Prehospital protocol pediatric anaphylaxis - Revision history

Danbot: Add References

2026-03-22T09:36:36Z

Add References

← Older revision		Revision as of 09:36, 22 March 2026
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	==See Also==		==See Also==
	*[[Anaphylaxis]]		*[[Anaphylaxis]]

			==References==
			<references/>

	[[Category:EMS]]		[[Category:EMS]]

Mholtz at 08:38, 7 January 2020

2020-01-07T08:38:00Z

← Older revision		Revision as of 08:38, 7 January 2020
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	#Assist Ventilations with <span style="color:#add8e6"> BVM</span> as needed		#Assist Ventilations with <span style="color:#add8e6"> BVM</span> as needed

	==Signs Symptoms of [[~~Anapylaxis~~]]?==		==Signs Symptoms of [[Anaphylaxis]]?==
	Is there a known allergen exposure with hypotension or respiratory distress?		Is there a known allergen exposure with hypotension or respiratory distress?

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	*Repeat as needed		*Repeat as needed

	==[[Hypotension]]or Poor Perfusion?==		==[[Hypotension]] or Poor Perfusion?==
	===Yes===		===Yes===
	#Give (weight *20) mL/kg NS bolus and reassess.		#Give (weight *20) mL/kg NS bolus and reassess.

Mholtz at 08:36, 7 January 2020

2020-01-07T08:36:56Z

← Older revision		Revision as of 08:36, 7 January 2020
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	#Continue transport, and frequent reassessments		#Continue transport, and frequent reassessments
	#Contact online medical control if in need of further instructions		#Contact online medical control if in need of further instructions

			==See Also==
			*[[Anaphylaxis]]

	[[Category:EMS]]		[[Category:EMS]]

Mholtz at 06:30, 6 March 2019

2019-03-06T06:30:54Z

← Older revision		Revision as of 06:30, 6 March 2019
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	#Assist Ventilations with <span style="color:#add8e6"> BVM</span> as needed		#Assist Ventilations with <span style="color:#add8e6"> BVM</span> as needed

	==Signs Symptoms of Anapylaxis?==		==Signs Symptoms of [[Anapylaxis]]?==
	Is there a known allergen exposure with hypotension or respiratory distress?		Is there a known allergen exposure with hypotension or respiratory distress?

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	#Repeat bolus x 3 times if continued signs of poor perfusion		#Repeat bolus x 3 times if continued signs of poor perfusion

	==Recurrent signs of [[Anaphylaxis]]?==		==Recurrent signs of Anaphylaxis?==
	If patient has continued signs of anaphylaxis and no epinephrine was given in the last 5 minutes then		If patient has continued signs of anaphylaxis and no epinephrine was given in the last 5 minutes then
	*IF (weight < 25) kg		*IF (weight < 25) kg

Mholtz at 06:30, 6 March 2019

2019-03-06T06:30:14Z

← Older revision		Revision as of 06:30, 6 March 2019
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	#Repeat bolus x 3 times if continued signs of poor perfusion		#Repeat bolus x 3 times if continued signs of poor perfusion

	==Recurrent signs of Anaphylaxis?==		==Recurrent signs of [[Anaphylaxis]]?==
	If patient has continued signs of anaphylaxis and no epinephrine was given in the last 5 minutes then		If patient has continued signs of anaphylaxis and no epinephrine was given in the last 5 minutes then
	*IF (weight < 25) kg		*IF (weight < 25) kg

Mholtz at 06:29, 6 March 2019

2019-03-06T06:29:43Z

← Older revision		Revision as of 06:29, 6 March 2019
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	#Persistent vomiting or abdominal pain		#Persistent vomiting or abdominal pain
	#altered mental status, syncope, or decreased consciousness		#altered mental status, syncope, or decreased consciousness
	~~====Yes====~~
	*IF (weight <25) kg
	*Give EpiPen Junior IM (0.15mg epinephrine 1:1000 IM) If auto injector is not available, give epinephrine 1:1000 (weight 0.01) mg/kg IM
	*IF (weight > 25) kg
	*Give EpiPen IM (0.3mg epinephrine 1:1000 IM) If autoinjector is not available, give epinephrine (1:1000) (weight 0.01) mg/kg IM

	==IV NS TKO, Cardiac Monitor, Pulse Oximetry==		==IV NS TKO, Cardiac Monitor, Pulse Oximetry==

Ostermayer: Text replacement - "Hypotension " to "Hypotension"

2017-03-10T13:26:00Z

Text replacement - "Hypotension " to "Hypotension"

← Older revision		Revision as of 13:26, 10 March 2017
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	*Repeat as needed		*Repeat as needed

	==Hypotension or Poor Perfusion?==		==[[Hypotension]]or Poor Perfusion?==
	===Yes===		===Yes===
	#Give (weight *20) mL/kg NS bolus and reassess.		#Give (weight *20) mL/kg NS bolus and reassess.

