1. 2003 Prehospital Patient Care Protocols VII. Pediatric Protocols Old Dominion Emergency Medical Services Alliance

2. Pediatric Patient Care Protocols Introduction and Use Patient Assessment Respiratory Distress / Failure Shock Medical Patient Care Altered Level of Consciousness (ALOC) / Coma Hypoglycemia Hyperglycemia Anaphylaxis Asthma / Wheezing / Bronchitis (RSV) BLS Universal Cardiac Arrest Asystole / Pulseless Arrest Bradycardia Ventricular Fibrillation / Pulseless Tachycardia Epinephrine Dosages for Cardiac Events – Pediatrics Epiglottitis Fever Foreign Body Airway Obstruction Newborn Resuscitation Poisoning Seizures Tachycardia

3. Trauma Patient Care Burns Drowning / Near Drowning Electrical Injuries / Lighting Hypothermia Hyperthermia Abdominal Trauma Chest Trauma Head Trauma Suspected Child Abuse Drugs / Medications Chart Pediatric Patient Care Protocols

4. 1. Introduction and Use

6. 2. Pediatric Patient Assessment

11. 3. Respiratory Distress / Failure

14. If all attempts to adequately ventilate have failed, secure airway with Needle Cricothyrotomy*

15. 4. Shock

19. 5A. ALTERED LEVEL OF CONSCIOUSNESS (ALOC) / COMA

24. 5B. HYPOGLYCEMIA

29. 5C. HYPERGLYCEMIA

32. 5D. ANAPHYLAXIS

36. 5E. ASTHMA / WHEEZING / BRONCHIOLITIS (RSV)

40. 5F. BLS UNIVERSAL CARDIAC ARREST

43. 5G. ASYSTOLE / PULSELESS ELECTRICAL ACTIVITY (PEA)

47. 5H. BRADYCARDIA

50. 5I. VENTRICULAR FIBRILLATION / VENTRICULAR TACHYCARDIA

53. 5J. EPINEPHRINE DOSAGES FOR CARDIAC EVENTS - PEDIATRICS Bradycardia Asystole / PEA VENTRICULAR FIBRILLATION / VENTRICULAR TACHYCARDIA

54. 5K. EPIGLOTTITIS

57. If all attempts to adequately ventilate have failed, secure airway with Needle Cricothyrotomy*

58. 5L. FEVER

61. 5M. FOREIGN BODY AIRWAY OBSTRUCTION

64. 5N. NEWBORN RESUSCITATION

66. 5O. POISONING

69. 5P. SEIZURES

73. 5Q. TACHYCARDIA

75. 6A. Burns

79. 6B. DROWNING / NEAR DROWNING

82. 6C. ELECTRICAL INJURIES / LIGHTNING

85. 6D. HYPOTHERMIA

88. 6E. HYPERTHERMIA

91. 6F. ABDOMINAL TRAUMA

94. 6G. CHEST TRAUMA

97. 6H. HEAD TRAUMA

100. 7. SUSPECTED CHILD ABUSE