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
New UPDATED 10/1/2021
Initiate or maintain CPR
► High-flow oxygen by BVM
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►IV / IO vascular access without interruption of CPR
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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
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→ Correct possible reversible causes:
hypovolemia, acidosis hypoxia, tension pneumothorax, hypothermia, toxins
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Consider
►Normal Saline 20 mL/kg bolus, may repeat twice to attain and maintain perfusion
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→ If known diabetic and hypoglycemia suspected, administer:
►Dextrose 10% 5 mL/kg IVPB / IO (See Dosing / Age Chart Below) - Max of 250 mL
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If at any time develops rhythm with pulse:
Make BHC (CCERC preferred) 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