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Maine:Prehospital protocol pediatric stridor
From WikEM
Airway Assessment
- Apply humidified O2 if available
- If needed assist ventilations with PPV using 100% O2
- Request ALS if available
General Assessment
- Assess for possible causes of stridor
- Stridor may be due to croup, foreign body aspiration, or epiglottitis
Nebulized epinephrine
Nebulized epinephrine (1m:1:1000) epinephrine mixed with 2mL normal saline
- Contact OLMC prior to administration
- Nebulized epinephrine may be contraindicated in children with history of congenital heart disease
Reassessment
- Continue reassessment to detect changes in respiratory status
