Pediatric Medical Emergencies — Utah 2025 Protocol
Weight-based dosing is critical. Use Broselow tape. Pediatric airway is fundamentally different.
Steps by Cert Level
ALL: Use Broselow tape for weight estimation. Pediatric airway: larger tongue, more anterior/cephalad larynx, shorter trachea. Assess using PAT (Pediatric Assessment Triangle): appearance, work of breathing, circulation.
EMT: O2 via blow-by if child won't tolerate mask. Allow child to stay in parent's arms if stable — reduces anxiety.
AEMT: IO access if IV fails x2. Weight-based fluid bolus: 20mL/kg NS. Albuterol for bronchiolitis/wheezing.
PARAMEDIC: Croup: Racemic Epinephrine 0.5mL 2.25% via nebulizer. Dexamethasone 0.6mg/kg IV/IM. Epiglottitis: do NOT agitate — allow position of comfort, rapid transport, prepare for surgical airway. Febrile seizure: Diazepam 0.2mg/kg PR or Midazolam 0.2mg/kg IN.