ICEMA protocols Questions and Answers with Verified Solutions |
Latest 2026 Update
Q: COPD Tx algorithm
Answer:
O2/IV/EKG
Albuterol 2.5 mg x3
Atrovent 0.5mg x1
CPAP
ET/NT intubation PRN
Q: Asthma/Bronchospasm/Toxic Inhalation Tx Algorithm
Answer:
O2/IV/EKG
Albuterol 2.5mg x3
Atrovent 0.5mg x1
300ml bolus for poor perfusion MR PRN
CPAP
Epi 0.3mg (1:1000) IM MR x1 in 15min (BASE for >40, CAD, HTN, Cardiac)
ET/NT PRN
, ICEMA protocols Questions and Answers with Verified Solutions |
Latest 2026 Update
Q: Pediatric Asthma/Bronchospasm/Toxic Inhalation
Answer:
O2/Iv/EKG
Albuterol 2.5mg x3
Atrovent - >1yo 0.5mg x1
<1yo =0.25mg x1
20ml/kg bolus for decreased perfusion
Epi 0.01 mg/kg (1:1000) IM max single dose of 0.3mg
ET/NT intubation PRN
Q: Pulmonary Edema/CHF
Answer:
O2/IV/EKG/Lung sounds (crackles wheezing)/JVD/PE
NTG 0.4mg MR q 3min PRN
CPAP
ET/NT intubation PRN
, ICEMA protocols Questions and Answers with Verified Solutions |
Latest 2026 Update
Q: BASE
Answer:
Dopamine 400mg/250ml @ 5 - 20 mcg/kg/min to maintain adequate perfusion
Albuterol 2.5mg/Atrovent 0.5mg
Q: Allergic Reaction
Answer:
O2/IV/EKG
Albuterol 2.5mg x3
Atrovent 0.5mg x1
Epi (1:1000) 0.3mg IM MR 15min
300ml Bolus for poor perfusion
Benadryl 25mg IV or 50mg IM
2nd IV PRN
Epi (1:10,000) 0.1mg SIVP MR PRN (Max total 0.5mg)
, ICEMA protocols Questions and Answers with Verified Solutions |
Latest 2026 Update
Q: Pediatric Allergic Reaction
Answer:
O2/IV/EKG
Albuterol 2.5mg x3
Atrovent - <1yo 0.25mg x1
>1yo 0.5mg x1
Epi (1:1000) 0.1mg/kg IM max 0.3mg
20ml/kg bolus for poor perfusion MR PRN
Benadryl 1mg/kg SIVP IV/IO or 2mg/kg IM (max of adult dose)
2nd IV PRN
Epi 0.01mg/kg (1:10,000) IV/IO MR PRN (ax single dose 0.1mg/max total 0.5mg)
Q: Shock (non-traumatic)
Answer:
O2/IV/EKG
Trendelenburg
S/S poor perfusion - 300ml Bolus MR x1 to sustain BP >90
If BP >90 give 150ml/hr (25gtts/min using 10gtts/ml
Latest 2026 Update
Q: COPD Tx algorithm
Answer:
O2/IV/EKG
Albuterol 2.5 mg x3
Atrovent 0.5mg x1
CPAP
ET/NT intubation PRN
Q: Asthma/Bronchospasm/Toxic Inhalation Tx Algorithm
Answer:
O2/IV/EKG
Albuterol 2.5mg x3
Atrovent 0.5mg x1
300ml bolus for poor perfusion MR PRN
CPAP
Epi 0.3mg (1:1000) IM MR x1 in 15min (BASE for >40, CAD, HTN, Cardiac)
ET/NT PRN
, ICEMA protocols Questions and Answers with Verified Solutions |
Latest 2026 Update
Q: Pediatric Asthma/Bronchospasm/Toxic Inhalation
Answer:
O2/Iv/EKG
Albuterol 2.5mg x3
Atrovent - >1yo 0.5mg x1
<1yo =0.25mg x1
20ml/kg bolus for decreased perfusion
Epi 0.01 mg/kg (1:1000) IM max single dose of 0.3mg
ET/NT intubation PRN
Q: Pulmonary Edema/CHF
Answer:
O2/IV/EKG/Lung sounds (crackles wheezing)/JVD/PE
NTG 0.4mg MR q 3min PRN
CPAP
ET/NT intubation PRN
, ICEMA protocols Questions and Answers with Verified Solutions |
Latest 2026 Update
Q: BASE
Answer:
Dopamine 400mg/250ml @ 5 - 20 mcg/kg/min to maintain adequate perfusion
Albuterol 2.5mg/Atrovent 0.5mg
Q: Allergic Reaction
Answer:
O2/IV/EKG
Albuterol 2.5mg x3
Atrovent 0.5mg x1
Epi (1:1000) 0.3mg IM MR 15min
300ml Bolus for poor perfusion
Benadryl 25mg IV or 50mg IM
2nd IV PRN
Epi (1:10,000) 0.1mg SIVP MR PRN (Max total 0.5mg)
, ICEMA protocols Questions and Answers with Verified Solutions |
Latest 2026 Update
Q: Pediatric Allergic Reaction
Answer:
O2/IV/EKG
Albuterol 2.5mg x3
Atrovent - <1yo 0.25mg x1
>1yo 0.5mg x1
Epi (1:1000) 0.1mg/kg IM max 0.3mg
20ml/kg bolus for poor perfusion MR PRN
Benadryl 1mg/kg SIVP IV/IO or 2mg/kg IM (max of adult dose)
2nd IV PRN
Epi 0.01mg/kg (1:10,000) IV/IO MR PRN (ax single dose 0.1mg/max total 0.5mg)
Q: Shock (non-traumatic)
Answer:
O2/IV/EKG
Trendelenburg
S/S poor perfusion - 300ml Bolus MR x1 to sustain BP >90
If BP >90 give 150ml/hr (25gtts/min using 10gtts/ml
