Aneurysm, embolism? NRBFM @ 12 (15?) lpm w/suction ready to go, if needed. I'm an EMT-B, but an anti-nausea med w/fluids IV.
If I'm a BLS rig, I'd first figure if an ALS meetup/transfer or helicopter would be the better bet. With a possible hour+ travel time in the BLS rig, it'd be pushing the boundaries of that golden hour. I'm leaning towards the helicopter, especially if there is a Paramedic & Nurse. I suppose it all depends on the fastest arrival time at the general hospital vs. pediatric facility.
Constructive criticism appreciated. Plain ol' high & mighty attitudes need not reply.