Last On: 1:36AM, 25 Aug 10
geoff
  • Garden Grove, CA
  • United States
  • Firefighter/Paramedic,…
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Intranasal Delivery
5 Replies

Started this discussion. Last reply by geoff Nov 1, 2010.

 

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Oct 27, 2011
geoff replied to Ed's discussion Cardiac arrest victim secondary to hanging. Treatment?
"Just anecdotal, but one of our STEMI centers recently induced hypothermia on a hanging and apparently the person had normal neurological outcome afterwards.  Just what I heard though."
Oct 27, 2011
geoff replied to Thomas Durkee's discussion Another death from an energy drink
"We have had several patients heavily intoxicated allegedly on this. Drunk, vomiting, all the good stuff we've seen before, but friends say this is what they've been drinking. Just seems to be a bit potent for some reason (alcohol, sugar),…"
Nov 18, 2010
geoff replied to geoff's discussion Intranasal Delivery
"I appreciate all the information people have given me. I will have to pull up some of these articles you mentioned. What you mentioned about the increased dosages makes sense, but I think we are stuck with the 0.1mg/kg for IV or IN. I just happened…"
Nov 1, 2010
Tim Wolfe replied to geoff's discussion Intranasal Delivery
"Geoff, Do not dilute the drug. Use midazolam 5 mg/1 ml concentration at 0.2 mg/kg to treat seizures. This will result in a small volume but if it is atomized it will distribute as a thin layer across the nasal mucosa for rapid absorption (and…"
Oct 31, 2010
geoff's discussion was featured

Intranasal Delivery

Our agency started intranasal medication delivery for naloxone and midazolam a while back. There has been discussion off and on regarding the best method for pediatrics. We hear that the higher concentration is better for absorption, but what volume for pediatrics is best? Our main concern is midazolam which we stock in 5mg/1mL. For patients less than 10 kg we have been diluting to a volume we can give with a 1mL syringe since the volume in it's concentrated form would be miniscule.  We have…See More
Oct 2, 2010
geoff replied to geoff's discussion Intranasal Delivery
"I personally never have, but our educator said we should so we don't have to worry about overdosing. Our dose is 0.1 mg/kg either IN, IM or IV."
Oct 1, 2010
Sean Fiske replied to geoff's discussion Intranasal Delivery
"Just as a question, how often are you administering versed to pediatrics under 10kg since their etiology is almost always febrile? I haven't treated many seizures in that population with benzodiazepines."
Oct 1, 2010
geoff replied to geoff's discussion Intranasal Delivery
"Amanda, Thanks for the posting. I would greatly appreciate the references. The concern we had w/ small patients was the small amount that we would actually be administering. Everything you mentioned makes sense, we use the MAD atomizer. Thanks for…"
Oct 1, 2010
geoff posted a discussion

Intranasal Delivery

Our agency started intranasal medication delivery for naloxone and midazolam a while back. There has been discussion off and on regarding the best method for pediatrics. We hear that the higher concentration is better for absorption, but what volume for pediatrics is best? Our main concern is midazolam which we stock in 5mg/1mL. For patients less than 10 kg we have been diluting to a volume we can give with a 1mL syringe since the volume in it's concentrated form would be miniscule.  We have…See More
Aug 18, 2010
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Jul 6, 2010
geoff replied to Gul Dukat's discussion What are most of you doing for cases like this???
"Our protocol allows paramedics to determine death in blunt trauma without organized electrical activity (supraventricular in origin) under policy without base hospital involvement. Medical cardiac arrests will be worked on scene for 20 minutes and…"
Apr 24, 2010
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Jan 4, 2010
geoff commented on Steve Pack's group Paramedic - RN
"Thanks, I wouldn't doubt Loma Linda as one of them. I'll check into everything, thanks again for the info."
Jan 2, 2010
geoff commented on Steve Pack's group Paramedic - RN
"Thanks, I'll go ahead and do that. I saw College of the Canyon's and Victor Valley College online. I contacted the Bureau of LVN and they said something about paramedic only gives you 8 months experience towards LVN, I'm not looking…"
Dec 31, 2009

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Santa Fe Springs Fire-Rescue
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