2015 Trumbull Memorial Hospital Demo

Pediatric Altered Mental Status Pediatric Altered Mental Status

High Flow O2

Universal Pediatric Assessment

Appropriate Protocol

Clinical Consideration: There is approximately 20g of glucose in:  12oz of non-diet soda  12oz orange juice  12oz apple juice  12oz whole milk  Consider food allergies

Cardiac Monitor

Pediatric IV/IO

Appropriate Protocol

Patient Temperature

Check BGL

60-250mg/dL

> 500mg/dL

< 60mg/dL for a child > 1 month

Narcan 0.1mg/kg IV/IO/IM EMR or EMT Narcan ½ syringe via MAD

Fluid Bolus 20mL/kg

Food, drink, or oral glucose is preferred if patient is conscious and can swallow. Glucose 0.5-1g/kg orally

Avoid in infants < 1 month

10% Dextrose 5mL/kg IV/IO via syringe ONLY

Possible causes of AMS:  Hypoxemia  Meningitis  Head trauma  Poisoning, overdose  Hypovolemia  Seizures  CO Poisoning  Metabolic Disturbances (Hyponatremia, hypoglycemia)

Glucagon 0.05mg/kg IM

Any potential child exposure to Suboxone requires transport!

89

EMR

EMT

AEMT

Paramedic

Extended