Prehospital protocol pediatric seizure: Difference between revisions
Ostermayer (talk | contribs) |
(Text replacement - "OR" to "'''OR'''") |
||
| (5 intermediate revisions by 2 users not shown) | |||
| Line 7: | Line 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 | ||
| Line 13: | Line 13: | ||
==Active Grand Mal Seizure?== | ==Active Grand Mal Seizure?== | ||
===Yes=== | ===Yes=== | ||
*Midazolam (weight *0. | *Midazolam (weight *0.2mg/kg) IN/IM | ||
*Place on EtCO2 monitoring | *Place on EtCO2 monitoring | ||
| Line 19: | Line 19: | ||
*Further orders per on-line physician | *Further orders per on-line physician | ||
==Continuing seizure > | ==Continuing seizure > 5 min?== | ||
*Obtain IV access | *Obtain IV access | ||
*Begin EtCO2 monitoring | *Begin EtCO2 monitoring | ||
===Yes=== | ===Yes=== | ||
*Give IV/IO midazolam (weight * 0. | *Give IV/IO midazolam (weight *0.1) mg '''OR''' | ||
*Give IM/IN midazolam (weight * 0. | *Give IM/IN midazolam (weight *0.2) mg | ||
==Reassess Patient== | ==Reassess Patient== | ||
Latest revision as of 21:59, 30 May 2017
Baseline Assessment
- 100% O2 NRB
- Prepare to assist ventilations
- Obtain vital signs
Actively seizing?
- Check blood glucose
Blood Glucose <60mg/dL?
Yes
- Treat with Dextrose IV/IO
Active Grand Mal Seizure?
Yes
- Midazolam (weight *0.2mg/kg) IN/IM
- Place on EtCO2 monitoring
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