Page 241 - 2023 SMOG Digital

Universal Patient Care Guideline
O₂ (if hypoxic)
IV/ IO Guideline
Cardiac Monitor (ASAP)

Definitive Airway If concerned for Febrile Non-hemolytic Acute Hemolytic
Established and anaphylaxis: Transfusion Reaction Reaction
p
SpO₂ >93% Epinephrine 1:1000 (FNHTR) (AHTR)
₂
0.3mg-0.5mg IM
Establish Advanced Airway per 500mL NS
individual competencies, MEDICAL Emergency
contraindications, and/or attempt if not previously started Draw blood from adjacent limb
failures
Diphenhydramine
1. Endotracheal Intubation 50mg IV/IO/IM/PO
100-200mL/ hour NS to support
2. Cricothyroidotomy Methylprednisone UOP of 100-200mL/ hour
125mg IV/IO
3. Blind Insertion Airway Device
Consider:
4. Non-invasive positive pressure Acetaminophen
ventilation CPAP or BiPAP Albuterol 90mcg 500mg PO or 1g g
2 puffs or 2.5mg nebulized IV

Reassess Patient Reassess Patient
Document on SF 518 Document on SF 518

Notify blood bank of all transfusion
related reactions.

Pearls:
• Blood transfusions conducted during point of injury for casualties suffering from blood loss/massive
hemorrhage may not show any transfusion reaction during the limited transport time.

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