Is there a known allergen exposure with hypotension or respiratory distress?
IF (weight <25)
Give EpiPen Junior IM (0.15mg epinephrine 1:1000 IM)
If auto injector is not available, give epinephrine 1:1000 (weight *0.01) mg IM
IF (weight > 25)
Give EpiPen IM (0.3mg epinephrine 1:1000 IM)
If autoinjector is not available, give epinephrine (1:1000) (weight *0.01) mg IM
Give EpiPen Junior IM (0.15mg epinephrine 1:1000 IM)
If auto injector is not available, give epinephrine 1:1000 (weight *0.01) mg IM
Give EpiPen IM (0.3mg epinephrine 1:1000 IM)
If autoinjector is not available, give epinephrine (1:1000) (weight *0.01) mg IM
Acute onset of symptoms and 2 or more of the following?
Prehospital protocol pediatric anaphylaxis
Prehospital protocol pediatric respiratory failure
Prehospital protocol pediatric airway obstruction
Prehospital protocol croup
Prehospital protocol breathing difficulty
Prehospital protocol breathing difficulty 
Prehospital protocol pediatric airway management
Prehospital protocol pediatric seizure