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medicstudent1125
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Bradycardia
- 1) Secure Airway
- 2) Oxygen
- 3) Maintain Body Temp.
- 4) HR </=60 w/ Cardiopulmonary Compromise after o2 & vents
- 5) IV access w/ NSS 20mL/kg
- 6) start CPR 3:1
- Epi 1:10,000 0.01mg/kg IV
- No IV Epi 1:1000 0.1mg/kg ETT
- 7) Medical Control
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Narrow Complex Tachycardia
- 1) Airway
- 2) O2
- 3) Temp
- 4) IV 20ml/kg NSS bolus
- 5) vagal if stable
- 6) adenosine 0.1mg/kg rapid IVP, 10ml flush
- 7) no a-fib, a-flutter or WPW
- 8) adenosine 0.2mg/kg
- 9) Medical Control
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V-Fib / Pulseless V-Tach
- Determine pulselessness
- Start CPR
- Vent w 100%
- O2
- Advanced airway
- IV NSS @ KVO
- Temp
- Defib @ 2j/kg, cont CPR 2 min cycle
- No change, Defib @4j/kg, cont CPR
- EPI 0.01mg/kg 1:10,000
- Or 0.1mg/kg 1:1,000/ETT
- No change, Defib @ 4j/kg
- Continue CPR
- Amiodarone 5mg/kg
- Medical Control
-
Wide Complex Tachycardia
- Airway
- O2
- Temp
- IV 20ml/kg NSS
- Medical Control
-
PEA
- Determine pulselessness
- Start CPR
- Vent @ 100% O2
- Secure airway
- IV NSS @ KVO
- Temp
- Asystole – confirm in more than one lead
- BGL? <1month 0.5g/kg D10%
- >1month 0.5g/kg D25%
- No IV Glucogon 0.1mg/kg max of 1mg
- OD? Narcan 1st dose 0.2mg
- 2nd dose 0.1mg/kg MAX 2mg
- EPI 3-5 min 0.01mg/kg 1:10,000
- (or 0.1mg/kg/ETT 1:1,000 in 5 ml NSS)
- Medical Control
-
Allergic Reaction / Anaphylaxis
- Airway
- O2
- Temp
- EPI 0.01mg/kg 1:1,000 IM
- MAX 0.3mg
- Wheeze – albuterol 2.5mg neb
- IV NSS @ KVO
- low BP - 20mg/kg NSS rapid bolus
- no improvement – diphenhydramine 1mg/kg
- Medical Control
-
Asthma
- Airway
- O2
- Temp
- Duoneb – 2.5mg albuterol / 0.5mg atrovent
- Subsequent tx 2 more ALBUTEROL ONLY
- No improvement EPI 0.01mg/kg 1:1,000 MAX 0.5mg
- IVNSS@KVO
- Medical Control
-
Seizures
- Airway
- O2
- Temp
- BGL <60<1 month 0.5mg/kg 10%DEXTROSE
- >1month 0.5mg/kg 25%DEXTROSE
- no IV, glucagon 0.1mg/kg MAX 1mg
- ALS witnessed seizure
- Ativan 0.05mg/kg, MAX2mg
- Vailum 0.1mg/kg MAX 5mg
- NO IV, Ativan 0.05mg/kg MAX 2MG IM/IN
- Versed 0.15mg/kg MAX 5mg IM/IN
- Medical Control
-
Trauma
- Spine
- Airway
- O2
- Control bleeding
- Temp
- Transport decision
- IV Ringers @KVO
- Trauma w/ burns, use NSS20ml/kg rapid fluid bolus
- Sys>90
- Morphine 0.1mg/kg MAX 10mg
- Fentanyl 1mcg/kg MAX 100mcg
-
Croup
- Airway
- O2
- Temp
- Position of comfort
- Mild – 3cc NSS via neb
- SEVERE – epi 3mg 1:1,000 neb
- No change, IV NSS @KVO
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Burn Management
- Stop burning
- Hazmat
- Spine
- Airway
- Consider ETT100% O2
- dry dressing
- temp maintainance
- transport decision
- trauma center considered
- IV KVO
- Sys>90
- morphine 0.1mg/kg 10mg MAX, slow IVP
- Fentanyl 1mcg/kg MAX100mcg slow IVP
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Non Traumatic Shock
- Airway
- O2
- Temp
- IV NSS@KVO 20ml/kg NSS,
- rapid BGL <1 month 0.5g/kg D10%
- >1 month 0.5g/kg D25%
- No IV 0.1mg/kg Glucogon max 1mg IM
- No change, give 2nd 20ml/kg NSS, rapid
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Altered Mental Status
- Airway
- O2
- Temp
- (trauma considered)
- IV, NSS @ KVO
- BGL <1mth 0.5g/kg D10% >1mth D25%
- RESP DRIVE,
- narcan 0.2mg, 0.1mg/kg MAX 2mg
- HX of dehydration, 20ml/kg NSS bolus
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General Sedation
- All situation permitting
- Baseline vitals, bp, hr, rr, patency, spo2, bgl
- High flow O2 via NRB
- IV NSS@KVO
- Ativan 0.1mg/kg 2mg MAX
- May repeat 1 time
- No IV, versed 2mg approved route.
- Continuously monitor airway, vitals, LOC
-
Sedation Painful Procedure
- O2 via NRB
- IV in AC
- NSS @ KVO
- Versed 0.1mg/kg slow IVP MAX 5mg
- Sys > 70 + (agex2)
- No IV, versed 5mg approved route
-
Sedation Adv. Airway
- High flow O2 via NRB
- IV in AC
- NSS@KVO
- Etomidate 0.15mg/kgMAX 30mg sys>80
- Sys<80, etomidate 0.15mg/kg MAX15mg
- Post intubation
- Versed 0.1mg/kg, MAX 5mg
- Record vitals, etco2, spo2
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