prepare to assist ventilations
- Obtain vital signs and prtoect patient from self injury
- Request ALS
Actively seizing?
- Check blood glucose
Blood Glucose <60mg/dL?
Yes
- Treat with Dextrose IV/IO
Active Seizure?
Yes
- Midazolam (weight *0.2mg/kg) IM (max 10mg)
- Midazolam (weight *0.1mg/kg) IV (Max 5mg)
- Midazolam (weight 0.2mg/kg) IN over 15 sec half in each nostril (max 6mg)
No
- Further orders per on-line physician
Continuing seizure > 5 min?
- Obtain IV access
- Begin EtCO2 monitoring
Yes
- Give IV/IO midazolam (weight *0.1) mg OR
- Give IM/IN midazolam (weight *0.2) mg
Reassess Patient
- Continue to monitor airway
- Further orders as per on-line physician