Prehospital protocol pediatric seizure

Baseline Assessment

• 100% O2 NRB
• Prepare to assist ventilations
• Obtain vital signs

Actively seizing?

• Check blood glucose

Blood Glucose <60 mg/dL?

Yes

• Treat with Dextrose IV/IO

Active Grand Mal Seizure?

Yes

• Midazolam (weight *0.2 mg/kg) IN/IM
• Place on EtCO2 monitoring

No

• Further orders per on-line physician

Continuing seizure >5min?

• Obtain IV access
• Begin EtCO2 monitoring

Yes

• Give IV/IO midazolam (weight * 0.01) mg OR
• Give IM/IN midazolam (weight * 0.02) mg

Reassess Patient

• Continue to monitor airway
• Further orders as per on-line physician