EMS Protocol OLMD
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Created by:
flipdizzys on October 26, 2011
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37 terms
Terms | Definitions |
|---|---|
 Allergic Reaction (adult) | epi (1:10) 0.1-.25mg IV over 5-10 minutes * epi 0.1-0.25mg (1-2.5ml) in 100 ml NS, drip 120 gtts/minute (10gtt set) |
| VTach/Wide complex of uncertain origin (stable adult) | Amiodarone 150mg in 100ml NS IV, drip 60gtts/min (10ggt set) |
| Polymorphic VT (stable adult) | Mag Sulfate 2 grams in 100ml NS, drip 60gtts/min (10ggt set) |
| Hypoglycemia (adult) | for patients who might benefit (cva), Dextrose 50% 12.5 grams IV |
| Asthma / Bronchospasm (adult) | repeat epi (1:1) 0.3mg SQ or IM epi (1:10) 0.3mg IV slow |
| Pulmonary Edema (adult) | Lasix at patient's single (not daily) oral dose IV slow, to a max of 120mg For patients not on lasix, 40mg |
| Agitated Delirium (adult) | Midazolam (Versed) 5mg IM or 2mg IV slow |
| Crush Syndrome (adult) | entrapment >4 hours, consider Dextrose 50% to IV fluids |
| Torso Injury (adult) | if refractory to the first 1000ml NS, consider additional fluid challenges |
| Allergic Reaction / Anaphylaxis (peds) | epi (1:100,000) 0.1mg IV over 5-10 minutes. * epi (1:10) 0.1 mg (1 ml) in 100ml NS, drip 120 gtts/min (10ggt set) |
| PSVT (peds) | for peds that do not convert with vagals, give Adenosine 0.1 mg/kg followed by a 10ml flush. if no conversion after 1-2 minutes give 0.2mg |
| Hypoperfusion | dopamine drip |
| Organophosphate / Nerve Agent (peds) severe | Pralidoxime (2-PAM) autoinjector in peds over 15kg |
| Croup / Epiglottitis (peds) | Epi (1:1) 5mg undiluted via NEB |
| Asthma / Brochiolitis (peds) | Mag Sulfate 25mg/kg in 100ml NS IV drip 30ggts/min (10ggt set) |
| Pain Management (peds) | additional doses |
| Nausea / Vomiting (peds) | <8kg contact OLMD |
| Crush Syndrome (peds) | entrapment > 4 hours consider D50 to IV fluids |
| Torso Trauma (peds) | for patients 10 years old or older, consider permissive hypotension |
| Adenosine | for peds- if no conversion with vagals, 0.1mg/mg rapid with 10cc flush, if no change 0.2 mg/kg |
| Amiodorone | Stable Adult- 150mg in 100 ml NS IV drip 60/gtts/min (10 ggt set) Stable Peds-5mg/kg in 100 ml NS IV drip 50gtts/min (10ggt set) |
| Atropine Adult and Elderly | Organophosphate/Nerve Agent- Adult (>10yo/35kg): 2-6mg IM/IV MDV Elderly 1-4 mg IM/IV MDV |
| Atropine Peds | Infant (0-3yo/<13kg):0.05-0.1 mg/kg IM/IV or 0.1-1mg MDV Small Child (3-10yo/13-35kg): 1-4 mg IM/IV MDV |
| Calcium Chloride (10%) | Pediatric OD/Poisoning |
| Cyanokit | Adult-If mental status changes are mild or moderate All Peds |
| Dextrose (adult) | Adult with possible CVA- D50, 12.5 grams Adult Crush Syndrome- D50 to IV fluids |
| Dextrose (peds) | Peds Crush Syndrome- D50 to IV fluids |
| Diazepam (Adult) | Organo/Nerve Agent- (>10yo/35kg): 5-10 mg IM/IV Elderly- 1.25-10mg IM/IV |
| Diazepam (peds) | (0-3yo/<13kg): 0.2-0.5 mg/kg Small Child (3-10yo/13-35kg): 0.2-0.5 mg/kg |
| Dopamine | for peds, hypoperfusion |
| Furosemide | Pulmonary Edema, adult prescribed lasix give patient's single dose IV slow to max of 120mg for patient's not prescribed gove 40mg IV slow |
| Glucagon | for Beta blocker/Calcium Channel blocker OD |
| Magnesium Sulfate (adult) | Stable polymorphic Vtach with pulse- 2 grams in 100ml NS IV drip 60gtts/min (10gtt set) |
| Magnesium Sulfate (peds) | Stable polymorphic Vtach with pulse- 50mg/kg in 100ml NS IV drip wide open (10gtt set) Asthma/Broncospasm- 25mg/kg in 100ml NS IV drip 30gtts/min (10gtt set) |
| Mark 1 Kit | all peds |
| Nitroglycerin | meds similar to viagra within the last 7 days |
| Ondansetron | for peds <8kg |
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