Date Published
February 25, 2013
Updated For
ALS PCS Version ALS PCS Version 5.2
Question:
Question: In the ROSC protocol I do not notice an age range specified. If we have a patient 0-2 years old that has a ROSC, can we bolus? Thank you.
Answer:
 Interesting question. We assume you are referring to Primary Care Paramedics (PCP). You are correct, the ROSC Medical Directive does not specify an age limit for the 0.9% fluid bolus other than < 12 years and > 12 years on page 2. This directive does however specify that paramedics may only administer this fluid bolus if certified and authorized. It is essential to note that PCP are only authorized under the Intravenous and Fluid Therapy Medical Directive to initiate an IV in a patient who is greater or equal to 2 years of age. So, to answer your question, no, a PCP may not initiate an IV in a patient who is less than 2 years of age.
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