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EMR
EMT
AEMT
Paramedic
Extended
Allergic Reaction
Allergic Reaction
Universal Patient Assessment
Cardiac Monitor
Adult IV/IO
if patient is critical, do not
delay treatment to initiate
vascular access.
Mild
Localized swelling
and redness only
Moderate
Systemic swelling and
redness, impending
respiratory or circulatory
compromise
Severe / Shock
Hypotension,
respiratory
compromise
Benadryl
25-50mg IV/IM
Slow IV
Adult Epi-Pen
1 dose IM
Benadryl
25-50mg IV/IM
Slow IV
Consider
DuoNeb
EMT
Call-In Order
Solu-Medrol
125mg
IV/IO/IM
Capnography
Pulse Oximetry
BVM Assist
Oxygen
Titrate SpO2 to 94%
Adult Epi-Pen
1 dose IM
Benadryl
25-50mg IV/IM
Slow IV
DuoNeb
EMT
Call-In Order
Solu-Medrol
125mg
IV/IO/IM
Epinephrine Push-Dose
Pressor
0.5-2 mL every 2-5 min
Adult Airway Protocol
Fluid Bolus
1-2 Liters
Clinical Considerations
AEMTs
and
Paramedics
Consider using 0.3mL
(0.3mg) of Epinephrine
1:1,000 IM in place of epi-
pen if needed.