GCEMS Protocol:

 

• Alternate to Lorazepam in cases of drug shortage

 

INDICATIONS:

 

• Major motor seizures
• Status epilepticus
• Pre-medication prior to cardioversion, transcutaneous pacing
• Skeletal muscle relaxant
• Acute anxiety states
• Medication for combative patients and difficult intubations

 

DOSAGE:

 

ADULT:

 

• 1-5 mg IV/IO/IM to a maximum of 10 mg

 

PEDIATRIC:

 

• 0.2 mg/kg IV/IO/IM titrated to a single max dose of 5 mg; may be repeated once every five minutes to a total maximum dose of 10 mg

 

CONTRAINDICATIONS:

 

• Respiratory depression

 

SIDE EFFECTS:

 

• Respiratory/Cardiac arrest
• Decreased LOC
• Hypotension