Attempt BVM Ventilation
Normal Saline (weight *2 ) mL bolus IV/IO
If BVM not effective perform:
Reposition Airway
Check correct mask size
Check O2 source
Place OPA
Check gastric distention
If BVM  effective then monitor and transport
Call online medical control for further instructions
If failed BVM then:
Place endotracheal tube or supraglottic airway
Continue to monitor
Reassess oxygenation and ventilation
Effective oxygenation and ventilation?
EtCO2 reading
Misting in Tube
Equal breath sounds
Cord visualization if intubated
Prehospital protocol croup
Prehospital protocol pediatric respiratory failure
Prehospital protocol pediatric anaphylaxis
Prehospital protocol pediatric airway obstruction
Prehospital protocol breathing difficulty
Prehospital protocol breathing difficulty 
Prehospital protocol pediatric airway management
Maine:Prehospital protocol pediatric wheezing 