Pediatric Seizure Intervention Guidelines BCAS Treatment

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					Intervention Guideline:
Pediatric Seizure
Indications:
       Patients suffering status seizures or decreased level of consciousness secondary to generalized
        seizure activity.

These guidelines assume that all interventions are:
     Based on the relevant medical principles document
     Delivered in the context of the universal fundamental approach for all patients

           Responder                                                 Actions
                                  Position the patient – on side if unconscious
       FR                        If still seizing protect the patient from potential injury
       EMR                       Febrile
       PCP                              Promote heat loss
       ACP
                                  Supplemental oxygen
       ITT
       CCP                       Correct hypoglycaemia
                                         Glucogel
                                  Correct hypoglycaemia
       PCP                              Glucagon (Age < 12 or IV unattainable)
                                         Dextrose
                                  Correct hypoglycaemia
                                         Glucagon
                                         Dextrose
       ACP                       If trauma suspected
       ITT                              Hyperventilate using pupilary response as a guide
       CCP                       Intervene in ongoing seizure activity
                                         Midazolam
                                  Patient febrile - no prior antipyretic administered
                                         Acetaminophen
                                          Supportive care /ICU
       Hospital                          Medication (Dilantin, Phenobarbital, Valproate, Tegretol)
       Inter-Hospital (CCP)              Paralysis–EEG monitoring
                                          Investigation of underlying cause


    Indication    Hypoglycemia
                  .03 mg/kg SC
   Dose/route
                  max dose 1 mg
                  Known sensitivity to glucagon
Contraindications
                  Pheochromocytoma (tumor involving the adrenal gland)
   Indication     Hypoglycemia B.G. below 4 mmol
   Dose/route     D10W 10-25g (100-250cc) infusion I.V.
Contraindications None. Ensure I.V. patency



    Indication    Anti-Convulsant
                  0.15 mg/kg IV/IO (max dose 5 mg)
   Dose/route
                  0.2 mg/kg IM (max dose 10 mg)
Contraindications Known sensitivity to midazolam or other benzodiazepines



    Indication    Pediatric febrile seizure patients with unaddressed pyrexia
                  15 mg/kg PO/PR
   Dose/route
                  (80 mg/cc infant oral solution)
                  Patient has received dose of acetaminophen within 4 hours prior to EMS arrival
Contraindications
                  Sensitivity to acetaminophen

				
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posted:11/12/2011
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