Pediatric
Overdose/Poisoning
General Pediatric Assessment
Continue Assessment
Go to General Pediatric Assessment
Endotracheal Intubation if indicated
Continue Assessment
Go to Endotracheal Intubation
Consider Vascular Access
Continue Assessment
Go to Vascular Access
Consider Cardiac Monitor
Consider potential cause of
signs/symptoms
Opiate
OD
Cyanide
Dystonic
Reaction
TCA/ASA
OD
Calcium
Channel
Blocker OD
Beta Blocker
OD
Organophosphate
Toxicity
NALOXONE
2-4 mg
Intranasal
NALOXONE
0.1 mg/kg
IN/IM/IV;
may repeat
to max dose
of 10 mg
BENADRYL
1.0 mg/kg
IM/IV;
max dose
50 mg
Wide
QRS
Bradycardic
and
hypotensive
Bradycardic
and
hypotensive
ATROPINE
0.02 mg/kg IV
q 15 min
as needed to
decrease secretions
and ventilatory
resistance
min dose 0.1 mg
HYDROXOCOBALAMIN
See Pediatric Smoke
Inhalation Protocol for
dosing
1.0 mEq/kg of
8.4% solution
SODIUM
BICARBONATE
IV; use 4.2%
for neonate
20 gm/kg
CALCIUM
CHLORIDE
(10%) slow IV
GLUCAGON
0.5 mg IM/IV;
may repeat once
in 3-5 min
Reassess and Transport
as Appropriate