Page 264 - ATP-P 11th Ed

(a) Crystalloid: 10–20mL/kg IV bolus, reassess and repeat a maximum of 2
times, can be combined with colloids
(b) Colloid: 5–10mL/kg IV bolus over 10–15 minutes for acute trauma
resuscitation
v. Control seizures with one of the following:
(a) Diazepam (Valium): 15–30mg IV or per rectum bolus for a standard 30kg
dog (dose is 0.5–1mg/kg). Repeat as necessary to a maximum of 3 doses
over 5–10 minute intervals.
(b) OR Midazolam: Give 0.3mg/kg IV for a maximum of 2–3 doses over 5–10
SECTION 2 vi. Prevent and manage hypothermia
minute intervals

7. Evacuation and Everything Else
a. Tranexamic acid (TXA) (Cyklokapron ): Administer 10–15mL/kg
®
b. Analgesia
i. Morphine: Administer 0.5–1mg/kg IM or IV, may cause vomiting
ii. Hydromorphone (Dilaudid ): Administer 0.1–0.2mg/kg IM or IV, may
®
cause vomiting
iii. Fentanyl: Administer 3–4mcg/kg IV; Can also use an oral transmucosal
®
fentanyl citrate (Actiq ) lozenge 800–1600mcg inserted in the rectum secured
with tape to the tail base
iv. Naloxone (Narcan ): Opiod reversal, administer at 0.02–0.04mg/kg IV,
®
IM, or SQ
c. Antibiotic Therapy for Penetrating Wounds
i. Ceftriaxone (Rocephin ) 1g IV/IM daily
®
ii. Ertapenem (Invanz ) 500mg IV/IM 2 times a day
®
Disposition
Urgent evacuation for treatment and supportive care.

254 SECTION 2 TACTICAL MEDICAL EMERGENCY PROTOCOLS (TMEPs) ATP-P Handbook 11th Edition 255