EMT Standing Order:

• Routine Patient Care.
• If the blood glucose reading is < 60 mg/dl, treat the patient for seizures and see Diabetic Emergencies (Hypoglycemia) Protocol - Pediatric.
• Obtain the patient’s temperature for suspected febrile seizure (rectal route preferred, as appropriate).
• Apply 100% oxygen via non-rebreather
• Call for AEMT/Paramedic intercept, if available & assist them in patient care.

AEMT/Paramedic Standing Order

• Do not delay administration of medications to start IV.
• For seizure lasting > 5 minutes (status epilepticus), administer:
• Midazolam 0.2 mg/kg IM (preferred) or intranasal (single maximum dose 10 mg) (Note: a 5 mg/mL concentration is recommended for IM/ intranasal administration) OR
• Midazolam 0.1 mg/kg IV (single maximum dose 4 mg) OR Diazepam 0.1 mg/kg IV (single maximum dose 10 mg IV).
• Any of the above may be repeated once after 5 minutes. Contact Medical Direction for additional dosing.