Maine:Prehospital protocol pediatric anaphylaxis - Revision history

Danbot: Add References

2026-03-22T09:36:29Z

Add References

← Older revision		Revision as of 09:36, 22 March 2026
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	*'''Usual dose:''' is 0.05-0.5 mcg/kg/min. MAX dose 0.5mcg/kg/min		*'''Usual dose:''' is 0.05-0.5 mcg/kg/min. MAX dose 0.5mcg/kg/min


			==References==
			<references/>

	[[Category:EMS]]		[[Category:EMS]]

	[[Category:EMS]]		[[Category:EMS]]

Mholtz: Text replacement - "Epinephine" to "Epinephrine"

2017-05-25T15:11:48Z

Text replacement - "Epinephine" to "Epinephrine"

← Older revision		Revision as of 15:11, 25 May 2017
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	#Contact online medical control if in need of further instructions or repeat epinephrine dosing		#Contact online medical control if in need of further instructions or repeat epinephrine dosing

	==[[~~Epinephine~~]]drip preparation==		==[[Epinephrine]]drip preparation==
	This must be performed under OLMC and only with a Maine EMS approved pump		This must be performed under OLMC and only with a Maine EMS approved pump
	*'''Preparation:''' add 1 mL (1mg) epinephrine (1mg/ml 1:1000) to a 250 mL bag NS. This results in 1mg/250mL = 4mcg/mL mix		*'''Preparation:''' add 1 mL (1mg) epinephrine (1mg/ml 1:1000) to a 250 mL bag NS. This results in 1mg/250mL = 4mcg/mL mix

Ostermayer: Text replacement - "Epinephrine " to "Epinephine"

2017-03-10T15:03:42Z

Text replacement - "Epinephrine " to "Epinephine"

← Older revision		Revision as of 15:03, 10 March 2017
Line 28:		Line 28:
	#Contact online medical control if in need of further instructions or repeat epinephrine dosing		#Contact online medical control if in need of further instructions or repeat epinephrine dosing

	==~~Epinephrine~~ drip preparation==		==[[Epinephine]]drip preparation==
	This must be performed under OLMC and only with a Maine EMS approved pump		This must be performed under OLMC and only with a Maine EMS approved pump
	*'''Preparation:''' add 1 mL (1mg) epinephrine (1mg/ml 1:1000) to a 250 mL bag NS. This results in 1mg/250mL = 4mcg/mL mix		*'''Preparation:''' add 1 mL (1mg) epinephrine (1mg/ml 1:1000) to a 250 mL bag NS. This results in 1mg/250mL = 4mcg/mL mix

Neil.m.young: Text replacement - "2 mg" to "2mg"

2016-07-21T00:05:15Z

Text replacement - "2 mg" to "2mg"

← Older revision		Revision as of 00:05, 21 July 2016
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	*Repeat as needed		*Repeat as needed

	==Give Diphenhydramine 1-~~2 mg~~/kg IV/IM==		==Give Diphenhydramine 1-2mg/kg IV/IM==
	*Max dose 50mg		*Max dose 50mg

Neil.m.young: Text replacement - "* " to "*"

2016-07-06T02:41:21Z

Text replacement - "* " to "*"

← Older revision		Revision as of 02:41, 6 July 2016
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	*IF (weight <25)		*IF (weight <25)
	**Give EpiPen Junior IM (0.15mg epinephrine 1:1000 IM)		**Give EpiPen Junior IM (0.15mg epinephrine 1:1000 IM)
	*If auto injector is not available, give epinephrine 1:1000 (weight 0.01) mg IM		*If auto injector is not available, give epinephrine 1:1000 (weight 0.01) mg IM
	*IF (weight > 25)		*IF (weight > 25)
	**Give EpiPen IM (0.3mg epinephrine 1:1000 IM)		**Give EpiPen IM (0.3mg epinephrine 1:1000 IM)
	*If autoinjector is not available, give epinephrine (1:1000) (weight 0.01) mg IM		*If autoinjector is not available, give epinephrine (1:1000) (weight 0.01) mg IM

	==Wheezing or Shortness of Breath?==		==Wheezing or Shortness of Breath?==

Ostermayer: Ostermayer moved page Maine: prehospital protocol pediatric anaphylaxis to Maine:Prehospital protocol pediatric anaphylaxis

2015-10-25T16:19:08Z

Ostermayer moved page Maine: prehospital protocol pediatric anaphylaxis to Maine:Prehospital protocol pediatric anaphylaxis

← Older revision	Revision as of 16:19, 25 October 2015
(No difference)

Ostermayer: Protected "Maine: prehospital protocol pediatric anaphylaxis" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

2015-10-25T14:01:25Z

Protected "Maine: prehospital protocol pediatric anaphylaxis" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

← Older revision	Revision as of 14:01, 25 October 2015
(No difference)

Ostermayer: /* Notify Receiving Hospital */

2015-10-25T13:44:31Z

Notify Receiving Hospital

← Older revision		Revision as of 13:44, 25 October 2015
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	==Notify Receiving Hospital==		==Notify Receiving Hospital==
	#Continue transport, and frequent reassessments		#Continue transport, and frequent reassessments
	#Contact online medical control if in need of further instructions		#Contact online medical control if in need of further instructions or repeat epinephrine dosing

			==Epinephrine drip preparation==
			This must be performed under OLMC and only with a Maine EMS approved pump
			*'''Preparation:''' add 1 mL (1mg) epinephrine (1mg/ml 1:1000) to a 250 mL bag NS. This results in 1mg/250mL = 4mcg/mL mix
			*'''Dose:''' start at 0.05mcg/kg/min Titrate by 0.05 mcg/kg/min every 5 min to desired BP
			*'''Usual dose:''' is 0.05-0.5 mcg/kg/min. MAX dose 0.5mcg/kg/min

Ostermayer: Created page with "==Perform general assessment== #Manage airway as appropriate #If shock is present refer to shock protocol #Request ALS if available ==Signs Symptoms of Anapylaxis?== #Is ther..."

2015-10-25T13:36:51Z

Created page with "==Perform general assessment== #Manage airway as appropriate #If shock is present refer to shock protocol #Request ALS if available ==Signs Symptoms of Anapylaxis?== #Is ther..."

New page

==Perform general assessment==
#Manage airway as appropriate
#If shock is present refer to shock protocol
#Request ALS if available

==Signs Symptoms of Anapylaxis?==
#Is there a known allergen exposure with hypotension or respiratory distress?
#Common allergens are peanuts, medications and bee stings

===Yes===
*Assist in administration of patient's own anaphylaxis kit if available
*IF (weight <25)
**Give EpiPen Junior IM (0.15mg epinephrine 1:1000 IM)
**If auto injector is not available, give epinephrine 1:1000 (weight * 0.01) mg IM
*IF (weight > 25)
**Give EpiPen IM (0.3mg epinephrine 1:1000 IM)
**If autoinjector is not available, give epinephrine (1:1000) (weight * 0.01) mg IM

==Wheezing or Shortness of Breath?==
*2.5mg/3mL NS via Nebulizer may be administered
*Repeat as needed

==Give Diphenhydramine 1-2 mg/kg IV/IM==
*Max dose 50mg

==Notify Receiving Hospital==
#Continue transport, and frequent reassessments
#Contact online medical control if in need of further instructions

[[Category:EMS]]

[[Category:EMS]]