Check blood glucose <60 Yes Pt able to swallow? Administer oral No glucose Unable to gain IV access No Obtain IV access A A Condition improves? Dextrose A A Yes Glucagon P P M Contact Medical Control M Notes: Meds: Oral Glucose PRN Keep patient warm. An inadequate amount of glucose for heat Dextrose D25 2cc/kg IV/IO repeat once PRN D10 production, combined with profound diaphoresis, many hypoglycemic patients are at risk for hypothermia Glucagon SQ 1 mg or 0.5mg<20kg Use D10 for Neonates (birth 30 days) – Pediatric Seizure History: Signs/Symptoms: Differential: Fever Observed seizure activity Fever Prior history of seizures Altered mental status Infection Seizure Medications Hot, dry skin or elevated body Head Trauma Reported seizure activity Temperature Medication or Toxin History of recent head trauma Hypoxia or Respiratory failure Congenital abnormality Hypoglycemia Metabolic abnormality / acidosis
Check blood glucose <60 Pt able to swallow? Yes Administer oral glucose No Condition improves? A Obtain IV access A A Dextrose A Unable to gain IV access No P Glucagon P Yes M Contact Medical Control M Notes: Keep patient warm. An inadequate amount of glucose for heat production, combined with profound diaphoresis, many hypoglycemic patients are at risk for hypothermia Use D10 for Neonates (birth – 30 days) Meds: Oral Glucose PRN Dextrose D25 2cc/kg IV/IO repeat once PRN D10 Glucagon SQ 1 mg or 0.5mg<20kg Pediatric Seizure History: Fever Prior history of seizures Seizure Medications Reported seizure activity History of recent head trauma Congenital abnormality Signs/Symptoms: Observed seizure activity Altered mental status Hot, dry skin or elevated body Temperature Differential: Fever Infection Head Trauma Medication or Toxin Hypoxia or Respiratory failure Hypoglycemia Metabolic abnormality / acidosis
2012_lc_ems_protocols.docx