P611

• If narcotic overdose, naloxone 0.1 mg/kg IV/IM/IN/IO (max 2 mg)
• If toxin remains on patient, wash or brush off as appropriate. Alert medical control if patient will require further decontamination; patient NOT to be brought through regular Triage.
• For eye exposure, flush the eyes with 0.9% NaCl for at least 15 min
• If patient has ingested medications or other substance, obtain container(s), and bring with patient to ED

Altered Mental Status – PED

P610

• 100% O2 or BVM ventilate if needed
• Consider nasopharyngeal airway

Seizing >5 min, give Midazolam

• ≤12 kg = 0.2 mg/kg IV/IO/IM/IN
• 13-40 kg = 5 mg IV/IO/IM/IN
• Contact medical control for seizing >15 min

Altered Mental Status – PED

P608

IF blood glucose is < 70 mg/dl:

• If dysrhythmia present, proceed to appropriate protocol
• For shock, push 20 ml/kg 0.9%NaCl IV/IO (max 1 L)
• If glucose ≤70, administer 1 ml/kg D50W IV/IO push; If child ≤3 y.o. or ≤ 15 kg, instead push 2 ml/kg of D25 IV/IO (D25 is made by mixing D50 1:1 with 0.9% NaCl)
• If no IV, Glucagon 1 mg for ≥6 y.o. or 0.5 mg for children ≤5 y.o.

IF blood glucose is > 400 mg/dl or glucometer reads “HIGH”:

• Give fluid bolus of 20 ml/Kg not to exceed 1000 ml IV/IO during transport if no evidence of pulmonary edema
• Place patient on monitor for possibility of dysrhythmia

PEDIATRIC DIABETIC REACTION

PEDIATRIC SEIZURE

PEDIATRIC TOXICOLOGY EMERGENCY