Rossdonaldson1: Text replacement - "AMS" to "altered mental status"

2016-07-31T05:43:57Z

Text replacement - "AMS" to "altered mental status"

← Older revision		Revision as of 05:43, 31 July 2016
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	#Widespread hives, itching, swelling		#Widespread hives, itching, swelling
	#Persistent vomiting or abdominal pain		#Persistent vomiting or abdominal pain
	#~~AMS~~, syncope, or decreased consciousness		#altered mental status, syncope, or decreased consciousness
	====Yes====		====Yes====
	*IF (weight <25) kg		*IF (weight <25) kg

Neil.m.young: Text replacement - "1 mg" to "1mg"

2016-07-21T01:31:20Z

Text replacement - "1 mg" to "1mg"

← Older revision		Revision as of 01:31, 21 July 2016
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	*Give EpiPen IM (0.3mg epinephrine 1:1000 IM) If autoinjector is not available, give epinephrine (1:1000) (weight 0.01) mg/kg IM		*Give EpiPen IM (0.3mg epinephrine 1:1000 IM) If autoinjector is not available, give epinephrine (1:1000) (weight 0.01) mg/kg IM

	==Give Diphenhydramine ~~1 mg~~/kg IV/IM==		==Give Diphenhydramine 1mg/kg IV/IM==
	*Max dose 50mg		*Max dose 50mg

Neil.m.young: Text replacement - "* " to "*"

2016-07-04T13:44:05Z

Text replacement - "* " to "*"

← Older revision		Revision as of 13:44, 4 July 2016
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	*IF (weight <25)		*IF (weight <25)
	**Give EpiPen Junior IM (0.15mg epinephrine 1:1000 IM)		**Give EpiPen Junior IM (0.15mg epinephrine 1:1000 IM)
	*If auto injector is not available, give epinephrine 1:1000 (weight 0.01) mg IM		*If auto injector is not available, give epinephrine 1:1000 (weight 0.01) mg IM
	*IF (weight > 25)		*IF (weight > 25)
	**Give EpiPen IM (0.3mg epinephrine 1:1000 IM)		**Give EpiPen IM (0.3mg epinephrine 1:1000 IM)
	*If autoinjector is not available, give epinephrine (1:1000) (weight 0.01) mg IM		*If autoinjector is not available, give epinephrine (1:1000) (weight 0.01) mg IM

	===No===		===No===
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	====Yes====		====Yes====
	*IF (weight <25) kg		*IF (weight <25) kg
	*Give EpiPen Junior IM (0.15mg epinephrine 1:1000 IM) If auto injector is not available, give epinephrine 1:1000 (weight 0.01) mg/kg IM		*Give EpiPen Junior IM (0.15mg epinephrine 1:1000 IM) If auto injector is not available, give epinephrine 1:1000 (weight 0.01) mg/kg IM
	*IF (weight > 25) kg		*IF (weight > 25) kg
	*Give EpiPen IM (0.3mg epinephrine 1:1000 IM) If autoinjector is not available, give epinephrine (1:1000) (weight 0.01) mg/kg IM		*Give EpiPen IM (0.3mg epinephrine 1:1000 IM) If autoinjector is not available, give epinephrine (1:1000) (weight 0.01) mg/kg IM

	==IV NS TKO, Cardiac Monitor, Pulse Oximetry==		==IV NS TKO, Cardiac Monitor, Pulse Oximetry==
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	==Hypotension or Poor Perfusion?==		==Hypotension or Poor Perfusion?==
	===Yes===		===Yes===
	#Give (weight * 20) mL/kg NS bolus and reassess.		#Give (weight *20) mL/kg NS bolus and reassess.
	#Repeat bolus x 3 times if continued signs of poor perfusion		#Repeat bolus x 3 times if continued signs of poor perfusion

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	If patient has continued signs of anaphylaxis and no epinephrine was given in the last 5 minutes then		If patient has continued signs of anaphylaxis and no epinephrine was given in the last 5 minutes then
	*IF (weight < 25) kg		*IF (weight < 25) kg
	*Give EpiPen Junior IM (0.15mg epinephrine 1:1000 IM) If auto injector is not available, give epinephrine 1:1000 (weight 0.01) mg IM		*Give EpiPen Junior IM (0.15mg epinephrine 1:1000 IM) If auto injector is not available, give epinephrine 1:1000 (weight 0.01) mg IM
	*IF (weight > 25) kg		*IF (weight > 25) kg
	*Give EpiPen IM (0.3mg epinephrine 1:1000 IM) If autoinjector is not available, give epinephrine (1:1000) (weight 0.01) mg/kg IM		*Give EpiPen IM (0.3mg epinephrine 1:1000 IM) If autoinjector is not available, give epinephrine (1:1000) (weight 0.01) mg/kg IM

	==Give Diphenhydramine 1 mg/kg IV/IM==		==Give Diphenhydramine 1 mg/kg IV/IM==