2015 Trumbull Memorial Hospital Demo

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EMR EMT AEMT Paramedic Extended
Pediatric Altered Mental Status
Pediatric Altered Mental Status
Universal Pediatric Assessment High Flow O2
Cardiac Monitor
Pediatric IV/IO
Check BGL
Patient Temperature
Appropriate
Protocol
Appropriate
Protocol
Food, drink, or oral glucose
is preferred if patient is
conscious and can swallow.
Glucose 0.5-1g/kg orally
< 60mg/dL for a
child > 1 month
60-250mg/dL > 500mg/dL
Fluid Bolus 20mL/kg
10% Dextrose 5mL/kg
IV/IO
via syringe ONLY
Glucagon 0.05mg/kg IM
Narcan 0.1mg/kg IV/IO/IM
EMR or EMT
Narcan ½ syringe via MAD
Avoid in infants
< 1 month
Possible causes of AMS:
 Hypoxemia
 Meningitis
 Head trauma
 Poisoning, overdose
 Hypovolemia
 Seizures
 CO Poisoning
 Metabolic Disturbances
(Hyponatremia, hypoglycemia)
Any potential child
exposure to Suboxone
requires transport!
Clinical Consideration:
There is approximately 20g
of glucose in:
 12oz of non-diet soda
 12oz orange juice
 12oz apple juice
 12oz whole milk
 Consider food allergies