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EMR
EMT
AEMT
Paramedic
Extended
Pediatric Respiratory Distress (Lower Airway)
Pediatric Respiratory Distress (Lower Airway)
Universal Pediatric Assessment
Pediatric Airway Protocol
Avoid invasive
airway unless in
respiratory arrest
Respiratory Insufficiency
Position of
Comfort
Wheezing?
Do NOT attempt IV
unless pt is near
arrest. Avoid
agitation.
DuoNeb
3mg Nebulized
(2.5mg Albuterol, 500mcg Ipratropium)
May repeat once
EMT
Call-In Order
Racemic Epinephrine
Neb
0.05mL/kg of 2.25% solution
Max Dose:
0.25mL < 6 months
0.5mL > 6 months
0.75mL adolescent
Solu-Medrol
2mg/kg
IV/IO/IM
Maximum 60mg
Cardiac Monitor
No
Croup suspected
(upper airway)
Yes
No