Maine:Prehospital protocol pediatric seizure: Difference between revisions
Neil.m.young (talk | contribs) (Text replacement - "* " to "*") |
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*Check blood glucose | *Check blood glucose | ||
==Blood Glucose < | ==Blood Glucose <60mg/dL?== | ||
===Yes=== | ===Yes=== | ||
*Treat with Dextrose IV/IO | *Treat with Dextrose IV/IO | ||
| Line 13: | Line 13: | ||
==Active Seizure?== | ==Active Seizure?== | ||
===Yes=== | ===Yes=== | ||
*Midazolam (weight *0. | *Midazolam (weight *0.2mg/kg) IM (max 10mg) | ||
*Midazolam (weight *0.1mg/kg) IV (Max 5mg) | *Midazolam (weight *0.1mg/kg) IV (Max 5mg) | ||
*Midazolam (weight 0.2mg/kg) IN over 15 sec half in each nostril (max 6mg) | *Midazolam (weight 0.2mg/kg) IN over 15 sec half in each nostril (max 6mg) | ||
| Line 24: | Line 24: | ||
*Begin EtCO2 monitoring | *Begin EtCO2 monitoring | ||
===Yes=== | ===Yes=== | ||
*Give IV/IO midazolam (weight *0.1) mg OR | *Give IV/IO midazolam (weight *0.1) mg '''OR''' | ||
*Give IM/IN midazolam (weight *0.2) mg | *Give IM/IN midazolam (weight *0.2) mg | ||
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*Further orders as per on-line physician | *Further orders as per on-line physician | ||
==References== | |||
<references/> | |||
[[Category:EMS]] | [[Category:EMS]] | ||
Latest revision as of 09:36, 22 March 2026
Baseline Assessment
- 100% O2 NRB and prepare to assist ventilations
- Obtain vital signs and prtoect patient from self injury
- Request ALS
Actively seizing?
- Check blood glucose
Blood Glucose <60mg/dL?
Yes
- Treat with Dextrose IV/IO
Active Seizure?
Yes
- Midazolam (weight *0.2mg/kg) IM (max 10mg)
- Midazolam (weight *0.1mg/kg) IV (Max 5mg)
- Midazolam (weight 0.2mg/kg) IN over 15 sec half in each nostril (max 6mg)
No
- Further orders per on-line physician
Continuing seizure > 5 min?
- Obtain IV access
- Begin EtCO2 monitoring
Yes
- Give IV/IO midazolam (weight *0.1) mg OR
- Give IM/IN midazolam (weight *0.2) mg
Reassess Patient
- Continue to monitor airway
- Further orders as per on-line physician