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139

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.

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.

5.

Remove and repeat in other nostril, so all medication is administered.

Mucosal Atomizer Device (MAD)