Diferencia entre revisiones de «Maine:Prehospital protocol pediatric seizure»

(Text replacement - "2 mg" to "2mg")
(Add References)
 
(No se muestran 2 ediciones intermedias de 2 usuarios)
Línea 7: Línea 7:
*Check  blood glucose
*Check  blood glucose


==Blood Glucose <60 mg/dL?==
==Blood Glucose <60mg/dL?==
===Yes===
===Yes===
*Treat with Dextrose  IV/IO
*Treat with Dextrose  IV/IO
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


References