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.
PEDS
Asystole or PEA
Algorithm
Initiate or maintain CPR
► High-flow oxygen by BVM
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►IV / IO vascular access without interruption of CPR
For PEA administer Fluid Bolus before other treatments
►20 mL/kg NS bolus, may repeat twice to attain and maintain perfusion
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If no immediate response to initial 250 mL Normal Saline bolus:
►Epinephrine 0.01 mg/kg IV / IO (0.1 mg/mL) approximately every 3 minutes
→ Correct possible reversible causes:
hypovolemia, acidosis hypoxia, tension pneumothorax, hypothermia, toxins
→ If known diabetic and hypoglycemia suspected administer:
►D10 25 gm/250 mL (50% solution) IVPB / IO (See Dosing / Age Chart Below)
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If at any time develops rhythm with pulse:
Make BHC for transport destination
For continued PEA or asystole:
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→Maintain CPR and transport to nearest PRC or make Base Contact to: - Provide further resuscitation orders
- Request pronouncement of patient in the field
→Interruption of chest compressions should always be held to a minimum
→Agonal gasps are not adequate breathing and when accompanied with a pulseless state the patient should be considered to be in full cardiopulmonary arrest
Pediatric D10 Dosing - See I-20 Pediatric Medication Doses
1:10,000 = 0.1mg/mL
1:1000 = 1mg/mL