700-P11.pdf

County of Santa Clara Emergency Medical Services System 700-P11 PEDIATRIC RESPIRATORY DISTRESS Effective: April 27, 2017 Replaces: February 8, 2013 Review: April 27, 2022 1....

County of Santa Clara Emergency Medical Services System 700-P11 PEDIATRIC RESPIRATORY DISTRESS Effective: April 27, 2017 Replaces: February 8, 2013 Review: April 27, 2022 1. BLS Treatment 1.1. Routine Medical Care – Pediatric (700-S05) 1.1.1. Oxygen – titrate as appropriate 1.2. Place patient in a position that decreases work of breathing 1.3. If the airway cannot be secured or ventilated, transport to the closet hospital (Policy 602) 2. ALS Treatment 2.1. Vascular Access (IV), TKO 2.2. Complete assessment of patients lung sounds and treat accordingly 2.3. Prepare to secure airway if patient condition worsens 3. Asthma (Wheezes) 3.1. Albuterol 2.5mg in 3ml normal saline via nebulizer device, may repeat if respiratory distress continues, to a max of 5mg 3.2. If condition is not relieved with albuterol and patient shows signs of respiratory fatigue and/or failure, administer Epinephrine (1:1,000) 0.01mg/kg IM, max single dose 0.3mg 4. Croup (Stridor) 4.1. Do not try visualization of the pharynx 4.2. Consider Normal Saline 3ml via nebulizer device, may repeat if respiratory distress continues 5. Pneumonia (Rhonchi, Febrile) 5.1. Obtain and record temperature 5.2. Consider cooling measures and/or remove blankets and heavy clothing if febrile 5.3. Consider Albuterol 2.5mg in 3ml normal saline via nebulizer device if wheezes are present Protocol # 700-P11 Santa Clara County Emergency Medical Services Prehospital Care Manual – Protocol # 700-A11 Page 1 of 1