Prehospital protocol pediatric seizure: Difference between revisions

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*Further orders per on-line physician
*Further orders per on-line physician


==Continuing seizure >5min?==
==Continuing seizure > 5 min?==
*Obtain IV access
*Obtain IV access
*Begin EtCO2 monitoring
*Begin EtCO2 monitoring
===Yes===
===Yes===
*Give IV/IO midazolam (weight * 0.01) mg  OR
*Give IV/IO midazolam (weight * 0.01) mg  OR
*Give IM/IN midazolam (weight * 0.02) mg  
*Give IM/IN midazolam (weight * 0.02) mg


==Reassess Patient==
==Reassess Patient==

Revision as of 01:10, 30 September 2015

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 > 5 min?

  • 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