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Maine:Prehospital protocol pediatric seizure
From WikEM
Contents
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
