ICEMA Protocol Final Exam Questions And Answers Graded
A+ 2025/2026
Allergic Reaction - 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)
Pediatric Allergic Reaction - 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)
Shock (non-traumatic) - 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
BASE:
2nd large bore IV en route
Dopamine 400mg/250ml @ 5-20 mcg/kg/min if low BP after bolus
Pediatric Shock (non-tramautic) - O2/IV/EKG
Trendelenburg
S/S poor perfusion
20ml/kg MR x1 tachycardia, changes in central.peripheral pulses, limb temp changes,
ALOC
ALOC - O2/IV/EKG
D-stick, pupils, trauma?
D10 IV/IO bolus
Glucagon 1mg IM/SC/IN once
Narcan 0.5mg IV/IO/IM/IN MR q 2-3 min PRN Max total 10mg
Pediatric ALOC - O2/IV/EKG
D-stick/Pupils/Trauma?
0-4 wks - <35 = D10 0.5gm/kg (5ml/kg) IV/IO
>4wks - <60 = D10 0.5gm/kg (5ml/kg) IV/IO
Glucagon 0.025 mg/kg IM/IN MR x1 aft 20min (max total 1mg)
, Narcan
0-8yo 0.1mg/kg IV/IO/IM/IN
9-14yo 0.5mg IV/IO/IM/IN MR q 2-3min PRN (Max total 10mg)
Stroke - O2/IV/EKG
D-stick/pupils/Trauma
MLAPSS
Positive if "yes" to criteria:
Age >40
No Hx seizures
New onset <12 hours or wake up stroke
Ambulatory at baseline
BG bt 60-400
Unilateral weakness:
Facial grimace
Grip
Arm weakness
BASE NSRC
Seizures - Protect pt from trauma
O2/IV/EKG
D-stick/Pupils/Trauma
Versed 2.5mg IV/IO/IN MR q 5mins or 5mg IM MR q 10mins MR for extended/recurrent
szrs (max dose of 3 doses using any route)
Pediatric Seizures - O2/IV/EKG
D-stick/Pupils/Trauma
Ped Advanced airway PRN
Ped cooling measures if febrile
Versed 0.1mg/kg IV/IO MR q 5 min (max of 2.5mg)
Versed 0.2mg/kg IM/IN MR q 10 (min max of 5mg)
Poisoning/OD - Poison control 1800-222-1222
O2/IV/EKG/Pupils
Poor perfusion = 500ml bolus PRN
Pediatric poisoning/OD - Poison control 1800-222-1222
O2/IV/EKG/Pupils
Poor perfusion = 20cc/kg PRN
Organophosphate poisoning - Atroping 2mg IV MR 2mg q 5 min if pt remains
symptomatic
BASE: Atropine 2-4mg increments until symptoms are controlled
DUMBBELS:
A+ 2025/2026
Allergic Reaction - 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)
Pediatric Allergic Reaction - 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)
Shock (non-traumatic) - 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
BASE:
2nd large bore IV en route
Dopamine 400mg/250ml @ 5-20 mcg/kg/min if low BP after bolus
Pediatric Shock (non-tramautic) - O2/IV/EKG
Trendelenburg
S/S poor perfusion
20ml/kg MR x1 tachycardia, changes in central.peripheral pulses, limb temp changes,
ALOC
ALOC - O2/IV/EKG
D-stick, pupils, trauma?
D10 IV/IO bolus
Glucagon 1mg IM/SC/IN once
Narcan 0.5mg IV/IO/IM/IN MR q 2-3 min PRN Max total 10mg
Pediatric ALOC - O2/IV/EKG
D-stick/Pupils/Trauma?
0-4 wks - <35 = D10 0.5gm/kg (5ml/kg) IV/IO
>4wks - <60 = D10 0.5gm/kg (5ml/kg) IV/IO
Glucagon 0.025 mg/kg IM/IN MR x1 aft 20min (max total 1mg)
, Narcan
0-8yo 0.1mg/kg IV/IO/IM/IN
9-14yo 0.5mg IV/IO/IM/IN MR q 2-3min PRN (Max total 10mg)
Stroke - O2/IV/EKG
D-stick/pupils/Trauma
MLAPSS
Positive if "yes" to criteria:
Age >40
No Hx seizures
New onset <12 hours or wake up stroke
Ambulatory at baseline
BG bt 60-400
Unilateral weakness:
Facial grimace
Grip
Arm weakness
BASE NSRC
Seizures - Protect pt from trauma
O2/IV/EKG
D-stick/Pupils/Trauma
Versed 2.5mg IV/IO/IN MR q 5mins or 5mg IM MR q 10mins MR for extended/recurrent
szrs (max dose of 3 doses using any route)
Pediatric Seizures - O2/IV/EKG
D-stick/Pupils/Trauma
Ped Advanced airway PRN
Ped cooling measures if febrile
Versed 0.1mg/kg IV/IO MR q 5 min (max of 2.5mg)
Versed 0.2mg/kg IM/IN MR q 10 (min max of 5mg)
Poisoning/OD - Poison control 1800-222-1222
O2/IV/EKG/Pupils
Poor perfusion = 500ml bolus PRN
Pediatric poisoning/OD - Poison control 1800-222-1222
O2/IV/EKG/Pupils
Poor perfusion = 20cc/kg PRN
Organophosphate poisoning - Atroping 2mg IV MR 2mg q 5 min if pt remains
symptomatic
BASE: Atropine 2-4mg increments until symptoms are controlled
DUMBBELS:
