Kern County Protocols: Questions With Proven
Solutions
Seizure adult Accurate Answer:- BG, No IV access then 5mgIM if <40kg
if >40kg 10mg IM.
IF IV access versed 0.1mg/kg max 5mg
IF actively seizing and pregnent/postpartem (30days post delivery) mag
sulfate 4-6 grams slow IV over 5-10minutes IF the patient continues to seize
give versed 10mg if >40kg and 5mg if <40kg IM or IN, max 1mg per nare
combative adult patient Accurate Answer:- midazolam 5mg IM or
2mgIV
Hypoglycemia Accurate Answer:- If unable to swallow(15mg oral
glucose) then 10% dextrose 5mL/kg max 250mL
If unable to establish administer 1mg of glucagon IM
Same for pediatric over 8 years old
if <8 yrs old and no IV access 0.5 glucagon
adult crush injury Accurate Answer:- If unable to establish vascular
access while entrapped place tourniquet PRIOR to extrication. If patient is at
risk for crush injury syndrome or if there is evidence of hyperkalemia (peaked
T‐ waves in multiple leads, absent p‐waves, and/or widened QRS complex)
administer: Calcium Chloride 20mg/kg slow IV/IO push, Repeat x1 for
persistent ECG abnormalities. Sodium Bicarbonate 1 mEq/kg slow IV/IO push,
Repeat x1 for persistent ECG abnormalities. Albuterol 5mg via neb, repeat
continuously until hospital arrival.
adult allergic reaction Accurate Answer:- • IV/Monitor • Administer
Epinephrine 0.3 mg IM of 1:1000 to lateral thigh.
• If signs and symptoms unresolved administer Diphenhydramine 50 mg IM
OR 25-50 mg slow IVP
• If unresolved, may repeat IM Epinephrine
• If severe distress initiate Push Dose Epinephrine 0.5 mL IVP every 1-5
minutes to Systolic B/P > 90 OR Epinephrine drip 2-8 mcg/min. Start at
2mcg/min and titrate to affect.
Solutions
Seizure adult Accurate Answer:- BG, No IV access then 5mgIM if <40kg
if >40kg 10mg IM.
IF IV access versed 0.1mg/kg max 5mg
IF actively seizing and pregnent/postpartem (30days post delivery) mag
sulfate 4-6 grams slow IV over 5-10minutes IF the patient continues to seize
give versed 10mg if >40kg and 5mg if <40kg IM or IN, max 1mg per nare
combative adult patient Accurate Answer:- midazolam 5mg IM or
2mgIV
Hypoglycemia Accurate Answer:- If unable to swallow(15mg oral
glucose) then 10% dextrose 5mL/kg max 250mL
If unable to establish administer 1mg of glucagon IM
Same for pediatric over 8 years old
if <8 yrs old and no IV access 0.5 glucagon
adult crush injury Accurate Answer:- If unable to establish vascular
access while entrapped place tourniquet PRIOR to extrication. If patient is at
risk for crush injury syndrome or if there is evidence of hyperkalemia (peaked
T‐ waves in multiple leads, absent p‐waves, and/or widened QRS complex)
administer: Calcium Chloride 20mg/kg slow IV/IO push, Repeat x1 for
persistent ECG abnormalities. Sodium Bicarbonate 1 mEq/kg slow IV/IO push,
Repeat x1 for persistent ECG abnormalities. Albuterol 5mg via neb, repeat
continuously until hospital arrival.
adult allergic reaction Accurate Answer:- • IV/Monitor • Administer
Epinephrine 0.3 mg IM of 1:1000 to lateral thigh.
• If signs and symptoms unresolved administer Diphenhydramine 50 mg IM
OR 25-50 mg slow IVP
• If unresolved, may repeat IM Epinephrine
• If severe distress initiate Push Dose Epinephrine 0.5 mL IVP every 1-5
minutes to Systolic B/P > 90 OR Epinephrine drip 2-8 mcg/min. Start at
2mcg/min and titrate to affect.
