2.15P Seizures-Pediatric

EMT STANDING ORDERS

• 1.0 Routine Patient Care

• Prevent patient from accidental self-harm. DO NOT use a bite block.

• If glucose is less than 70mg/dl, treat per 2.3P Altered Mental/Neurological Status/Diabetic Emergencies/Coma-Pediatric.  

• If a Benzodiazepine rescue medication has been prescribed by the patient’s physician, assist the patient or caregiver with administration in accordance with physician’s instructions.  

CAUTION: Do NOT administer anything orally if the patient does not have a reasonable level of consciousness and normal gag reflex. 

ADVANCED EMT STANDING ORDERS

• If the patient has an implanted vagus nerve stimulator (VNS), suggest that the family use the VNS magnet to activate the VNS and assist if required.

• To use the VNS magnet, pass the magnet closely over the VNS device; if unsuccessful, repeat every 3-5 minutes for a total of 3 times.

Note:  do not delay medication administration.

PARAMEDIC STANDING ORDERS

• If Glucose is less than 70mg/dL, treat per 2.3P Altered Mental/Neurological Status/Diabetic Emergencies/Coma- Pediatric.

• Midazolam 0.1 mg/kg IV/IO/IM to a maximum single dose of 8 mg.

   OR

• Midazolam 0.2mg/kg IN to a maximum dose of 10 mg.

MEDICAL CONTROL MAY ORDER

• Additional doses of above medications.  

Note:  All levels of certified EMTs may assist the patient or caregiver with the administration of a patients own physician prescribed benzodiazepine rescue medication in whatever preparation it is dispensed in.  For example the patient may have rectal or intranasal dosing preparations of diazepam.  

Red Flag: For patients under 12 years old, the airway is in most cases best managed with a BVM or SGA. In some cases, intubation may be preferred. This is at the discretion of the treating paramedic.

Red Flag:  Watch for respiratory depression and support ventilations as needed.