2015 Trumbull Memorial Hospital Demo

Pediatric Respiratory Distress (Lower Airway) Pediatric Respiratory Distress (Lower Airway)

Universal Pediatric Assessment

Cardiac Monitor

Position of Comfort

No

Respiratory Insufficiency

Avoid invasive airway unless in respiratory arrest

Pediatric Airway Protocol

Do NOT attempt IV unless pt is near arrest. Avoid agitation.

No

Wheezing?

Yes

Croup suspected (upper airway)

DuoNeb 3mg Nebulized (2.5mg Albuterol, 500mcg Ipratropium) May repeat once EMT Call-In Order

Solu-Medrol 2mg/kg IV/IO/IM Maximum 60mg

Racemic Epinephrine Neb 0.05mL/kg of 2.25% solution Max Dose:

 0.25mL < 6 months  0.5mL > 6 months  0.75mL adolescent

94

EMR

EMT

AEMT

Paramedic

Extended