Protocol 2-066 - Allergic Reaction

CMH EMS & MIH Protocols

EMD:

• No specific protocol.

EMR:

• Identify and remove allergen, if possible.
• Oxygen to maintain SpO2 at 100%.
• Consider applying Cardiac Monitor limb leads.

EMT:

• Ensure completion of applicable items above.
• Assist ALS with Capnography.
• If ALS unavailable and dyspnea, dysphagia, or hypotension:
• Consider Epinephrine Auto-Injector.
• ALS unit should be en route and/or immediate transport to the closest ER.

AEMT:

• Ensure completion of applicable items above.
• Consider IV NS/LR.

• Adult:	Pediatric:
  Uncompensated shock: Epinephrine 1:1,000 0.3-0.5 mg IM/SQ. Repeat every 15 minutes as needed.	Uncompensated shock: Epinephrine 1:1,000 0.01 mg/kg IM/SQ (max 0.3/dose). Repeat every 15 minutes as needed. Click "calculate" to get dose.

• Wheezing or obstructed ETCO2 waveform: Refer to Protocol 2-770 - Respiratory Distress.

RN:

• Ensure completion of all applicable items above.
• Consider IO LR.

• Adult:	Pediatric:
  Uncompensated shock: Consider Epinephrine 1:10,000 0.1 mg IV/IO. Repeat every 15 minutes as needed. Consider Benadryl 25-50 mg IV/IO/IM. Consider Solu-Medrol 125 mg IV/IO/IM.	Consider Benadryl 1 mg/kg IV/IO/IM (max 50 mg). Click "calculate" to get dose. Consider Solu-Medrol 1-2 mg/kg IV/IO/IM (max 125 mg). Click "calculate" to get dose.

Medic:

• Ensure completion of all applicable items above.

CP:

• Ensure completion of all applicable items above.

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Polk, Hickory, Cedar, & St Clair County EMS Protocols is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.