Prehospital protocol pediatric seizure: Difference between revisions
Ostermayer (talk | contribs) |
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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 * 0.01) 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