Maine:Prehospital protocol pediatric shock - Revision history

Danbot: Add References

2026-03-22T09:36:30Z

Add References

← Older revision		Revision as of 09:36, 22 March 2026
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	*'''Usual Dose:''' 0.03 - 0.25 mcg/kg/min. Max dose is 3 mcg/kg/min		*'''Usual Dose:''' 0.03 - 0.25 mcg/kg/min. Max dose is 3 mcg/kg/min
	*'''Titration:''' Goal SBP > 80 mm Hg. 0.03 mcg/kg/min every 3-5 min		*'''Titration:''' Goal SBP > 80 mm Hg. 0.03 mcg/kg/min every 3-5 min

			==References==
			<references/>

	[[Category:EMS]]		[[Category:EMS]]

Rossdonaldson1 at 22:46, 3 December 2015

2015-12-03T22:46:31Z

← Older revision		Revision as of 22:46, 3 December 2015
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	*'''Usual Dose:''' 0.03 - 0.25 mcg/kg/min. Max dose is 3 mcg/kg/min		*'''Usual Dose:''' 0.03 - 0.25 mcg/kg/min. Max dose is 3 mcg/kg/min
	*'''Titration:''' Goal SBP > 80 mm Hg. 0.03 mcg/kg/min every 3-5 min		*'''Titration:''' Goal SBP > 80 mm Hg. 0.03 mcg/kg/min every 3-5 min

			[[Category:EMS]]

Ostermayer: Ostermayer moved page Maine: prehospital protocol pediatric shock to Maine:Prehospital protocol pediatric shock

2015-10-25T16:18:55Z

Ostermayer moved page Maine: prehospital protocol pediatric shock to Maine:Prehospital protocol pediatric shock

← Older revision	Revision as of 16:18, 25 October 2015
(No difference)

Ostermayer: Protected "Maine: prehospital protocol pediatric shock" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

2015-10-25T15:41:26Z

Protected "Maine: prehospital protocol pediatric shock" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

← Older revision	Revision as of 15:41, 25 October 2015
(No difference)

Ostermayer: Created page with "==Perform general assessment== #Attempt to identify cause of shock (i.e. allergic reaction) #O2 and airway management as appropriate #Keep child warm and dry #Request ALS tran..."

2015-10-25T15:41:15Z

Created page with "==Perform general assessment== #Attempt to identify cause of shock (i.e. allergic reaction) #O2 and airway management as appropriate #Keep child warm and dry #Request ALS tran..."

New page

==Perform general assessment==
#Attempt to identify cause of shock (i.e. allergic reaction)
#O2 and airway management as appropriate
#Keep child warm and dry
#Request ALS transport

==Consider causes==
Follow individual associated protocols
#Hypovolemic Shock:
##Vomiting/diarrhea
##GI bleed
#Cardiogenic Shock:
#[[Maine: prehospital protocol pediatric anaphylaxis|Anaphylaxis]]
#Sepsis or Undifferentiated shock

==Fluid bolus==
#Assess for pulmonary edema before administration (crackles)
#Administer 20mL/kg NS bolus over 5-15 minutes and immediately reasses
##For cardiogenic shock, administer 10mL/kg NS per bolus
#If needed repeat bolus 2 times
#If available and trained perform point of care lactate
#Notify receiving hospital

==If no treatment response==
*Contact medical for additional fluid bolus or norepinephrine infusion
*Norepinephrine infusion must be infused by a pump

==Norepinephrine==
*'''Concentration:''' 8mg in 250 mL NS
*'''Starting Dose:''' 0.03 mcg/kg/min
*'''Usual Dose:''' 0.03 - 0.25 mcg/kg/min. Max dose is 3 mcg/kg/min
*'''Titration:''' Goal SBP > 80 mm Hg. 0.03 mcg/kg/min every 3-5 min