1
Q
Special population patients
A
- Over 65 years old
- Head trauma
- < 50 kg
- Already taken other sedatives (e.g., benzodiazepines, alcohol, etc.)
2
Q
Treatment for special populaion patienst
A
- KETAMINE 200mg IM
may repeat x3 in 5 minutes
3
Q
Combative/Exited delirium
A
- KETAMINE 400mg IM
may repeat x1 in 5 minutes
4
Q
Laryngospasm (stridor) reaction to Ketamine
A
- O2
- Assist Ventilations
- Consideradvance airway procedures
5
Q
Hypersalivation reaction to Ketamine
A
- Atropine 0.5mg IV/IO
may repeat in 3 mins, max total dose 3mg
6
Q
After Ketamine if pt begans to wake up
A
- Versed 5mg IV/IO/IM/IN
may repeat x1 in 5 minutes
7
Q
Rapid cooling for a tempeature >103 F
A
- Cold NS 1L
- Sodium bicarbonate 100mEq over 2 mins
8
Q
Preferred medication for hypotensive patients
A
Ketamine
9
Q
Treatment for pain managment
A
- Fentanyl 100mcg IV/IO/IM/IN
may repeat x2 in 5 mins
10
Q
For severe Pain management 7 or higher
A
- Ketamine
25mg in 50mL administer IV/IO utilizing a 60 gtt set, run wide open.
-Reassess pain scale after half of the infusion has been administer. Continue infusion if needed, may repeat x2
11
Q
If unable to establish IV with Ketamine
A
IN/IM 25mg
may repeat x2, in 5 mins
12
Q
IO infusion pain management
A
- Lidocaine 40mg IO over 2 mins
-Allow Lido to dwell in IO space for 1 minute
flush with normal saline
may repeat 20mg IO X1
13
Q
PEDIATRIC: Pain management
A
- FENTANYL 1mcg/kg IV/IO, over 2 minutes
may repeat x1 in 5 minutes
max total dose 200mcg
14
Q
PEDIATRIC: If unable to give Fentanyl IV
A
- IN/IM 1.5mcg/kg
15
Q
PEDIATRIC: Severe pain 7 or higher
A
- KETAMINE ( ≥ 3 years old): 1mg/kg IN/IM
may repeat x1 in 5 minutes
16
Q
PEDIATRIC: IO infusion pain management
A
- LIDOCAINE 0.5mg/kg IO, over 2 minutes
- Allow Lido to dwell in IO space for 1 minute
Flush with NORMAL SALINE 10mL
WPBfire EMS Protocol
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