donedeal 1 Posted May 21, 2011 Share Posted May 21, 2011 What does your service use to administer 1:10,000 epi in young pediatric arrests? Can you accurately administer less than 1 ml/.01mg of epi to someone under 10kg using a prefilled 10cc syringe? Do you mix 1:1000 with saline to make 1:10,000 in a 100 units (1ml) syringe? Quote Link to post Share on other sites
chbare 458 Posted May 21, 2011 Share Posted May 21, 2011 Three way stopcock and a 1ml syringe works well for drawing up accurate doses out of a premix. Take care, chbare. Quote Link to post Share on other sites
Timmy 34 Posted May 21, 2011 Share Posted May 21, 2011 Three way stopcock and a 1ml syringe works well for drawing up accurate doses out of a premix. Take care, chbare. That is such a good idea! I did my PALS course last week and they didn’t mention this, the tricks of the trade hey! 1 Quote Link to post Share on other sites
hatelilpeepees 41 Posted May 21, 2011 Share Posted May 21, 2011 1 cc syringes are great, and I would advise to think about "super concentrating" some drugs so that can push less fluid on live patients. When I worked at a pediatric hospital, they would put the usual dose of a drug in a 50 or 100cc IV bag, or put 3-5 times the normal dose of a drug in a 250cc bag, so that they could deliver less fluid. The downside of that is you really need to have drugs like that on a pump, but we in EMS are too cheap or are too indifferent to be concerned enough to invest in pumps. Quote Link to post Share on other sites
NYCEMS9115 26 Posted May 21, 2011 Share Posted May 21, 2011 In NYC, they're proposing big changes in our Pediatric Protocols. As for difficulties in drawing the right amount for pediatrics and neonates, it can be difficult unless you round it up to the nearest whole number and/or to the nearest 5 or 0. If you want to accurately dose the patient; you need to use a IV Pump. Quote Link to post Share on other sites
stcommodore 0 Posted May 22, 2011 Share Posted May 22, 2011 If you have the standard prefilled epi and multidose vial how best do you give eli on this code. Quote Link to post Share on other sites
chbare 458 Posted May 22, 2011 Share Posted May 22, 2011 Don't make this more difficult than it needs to be everybody. I still highly suggest you use a three way stopcock and a one ml syringe. The setup will look like this: Take care, chbare. 1 Quote Link to post Share on other sites
n7lxi 9 Posted May 22, 2011 Share Posted May 22, 2011 Don't make this more difficult than it needs to be everybody. I still highly suggest you use a three way stopcock and a one ml syringe. The setup will look like this: Take care, chbare. This is how I was taught how to do it during my PALS course. Also how I bolus infants. Quote Link to post Share on other sites
croaker260 86 Posted June 23, 2011 Share Posted June 23, 2011 (edited) Three way stopcock and a 1ml syringe works well for drawing up accurate doses out of a premix. Take care, chbare. Exactly how I was tought, and this is also taught/reinforced in most PALS courses. Edited June 23, 2011 by croaker260 Quote Link to post Share on other sites
Bieber 175 Posted June 28, 2011 Share Posted June 28, 2011 Thanks for that, Chbare! I'll definitely be trying that the next time I have to. On another note, I did get to use a fourway stopcock the otherday on a patient with SVT. Gave 6mg, 12mg, and then another 12mg of adenosine after trying vagal maneuvers to no success. Eventually they managed to get his rate down in the ER after two boluses of NS. Quote Link to post Share on other sites
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