ICEMA Treatment Protocols Questions and Answers with Verified
Solutions | Latest 2026 Update
Q: (Less than 15 years of age)
Answer:
Assess environment for possible cause for illness, Axial-spinal
stabilization PRN, O2 PRN, Airway management (OPA/NPA/BVM) PRN, Obtain Pt
temp and
warm/cool PRN.
1. Obtain venous access and place on cardiac monitor.
2. Symptomatic hypotension w/ poor perfusion consider, 20ml/kg NS bolus max
300ml NS, may
repeat twice.
3. Check blood glucose, if indicated:
Dextrose 10% Neonates (0-4weeks) w/ <35mg/dL or >4weeks old w/ <60mg/dL,
Dextrose 10%
250ml (D10W25gm) 5ml/kg (0.5mg/kg) IV/IO may repeat PRN or,
Glucagon 0.025mg/kg IM/IN, may repeat 1 time in 20 mins, Max 1mg
4. Suspected opiate overdose w/ resp. distress,
Naloxone (1day-8years) Naloxone, 0.1mg/kg IV/IO/IM/IN
(>9y.o) Naloxone, 0.5mg IV/IO/IM/IN, may repeat every 2-3mins, max 10mg
IV/IO/IM/IN.
,ICEMA Treatment Protocols Questions and Answers with Verified
Solutions | Latest 2026 Update
Q: Seizure 14060 - Pediatric
Answer:
(Less than 15 years of age) Consider Tonic/clonic, status epilepticus, Hx of prioir
seizures,
narcotic dependence, diabetes, febrile seizures (<4y.o), and traumatic injury.
1. Protect Pt from further injury, axial-spinal immob. PRN, protect airway, O2 PRN,
OPA/NPA/BVM, recovery position if not trauma pt, watch for gag reflex. Cool Pt if
febrile
seizure, pad pad Pt for transport
2. Advanced Airway as clinically indicated
3. Venous access and cardiac monitor PRN
4. Check blood glucose, if indicated:
Dextrose 10% Neonates (0-4weeks) w/ <35mg/dL or >4weeks old w/ <60mg/dL,
Dextrose 10%
250ml (D10W25gm) 5ml/kg (0.5mg/kg) IV/IO may repeat PRN or,
Glucagon 0.025mg/kg IM/IN, may repeat 1 time in 20 mins, Max 1mg
,ICEMA Treatment Protocols Questions and Answers with Verified
Solutions | Latest 2026 Update
Q: 5. Active seizure, Midazolam, 0.1mg/kg IV/IO w/ Max dose 2.5mg. May repeat
in 5mins or,
Answer:
Midazolam, 0.2mg/kg IM/IN with Max dose 5mg. May repeat in 10mins for
continued seizure
activity. IN dosage of Midazolam is doubled due to decreased surface area of nasal
mucosa
causing a decreased absorption rate.
Assess patient for medication related reduced RR and BP.
Max of 3 doses all routes IV/IO/IM/IN may be administered for continued seizure
activity.
Contact base hospital for additional orders and to discuss further treatment options.
, ICEMA Treatment Protocols Questions and Answers with Verified
Solutions | Latest 2026 Update
Q: Burns 14070 - Pediatric
Answer:
(Less than 15 years of age) 1. Remove clothing and jewelry quickly if indicated, keep
warm,
Estimate % TBSA (Rule of Nines or Palm)
2. Stabilize airway, advanced airway PRN, monitor ECG
3.IV/IO Access (Warm IV fluids when available).
Unstable: Unstable V/S (age appropriate) and/or signs of inadequate perfusion
consider
starting a second IV or saline lock.
Administer 20ml/kg NS bolus IV/IO, may repeat 1 time.
Stable: V/S (age appropriate) and/or signs of adequate perfusion:
< 5y.o: IV 150 ml/hour NS or,
> 5y.o- < 15y.o: IV 250 ml/hour NS
4. For pain management, Fentanyl
Fentanyl, 0.5mcg/kg slow IV/IO over 1 minute, may repeat in 5mins titrated to pain,
Max 100
mcg.
Fentanyl, 1mcg/kg IM/IN, may repeat every 10 mins titrated to pain, Max 200 mcg.
Document
vital signs every 5mins while medicating for pain, and reassess the patient.
