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©2013 UpToDate ® Print Email Appropriate on scene pediatric prehospital interventions Assessment Initiate cardiac monitoring Measure pulse oximetry Airway and cervical spine immobilization Open and maintain the airway Suction the airway to remove secretions Apply cervical collar and back board immobilization for suspected spinal injury Administer racemic or L-epinephrine for severe inspiratory stridor (eg, severe croup) Place an advanced airway, if unable to maintain airway by other means Breathing Perform bag-mask ventilation Administer beta agonist therapy for reactive airway disease Perform needle decompression for tension pneumothorax Circulation Control external hemorrhage (eg, penetrating trauma to extremity) Provide cardiopulmonary resuscitation if indicated - at least three cycles Perform synchronized cardioversion and defibrillation Obtain intravenous or intraosseous access if benefit outweighs delay in transport Administer medications indicated for cardiopulmonary arrest - at least one cycle Administer IV fluids for shock Disability Administer glucose for hypoglycemia Administer medications to control seizures Splint extremities Perform eye irrigation Other Administer medications (eg, epinephrine, diphenhydramine, and steroids) for allergic or anaphylactic reactions Administer hydroxocobalamin for cyanide poisoning (eg, home fires) Administer pain medication