Maine:Prehospital protocol pediatric stridor

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Airway Assessment

  1. Apply humidified O2 if available
  2. If needed Assist ventilations with PPV using 100% O2
  3. Request ALS if available

General Assessment

  • Assess for possible causes of stridor
  • Stridor may be due to croup, foreign body aspiration, or epiglottitis

Nebulized epinephrine

  1. Nebulized epinephrine (1m:1:1000) epinephrine mixed with 2mL normal saline
    1. Contact OLMC prior to administration
    2. Nebulized epinephrine may be contraindicated in children with history of congenital heart disease
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