558 PEDIATRIC TRAUMATIC/HYPOVOLEMIC SHOCK

In pediatric patients with decompensated traumatic/hypovolemic shock:

1. Begin Basic Life Support Pediatric Shock procedures.

   During transport, or if transport is delayed:

2. Begin rapid IV (IO) infusion of Ringer's Lactate (RL) 20 ml/kg via a large bore IV (18-22 gauge) or IO catheter. Attempt IV or IO only once each. (See Appendix J.)

3. Contact Medical Control for implementation of one or more of the following options:

MEDICAL CONTROL OPTIONS

OPTION A:

Repeat Ringer's Lactate (RL) 20 ml/kg rapid IV (IO) infusion.(See Appendix J.)

OPTION B:

Begin rapid IV (IO) infusion of Ringer's Lactate 20 ml/kg, via a second large bore IV (18-22 gauge) or IO catheter. Attempt second IV or IO only once each. (See Appendix J.)

OPTION C:

Transportation decision.