Paramedic Kardex

The is a quick reference ONLY to the Policies and Guidelines set by OCEMSA.
All specific Treatment Guidelines questions should be directed to the OCEMSA Website.
ADULT
Allergic Reaction or Anaphylaxis
Algorithm
Allergic Reaction: Mild (rash, urticarial, and vital signs stable): → Pulse oximetry, if SPO2 less than 95%
▼
High flow oxygen by mask as tolerated.
Allergic Reaction: Moderate (facial/cervical angio-edema or wheezing):
→ Pulse oximetry, if oxygen saturation less than 95%
►High flow oxygen by mask as tolerated.
▼
►Diphenhydramine 50 mg IM / IV
►Epinephrine 0.3 mg IM (1 mg/mL)
BHO for history of cardiac disease, CHF, Chest Pain, or age > 40 years-old
→ If wheezing present:
►Albuterol: 5mg (6mL) nebulize continuous as tolerated
Anaphylaxis: Severe (hypotension, severe wheezing, SOB, impending airway obstruction):
→ Pulse oximetry, if oxygen saturation less than 95%
► High flow oxygen by mask as tolerated.
▼
►Epinephrine 0.3 mg Slow IV / IO (0.1 mg/mL) or Epinephrine 0.3 mg IM (1 mg/mL)
►Diphenhydramine 50 mg IV / IO / IM
►Normal Saline, infuse 250 mL, repeat up to max 1 liter to maintain adequate perfusion.
▼
→ If wheezing present:
►Albuterol 5mg (6 mL) nebulize continuous as tolerated.
→ ALS escort to nearest appropriate PRC; Base Hospital Contact if no response to therapy or condition worsens
1:10,000 = 0.1mg / 1mL
1:1000 = 1mg / 1mL