Tachycardia, fever AND one of the following
Cancer
Sickle Cell
Transplant
Indwelling catheter
Immune deficiency
Severe developmental delay
Give (weight *10)mL NS bolus.
Reassess for pulmonary edema after each bolus
Repeat up to 3 boluses
Give (weight *20)mL NS bolus.
Reassess for pulmonary edema after each bolus
Repeat up to 3 boluses
If treating for<unk>  then ensure advanced notification to receiving hospital.
Begin dopamine drip with titration to age appropriate SBP
Further orders per on-line physician
Reassess en-route
EMS
Daniel OstermayerRoss Donaldson
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Prehospital protocol pediatric shock
Prehospital protocol breathing difficulty 
Prehospital protocol breathing difficulty
Prehospital protocol pediatric anaphylaxis
Prehospital protocol pediatric respiratory failure
Prehospital protocol pediatric seizure
Prehospital protocol pediatric airway management
Maine:Prehospital protocol pediatric stridor