5. Insert NG/OG tube PRN
Solutions | Latest 2026 Update
Q: (Less than 15 years of age)
Answer:
Assess environment for possible cause for illness, Axial-spinal
stabilization PRN, O2 PRN, Airway management (OPA/NPA/BVM) PRN, Obtain Pt
temp and
warm/cool PRN.
1. Obtain venous access and place on cardiac monitor.
2. Symptomatic hypotension w/ poor perfusion consider, 20ml/kg NS bolus max
300ml NS, may
repeat twice.
3. Check blood glucose, if indicated:
Dextrose 10% Neonates (0-4weeks) w/ <35mg/dL or >4weeks old w/ <60mg/dL,
Dextrose 10%
250ml (D10W25gm) 5ml/kg (0.5mg/kg) IV/IO may repeat PRN or,
Glucagon 0.025mg/kg IM/IN, may repeat 1 time in 20 mins, Max 1mg
4. Suspected opiate overdose w/ resp. distress,
Naloxone (1day-8years) Naloxone, 0.1mg/kg IV/IO/IM/IN
(>9y.o) Naloxone, 0.5mg IV/IO/IM/IN, may repeat every 2-3mins, max 10mg
IV/IO/IM/IN.
,ICEMA Treatment Protocols Questions and Answers with Verified
Solutions | Latest 2026 Update
Q: Seizure 14060 - Pediatric
Answer:
(Less than 15 years of age) Consider Tonic/clonic, status epilepticus, Hx of prioir
seizures,
narcotic dependence, diabetes, febrile seizures (<4y.o), and traumatic injury.
1. Protect Pt from further injury, axial-spinal immob. PRN, protect airway, O2 PRN,
OPA/NPA/BVM, recovery position if not trauma pt, watch for gag reflex. Cool Pt if
febrile
seizure, pad pad Pt for transport
2. Advanced Airway as clinically indicated
3. Venous access and cardiac monitor PRN
4. Check blood glucose, if indicated:
Dextrose 10% Neonates (0-4weeks) w/ <35mg/dL or >4weeks old w/ <60mg/dL,
Dextrose 10%
250ml (D10W25gm) 5ml/kg (0.5mg/kg) IV/IO may repeat PRN or,
Glucagon 0.025mg/kg IM/IN, may repeat 1 time in 20 mins, Max 1mg
,ICEMA Treatment Protocols Questions and Answers with Verified
Solutions | Latest 2026 Update
Q: 5. Active seizure, Midazolam, 0.1mg/kg IV/IO w/ Max dose 2.5mg. May repeat
in 5mins or,
Answer:
Midazolam, 0.2mg/kg IM/IN with Max dose 5mg. May repeat in 10mins for
continued seizure
activity. IN dosage of Midazolam is doubled due to decreased surface area of nasal
mucosa
causing a decreased absorption rate.
Assess patient for medication related reduced RR and BP.
Max of 3 doses all routes IV/IO/IM/IN may be administered for continued seizure
activity.
Contact base hospital for additional orders and to discuss further treatment options.
, ICEMA Treatment Protocols Questions and Answers with Verified
Solutions | Latest 2026 Update
Q: Burns 14070 - Pediatric
Answer:
(Less than 15 years of age) 1. Remove clothing and jewelry quickly if indicated, keep
warm,
Estimate % TBSA (Rule of Nines or Palm)
2. Stabilize airway, advanced airway PRN, monitor ECG
3.IV/IO Access (Warm IV fluids when available).
Unstable: Unstable V/S (age appropriate) and/or signs of inadequate perfusion
consider
starting a second IV or saline lock.
Administer 20ml/kg NS bolus IV/IO, may repeat 1 time.
Stable: V/S (age appropriate) and/or signs of adequate perfusion:
< 5y.o: IV 150 ml/hour NS or,
> 5y.o- < 15y.o: IV 250 ml/hour NS
4. For pain management, Fentanyl
Fentanyl, 0.5mcg/kg slow IV/IO over 1 minute, may repeat in 5mins titrated to pain,
Max 100
mcg.
Fentanyl, 1mcg/kg IM/IN, may repeat every 10 mins titrated to pain, Max 200 mcg.
Document
vital signs every 5mins while medicating for pain, and reassess the patient.
5. Insert NG/OG tube PRN
