Anaphylaxis (Pediatric)

Question 1

Anaphylaxis (Pediatric):

Can EMT-Basics administer an EpiPen Auto-Injector to a patient presenting with signs and symptoms consistent with anaphylaxis?

Answer 1

Yes, EMTs may administer Epinephrine Auto-Injector (0.15 mg) when no paramedic is readily available. A SC DHEC approved Anaphylaxis Epinephrine Kit may be substituted if Auto-Injector is not available.

Question 2

Anaphylaxis (Pediatric):

In the event anaphylaxis is suspected, what is the pediatric dose of epinephrine?

Answer 2

Epinephrine (1:1,000) 0.01 mg/kg IM up to 0.5 mg.

Question 3

Anaphylaxis (Pediatric):

In the event anaphylaxis is suspected, what is the preferred injection site for epinephrine?

Answer 3

Administer in lateral thigh if it can be accessed without delay.

Question 4

Anaphylaxis (Pediatric):

Once oxygen has been provided and IV access established, what medication and dosage should be administered?

Answer 4

Diphenhydramine (Benadryl) 1 mg/kg slow bolus IV up to 50 mg.

diphenhydramine (Benadryl) 1 mg/kg slow bolus IV up to 50 mg.

Question 5

Anaphylaxis (Pediatric):

Subsequent to giving epinephrine and diphenhydramine, what is the next medication and dosage that should be administered?

Answer 5

Albuterol 5 mg via nebulizer; Reassess.

Question 6

Anaphylaxis (Pediatric):

Subsequent to giving epinephrine, diphenhydramine, and albuterol, what is the next medication and dosage that should be administered?

Answer 6

Methylprednisolone 1 mg/kg IV bolus.

Question 7

Anaphylaxis (Pediatric):

What vital signs are required, for documentation, for any patient suspected of an anaphylaxis?

Answer 7

➢ Pulse
➢ Blood Pressure
➢ Respirations
➢ SpO2
➢ Pulse Ox
➢ Cardiac Monitor (4-Lead minimum)

Question 8

Anaphylaxis (Pediatric):

In the event anaphylatic symptoms persist, what is the appropriate action the paramedic should take.

Answer 8

Administer epinephrine (1:10,000) 0.01 mg/kg IV or IO up to 0.5 mg.

Question 9

Anaphylaxis (Pediatric):

If hypoperfusion, subsequent to anaphylaxis, persists what is the appropriate action the paramedic should take?

Answer 9

Elevate lower extremities and administer 20 ml/kg fluid

bolus IV or IO with NS to support perfusion.