ICEMA PROTOCOL STUDY GUIDE LATEST 2025/2026
Burns-adult #14070 - Answer - Estimate % TBSA burned and depth using rule of nines. tltl tltl tltl tl tl tltl tltl tl tl tltl tltl tltl tltl tltl tltl tltl
- Thermal burns: Stop burning process. DO not break blisters. Cover affected body surface with
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
dry, sterile dressing or sheet.
tltl tltl tltl tltl tltl
- Chemical burns: Brush off dry powder, if present. Remove any contaminated or wet clothing.
tltl tltl tltl tltl tltl tl tl tltl tltl tltl tltl tltl tltl tltl tltl
Irrigate with copious amounts of saline or water.
tltl tltl tltl tltl tltl tltl tltl tltl
- Tar burns: Cool with water, do not remove tar
tltl tltl tltl tltl tltl tltl tltl tltl tltl
- Electrical burns: Remove from electrical source (without endangering self) with nonconductive
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
material. Cover affected body surface with dry, sterile dressing or sheet
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
- Eye involvement: Continuous flushing with NS during transport. Allow patient to remove
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
contact lenses if possible
tltl tltl tl tl tltl
- Advanced airway as clinically indicated. King airway is contraindicated
tltl tltl tltl tltl tltl tltl tltl tltl tltl
- Iv access: Unstable- BP less than 90 and/or signs and symptoms of inadequate tissue
tltl tltl tl tl tltl tl tl tltl tltl tltl tltl tltl tltl tltl tltl tltl
perfusion, start 2nd IV line. Give 250mL boluses and repeat to max of 1L
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
Stable- BP more than 90 and signs of adequate tissue perfusion, administer 500ml/ hr.
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
- Respiratory distress: Use BVM as needed. Contact receiving hospital ASAP. Administer
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
albuterol with Atrovent. High flow oxygen Is essential with known or potential respiratory
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
injury. Beware of smoke inhalation. Do not apply ice water directly to skin surfaces, as
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
additional injury will result. Intubate patient if facial/ oral swelling is present or if respiratory
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
depression or distress develops due to inhalation injury. CPAP may be considered if indicated
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
after consultation with BH
tltl tltl tltl tltl
- Treat pain with analgesics as indicated
tltl tltl tltl tltl tltl tltl
Pain management #14100 - Answer Patients with a GCS of 15 or at baseline mentation and have
tltl tltl tltl tl tl tltl tltl tltl tl tl tltl tltl tltl tltl tltl tltl tltl tltl
a pain score of 5 or higher and have: acute traumatic injuries, acute abdominal/ flank pain,
tltl tl tl tltl tltl tltl tl tl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
burn injuries, cancer pain, or sickle cell crisis
tltl tltl tltl tltl tltl tltl tltl tltl
• What drugs/dosages are used?
tltl tltl tl tl tl tl
,- Must always monitor and assess vital signs prior to administration of any analgesic. After
tltl tltl tltl tltl tltl tl tl tltl tltl tltl tltl tltl tltl tltl tltl
administration must continually monitor EKG and place on capno. Reassess vital signs, capno,
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
and pain scores every 5 minutes.
tltl tltl tltl tltl tltl tltl
- Once a pain medication has been administered via route of choice, changing route (i.e. IM to
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
IV) requires BHO.
tltl tltl tltl
- Shifting from one analgesic while treating a patient requires BHO
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
- For pain and a SBP below 100, administer 0.3mg/kg Ketamine IVPB to a max single dose of 30
tltl tltl tltl tltl tl tl tl tl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
mg. May repeat once in 15 minutes.
tltl tl tl tltl tltl tltl tltl tltl
- For pain and an SBP above 100, administer 50 mcq Fetanyl slow IV/IO push over 1 minute. May
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
repeat every 5 minutes titrated to pain but not to exceed 200 mcq OR 100 mcq IM/IN. May
tltl tltl tltl tl tl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tl tl tltl
repeat 50 mcq every 10 minutes titrated to pain, not to exceed 200 mcq. Peds dose is
tltl tltl tl tl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
0.5mcq/kg slow IV/IO over 1 minute. May repeat in 5 min titrated to pain, not to exceed 100
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
mcq OR 1 mcq/kg IM/IN, may repeat every 10 minutes titrated to pain but not to exceed 200
tltl tltl tltl tltl tl tl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
mcq. Can also use 0.3mg/kg of Ketamine IVPB to a max of 30mg as a single dose in 50-100mL of
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
NS over 5 minutes. May repeat one time in 15 minutes, if pain is still a 5 or higher. DO not
tltl tl tl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
administer IVP, IO, IM, IN
tltl tltl tltl tltl tltl
Respiratory emergencies-Peds #14120 - Answer - Maintain airway with appropriate adjuncts, tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
obtain O2 sat room air if possible.
