557 PEDIATRIC STATUS EPILEPTICUS

For pediatric patients in Status Epilepticus (seizure remains ongoing at the time of arrival of EMS):

1. Begin Basic Life Support Seizures procedure.

   During transport, or if transport is delayed:

2. Administer Glucagon 1.0 mg, IM. (See Appendix J.)

3. If seizure persists, contact Medical Control for implementation of one or more of the following options:

MEDICAL CONTROL OPTIONS

OPTION A:

Begin an IV (IO) infusion of Ringer's Lactate (RL), to keep vein open. Attempt IV or IO only once each.

OPTION B:

Administer 25% Dextrose 0.5 gm/kg, IV (IO) bolus. (See Appendix J). The initial dose may be repeated only once.

OPTION C:

Administer Diazepam 0.2 mg/kg, IV (IO) bolus. Rate of administration may not exceed 1.0 mg/min. (See Appendix J.)

• NOTE:
  DO NOT ATTEMPT TO START IV (IO) ADMINISTRATION OF DIAZEPAM IF THE SEIZURES HAVE STOPPED.

OPTION D:

Transportation decision.