2015 Trumbull Memorial Hospital Demo

Mucosal Atomizer Device (MAD) Mucosal Atomizer Device (MAD)

Medications to consider:  Naloxone 2mg/2mL for adult overdose  Fentanyl 50mcg/mL for adult pain management  Versed 10mg/2mL for seizures (IM is much preferred)  Ketamine 100mg/mL diluted to 10mg/mL for pediatric pain management (IV is much preferred)

Steps

Performed? Yes No

1. Load syringe with appropriate mL volume of medication (1mL maximum per nostril). Consider adding 0.1 mL of volume per nostril to account for dead space.

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2. Attach the Mucosal Atomizer Device (MAD).

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3. Place the MAD tip within nostril approximately 1.5cm.

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4. Briskly compress syringe to administer ½ of the volume as atomized spray. Do not use more than 1mL per nostril. More than 1mL per nostril may result in medication drainage from the nostril.

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5. Remove and repeat in other nostril, so all medication is administered.

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139

EMR

EMT

AEMT

Paramedic

Extended