tltl tltl tltl tltl tltl tltl tltl
- Administer 2.5mg Albuterol with 0.5mg of Atrovent nebulized as indicated. May repeat
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
Albuterol 2 times and Atrovent 1x.
tltl tltl tltl tltl tltl tltl
- If no response to Albuterol or Atrovent, consider 0.01mg/kg Epi 1:1000 via IM no to exceed
tltl tl tl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
adult dosage of 0.3mg. Obtain vascular access at TKO rate
tltl tltl tltl tltl tl tl tltl tl tl tl tl tltl tl tl
- If allergic reaction suspected, administer 1mg/kg diphenhydramine IV/IO, not to exceed adult
tltl tl tl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
dose of 25mg IV or 2mg/kg IM not to exceed adult dose of 50mg IM. Need orders for patients 2
tltl tltl tltl tltl tltl tl tl tltl tltl tltl tltl tltl tltl tltl tltl tl tl tltl tltl tltl tltl tl tl
years of age or older
tltl tltl tltl tl tl tltl
- If apneic and unable to ventilate, consider oral tracheal intubation for patients who are taller
tltl tl tl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tl tl
than the maximum length of a pediatric emergency measuring tape or equivalent measuring
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
from the top of the head to the heel of the foot. BHO may order additional medications or
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
interventions
tltl
- Base hospital: for severe asthma / respiratory distress that has failed to the other previous
tltl tltl tltl tltl tltl tltl tltl tltl tltl tl tl tl tl tltl tltl tltl tltl
treatments, administer 50 mg/kg of Magnesium Sulfate slow IV drip over 20 minutes. DO not
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
exceed adult dosage of 2gm total. Do not repeat.
tltl tltl tltl tltl tltl tltl tltl tltl tltl
, Allergic reactions-Peds #14140 - Answer - Maintain airway with appropriate adjuncts, obtain
tltl tltl tltl tl tl tltl tltl tltl tltl tltl tltl tltl
room air saturation if possible. Administer 2.5mg Albuterol nebulized, may repeat 2x. Combine
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tl tl
with 0.5mg of Atrovent. Only give 1x.
tltl tltl tl tl tltl tltl tltl tltl
- If no response to Albuterol, consider 0.01mg/kg of Epi 1:1000 IM, not to exceed adult dose of
tltl tl tl tltl tltl tltl tltl tltl tltl tl tl tltl tl tl tltl tltl tltl tltl tltl tltl
0.3mg IM
tltl tltl
- Administer 1mg/kg Benadryl IV/IO not to exceed 25mg IV or 2mg/kg IM, not to exceed 50mg
tltl tltl tltl tltl tltl tltl tltl tltl tl tl tltl tltl tltl tltl tltl tltl tltl
IM
tltl
- For symptomatic hypotension with poor perfusion, consider fluid bolus of 20ml/kg of NS, not
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tl tl tl tl
to exceed 300 mL NS and repeat as indicated.
tltl tltl tltl tltl tl tl tl tl tltl tltl tltl
- Est IV/IO access if indicated
tltl tltl tltl tltl tltl
- For anaphylactic shock (no palpable radial pulse and a depressed LOC) administer 0.01mg/kg
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
of Epi 1:10000 IV/IO, no more than 0.1mg per dose. May repeat to maximum of 0.5mg.
tltl tltl tltl tltl tl tl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
- If apneic and unable to ventilate, consider oral tracheal intubation for patients who are taller
tltl tl tl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tl tl
than the maximum length of a pediatric measuring tape or equivalent measuring from the top
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
of the head to the heel of the foot.
tltl tltl tltl tltl tltl tltl tltl tltl tltl
Cardiac arrest-Peds #14150 - Answer - High quality CPR ventilate 12-20 per minute. Ventilation
tltl tltl tl tl tltl tltl tl tl tltl tltl tltl tltl tltl tltl tltl
rate decreases as patient age increases. Obtain IV/IO access (IO preferred if under 9)
tltl tltl tltl tl tl tl tl tl tl tltl tltl tl tl tl tl tltl tltl tltl tltl
- For continued signs of inadequate tissue perfusion, administer fluid bolus of NS. Reassess after
tltl tltl tltl tltl tl tl tltl tltl tltl tltl tltl tltl tltl tltl tltl
each bolus. May repeat 2x for continued signs of inadequate tissue perfusion. 1-8 years:
tltl tltl tltl tltl tltl tl tl tltl tltl tltl tltl tltl tltl tltl tltl
20mL/kg NS and 9-14 years: 300mL NS
tltl tltl tltl tltl tltl tl tl tltl
- Determine cardiac rhythm and defibrillate at 2J/kg (or manufacturer recommended
tltl tltl tltl tl tl tltl tltl tltl tltl tltl tl tl
equivalent) if indicated. After defibrillation, immediately resume CPR, beginning a 2-minute
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
cycle.
