2015 Trumbull Memorial Hospital Demo

Allergic Reaction Allergic Reaction

Universal Patient Assessment

Oxygen Titrate SpO2 to 94%

Adult Airway Protocol

Adult IV/IO if patient is critical, do not delay treatment to initiate vascular access.

Cardiac Monitor

Mild Localized swelling and redness only

Severe / Shock Hypotension, respiratory compromise

Moderate Systemic swelling and redness, impending respiratory or circulatory compromise

Benadryl 25-50mg IV/IM Slow IV

BVM Assist

Adult Epi-Pen 1 dose IM

Adult Epi-Pen 1 dose IM

Benadryl 25-50mg IV/IM Slow IV

Benadryl 25-50mg IV/IM Slow IV

Consider DuoNeb EMT Call-In Order

DuoNeb EMT Call-In Order

Clinical Considerations AEMTs and Paramedics  Consider using 0.3mL (0.3mg) of Epinephrine 1:1,000 IM in place of epi- pen if needed.

Solu-Medrol 125mg IV/IO/IM

Solu-Medrol 125mg IV/IO/IM

Fluid Bolus 1-2 Liters

Capnography Pulse Oximetry

Epinephrine Push-Dose Pressor 0.5-2 mL every 2-5 min

48

EMR

EMT

AEMT

Paramedic

Extended