Follow General Pediatric Protocol.
Mandatory interventions:
a. Oxygen
b. IV access
c. Rapid glucose testing
If FEVER present, remove child’s clothing and keep covered with a cool sheet. Do not administer anything PO.
If seizure activity present on arrival:
a. Administer MIDAZOLAM (Versed) 0.2 mg/kg IN/IM/IV every 2 – 5 minutes, titrated to stop the seizure (maximum 5 mg).
Age Weight Kg (Lb) Dose (mg) Volume (mL)
6 m 8 (17) 1.6 0.3
9 – 15 m 9 – 11 (20 – 24) 1.8 – 2.2 0.4
2 – 5 yr 13 – 19 (28 – 42) 2.6 – 3.8 0.6
> 6 yr ~ 23 (51) 5.0 1.0
If HYPOGLYCEMIA (blood sugar < 60 mg/dL) present:
a. Newborn up to 3 kg: administer DEXTROSE 10% 5 mL/kg IV. Mix by adding 12 mL saline to 3 mL dextrose 50% and give 5, 10, or 15 mL.
b. Infants/children > 3 kg to 37 kg: administer DEXTROSE 25% 2 mL/kg IV. Mix 25 mL dextrose 50% with 25 mL saline.
c. If child continues seizing after treatment of hypoglycemia, administer midazolam as dictated in 4.a. above.
If STATUS EPILEPTICUS (seizure ongoing for > 10 minutes OR recurs after initial treatment) present, contact Medical Control for further orders.
Monitor child’s airway closely and intubate if indicated