Page 176 - PJ MED OPS Handbook 8th Ed

GCS Pediatric GCS Infant FACE Scale
Eyes
1 No opening No opening No opening
2 Open to pain Open to pain Open to pain
3 Open to voice Open to voice Open to voice
4 Spontaneous Spontaneous Spontaneous
Verbal
1 No response No response No facial exprsssion to pain
2 Incomplete sounds Inconsolable, agitated Grimaces to pain
3 Inappropriate words Inconsistently inconsolable Cries to deep pain only
4 Confused Cries, consolable Cries to minor pain, alternating with
sleep
5 Oriented Smiles, tracks Cries to minor pain, alternating with
appropriately wakefulness
Motor
1 No response No response Flaccid
2 Decerebrate Decerebrate Decerebrate
3 Decorticate Decorticate Abnormal rhythmic movements
(seizure-like)
4 Flexion withdrawal Withdrawals to pain Nonspecific movements to deep pain
5 Localization Withdrawals to touch Hypoactive spontaneous movements
6 Follows commands Purposeful Normal spontaneous movements

Pediatric Pain Regimen Doses
Fentanyl: 0.5–2mcg/kg IV/IO q30–60min
Morphine: 0.5–1.0mg/kg IV/IO (Max dose 10mg)
Versed: 0.1mg/kg IV/IO (Max 0.5mg/kg)
Ketamine: 0.15mg/kg IV/IO
4–5mg/kg IM (recommend atropine 0.01mg/kg for ↑ salivation)
A: – Adjust medication dose per med protocols
Pediatric Invanz Dose: 15mg/kg IV/IO twice daily (not to exceed 1g daily)
W: – Keep clean/dry/warm. Change dressings q12hr
S: – I t is more difficult to diagnose a fracture in peds  splint/immobilize any limb suspected for
fracture (especially if child is refusing to use the limb)
PALS:
• Have rhythm cards
• 100 compressions/12 breaths per minute

174 n Pararescue Medical Operations Handbook / 8th Edition