The pediatric seizure protocol hits all the same buttons as its adult counterpart, just with a slightly different focus on the medications. There’s a higher emphasis on glucagon for hypoglycemia, given that the IN/IM routes allow for rapid administration without having to get IV access. When it comes to benzodiazepine choice, the pediatric protocol limits Standing Order to midazolam, either IM or (preferably) IN. OLMC can permit a broader array of benzos as Medical Control Options, expanding options to lorazepam and diazepam, as well as adding IV as a route for any of the benzos.
Remember to double check your math to ensure appropriate weight-based dosages for these meds! And always keep in mind the utility of IN as a route, especially for the kids.
Congrats! You’ve mastered prehospital seizures (again!) Again, other protocols will refer to this one as needed - moreso than in the old formatting. So it’s really like you learned a BUNCH of protocols with just a couple of emails! Aren’t you proud? I am!
www.nycremsco.org or the protocols binder for more!
Dave