Diferencia entre revisiones de «Maine:Prehospital protocol pediatric seizure»
(Created page with "==Baseline Assessment== *100% O2 NRB and prepare to assist ventilations *Obtain vital signs and prtoect patient from self injury *Request ALS ==Actively seizing?== *Check bl...") |
(Text replacement - "* " to "*") |
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| 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 | ||
==Reassess Patient== | ==Reassess Patient== | ||
Revisión del 22:30 5 jul 2016
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 <60 mg/dL?
Yes
- Treat with Dextrose IV/IO
Active Seizure?
Yes
- Midazolam (weight *0.2 mg/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