tltl
- Utilize waveform capno for monitoring airway and effectiveness of chest compressions and for
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
early identification of ROSC. Document waveform and capno number in ePCR
tltl tltl tltl tltl tltl tl tl tltl tltl tltl tltl tltl
- ET intubation is advanced airway of choice for patients taller than the maximum length of
tltl tltl tltl tltl tltl tltl tltl tltl tltl tl tl tltl tltl tltl tltl tltl
pediatric measuring tape. Insert NG/OG tube
tltl tltl tltl tltl tltl tltl
- V-fib/V-tach: Initial D-fib at 2J/kg. Second D-fib at 4J/kg. Third and subsequent defibrillation
tltl tl tl tltl tltl tltl tl tl tltl tltl tltl tltl tltl tltl tltl
attempts should be administered at 10J/kg, not to exceed adult dose. Administer 0.01mg/kg
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
Burns-adult #14070 - Answer - Estimate % TBSA burned and depth using rule of nines. tltl tltl tltl tl tl tltl tltl tl tl tltl tltl tltl tltl tltl tltl tltl
- Thermal burns: Stop burning process. DO not break blisters. Cover affected body surface with
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
dry, sterile dressing or sheet.
tltl tltl tltl tltl tltl
- Chemical burns: Brush off dry powder, if present. Remove any contaminated or wet clothing.
tltl tltl tltl tltl tltl tl tl tltl tltl tltl tltl tltl tltl tltl tltl
Irrigate with copious amounts of saline or water.
tltl tltl tltl tltl tltl tltl tltl tltl
- Tar burns: Cool with water, do not remove tar
tltl tltl tltl tltl tltl tltl tltl tltl tltl
- Electrical burns: Remove from electrical source (without endangering self) with nonconductive
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
material. Cover affected body surface with dry, sterile dressing or sheet
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
- Eye involvement: Continuous flushing with NS during transport. Allow patient to remove
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
contact lenses if possible
tltl tltl tl tl tltl
- Advanced airway as clinically indicated. King airway is contraindicated
tltl tltl tltl tltl tltl tltl tltl tltl tltl
- Iv access: Unstable- BP less than 90 and/or signs and symptoms of inadequate tissue
tltl tltl tl tl tltl tl tl tltl tltl tltl tltl tltl tltl tltl tltl tltl
perfusion, start 2nd IV line. Give 250mL boluses and repeat to max of 1L
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
Stable- BP more than 90 and signs of adequate tissue perfusion, administer 500ml/ hr.
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
- Respiratory distress: Use BVM as needed. Contact receiving hospital ASAP. Administer
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
albuterol with Atrovent. High flow oxygen Is essential with known or potential respiratory
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
injury. Beware of smoke inhalation. Do not apply ice water directly to skin surfaces, as
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
additional injury will result. Intubate patient if facial/ oral swelling is present or if respiratory
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
depression or distress develops due to inhalation injury. CPAP may be considered if indicated
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
after consultation with BH
tltl tltl tltl tltl
- Treat pain with analgesics as indicated
tltl tltl tltl tltl tltl tltl
Pain management #14100 - Answer Patients with a GCS of 15 or at baseline mentation and have
tltl tltl tltl tl tl tltl tltl tltl tl tl tltl tltl tltl tltl tltl tltl tltl tltl
a pain score of 5 or higher and have: acute traumatic injuries, acute abdominal/ flank pain,
tltl tl tl tltl tltl tltl tl tl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
burn injuries, cancer pain, or sickle cell crisis
tltl tltl tltl tltl tltl tltl tltl tltl
• What drugs/dosages are used?
tltl tltl tl tl tl tl
,- Must always monitor and assess vital signs prior to administration of any analgesic. After
tltl tltl tltl tltl tltl tl tl tltl tltl tltl tltl tltl tltl tltl tltl
administration must continually monitor EKG and place on capno. Reassess vital signs, capno,
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
and pain scores every 5 minutes.
tltl tltl tltl tltl tltl tltl
- Once a pain medication has been administered via route of choice, changing route (i.e. IM to
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
IV) requires BHO.
tltl tltl tltl
- Shifting from one analgesic while treating a patient requires BHO
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
- For pain and a SBP below 100, administer 0.3mg/kg Ketamine IVPB to a max single dose of 30
tltl tltl tltl tltl tl tl tl tl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
mg. May repeat once in 15 minutes.
