2015 Trumbull Memorial Hospital Demo

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EMR EMT AEMT Paramedic Extended
Mucosal Atomizer Device (MAD)
Medications to consider:
 Naloxone 2mg/2mL for adult overdose
 Fentanyl 50mcg/mL for adult pain management
 Versed 10mg/2mL for seizures (IM is much preferred)
 Ketamine 100mg/mL diluted to 10mg/mL for pediatric pain management (IV is much preferred)
Steps Performed?
Yes No
1. Load syringe with appropriate mL volume of medication (1mL maximum per nostril).
Consider adding 0.1 mL of volume per nostril to account for dead space.
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2. Attach the Mucosal Atomizer Device (MAD). ☐ ☐
3. Place the MAD tip within nostril approximately 1.5cm. ☐ ☐
4. Briskly compress syringe to administer ½ of the volume as atomized spray. Do not use
more than 1mL per nostril. More than 1mL per nostril may result in medication
drainage from the nostril.
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5. Remove and repeat in other nostril, so all medication is administered. ☐ ☐
Mucosal Atomizer Device (MAD)