tltl tl tl tltl tltl tltl tltl tltl
- For pain and an SBP above 100, administer 50 mcq Fetanyl slow IV/IO push over 1 minute. May
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
repeat every 5 minutes titrated to pain but not to exceed 200 mcq OR 100 mcq IM/IN. May
tltl tltl tltl tl tl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tl tl tltl
repeat 50 mcq every 10 minutes titrated to pain, not to exceed 200 mcq. Peds dose is
tltl tltl tl tl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
0.5mcq/kg slow IV/IO over 1 minute. May repeat in 5 min titrated to pain, not to exceed 100
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
mcq OR 1 mcq/kg IM/IN, may repeat every 10 minutes titrated to pain but not to exceed 200
tltl tltl tltl tltl tl tl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
mcq. Can also use 0.3mg/kg of Ketamine IVPB to a max of 30mg as a single dose in 50-100mL of
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
NS over 5 minutes. May repeat one time in 15 minutes, if pain is still a 5 or higher. DO not
tltl tl tl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
administer IVP, IO, IM, IN
tltl tltl tltl tltl tltl
Respiratory emergencies-Peds #14120 - Answer - Maintain airway with appropriate adjuncts, tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
obtain O2 sat room air if possible.
tltl tltl tltl tltl tltl tltl tltl
- Administer 2.5mg Albuterol with 0.5mg of Atrovent nebulized as indicated. May repeat
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
Albuterol 2 times and Atrovent 1x.
tltl tltl tltl tltl tltl tltl
- If no response to Albuterol or Atrovent, consider 0.01mg/kg Epi 1:1000 via IM no to exceed
tltl tl tl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
adult dosage of 0.3mg. Obtain vascular access at TKO rate
tltl tltl tltl tltl tl tl tltl tl tl tl tl tltl tl tl
- If allergic reaction suspected, administer 1mg/kg diphenhydramine IV/IO, not to exceed adult
tltl tl tl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
dose of 25mg IV or 2mg/kg IM not to exceed adult dose of 50mg IM. Need orders for patients 2
tltl tltl tltl tltl tltl tl tl tltl tltl tltl tltl tltl tltl tltl tltl tl tl tltl tltl tltl tltl tl tl
years of age or older
tltl tltl tltl tl tl tltl
- If apneic and unable to ventilate, consider oral tracheal intubation for patients who are taller
tltl tl tl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tl tl
than the maximum length of a pediatric emergency measuring tape or equivalent measuring
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
from the top of the head to the heel of the foot. BHO may order additional medications or
tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl tltl
interventions
tltl
- Base hospital: for severe asthma / respiratory distress that has failed to the other previous
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treatments, administer 50 mg/kg of Magnesium Sulfate slow IV drip over 20 minutes. DO not
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exceed adult dosage of 2gm total. Do not repeat.
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, Allergic reactions-Peds #14140 - Answer - Maintain airway with appropriate adjuncts, obtain
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room air saturation if possible. Administer 2.5mg Albuterol nebulized, may repeat 2x. Combine
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with 0.5mg of Atrovent. Only give 1x.
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- If no response to Albuterol, consider 0.01mg/kg of Epi 1:1000 IM, not to exceed adult dose of
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0.3mg IM
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- Administer 1mg/kg Benadryl IV/IO not to exceed 25mg IV or 2mg/kg IM, not to exceed 50mg
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IM
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- For symptomatic hypotension with poor perfusion, consider fluid bolus of 20ml/kg of NS, not
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to exceed 300 mL NS and repeat as indicated.
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- Est IV/IO access if indicated
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- For anaphylactic shock (no palpable radial pulse and a depressed LOC) administer 0.01mg/kg
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of Epi 1:10000 IV/IO, no more than 0.1mg per dose. May repeat to maximum of 0.5mg.
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- If apneic and unable to ventilate, consider oral tracheal intubation for patients who are taller
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than the maximum length of a pediatric measuring tape or equivalent measuring from the top
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of the head to the heel of the foot.
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Cardiac arrest-Peds #14150 - Answer - High quality CPR ventilate 12-20 per minute. Ventilation
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rate decreases as patient age increases. Obtain IV/IO access (IO preferred if under 9)
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- For continued signs of inadequate tissue perfusion, administer fluid bolus of NS. Reassess after
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each bolus. May repeat 2x for continued signs of inadequate tissue perfusion. 1-8 years:
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20mL/kg NS and 9-14 years: 300mL NS
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- Determine cardiac rhythm and defibrillate at 2J/kg (or manufacturer recommended
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equivalent) if indicated. After defibrillation, immediately resume CPR, beginning a 2-minute
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cycle.
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- Utilize waveform capno for monitoring airway and effectiveness of chest compressions and for
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early identification of ROSC. Document waveform and capno number in ePCR
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- ET intubation is advanced airway of choice for patients taller than the maximum length of
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pediatric measuring tape. Insert NG/OG tube
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- V-fib/V-tach: Initial D-fib at 2J/kg. Second D-fib at 4J/kg. Third and subsequent defibrillation
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attempts should be administered at 10J/kg, not to exceed adult dose. Administer 0.01mg/kg
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