emt-basic curriculum module 4

State of WisconsinEMT-Basic: A Practice BasedApproach to EMS Education(i)(j)(k)(l)(m)(n)(o)Remove syringe from vial and pierce thecenter of the stopper of the vial, containing1mg powdered glucagon, with the syringeInject all of the diluent into the glucagonsRemove the diluent syringe from the vialand dispose of in sharps containerShake the vial gently until the glucagondissolves and the solution becomes clear.Note: glucagons should be clear and waterlikein consistency. It should be utilizedimmediately after reconstituting.Using a new syringe and appropriatelysized needle, pierce the center of therubber stopper and withdraw slightly moreof the medication than the ordered doseRemove the needle and syringe from thevialWith the needle pointing upward, gently tapthe syringe to move any air bubbles to thetop. Gently advance the syringe to the 1ml mark. (Children less than 20 kg (44 lbs)a dose of 0.5 mg is used). Note: Dosageestablished by medical control must beadministered(9) Perform the IM injection(a) Cleanse the injection site using an alcoholprep-pad(b) Raise the injection site by pinching orstretching the flesh(c) Insert the needle into the selected andcleansed injection site at a 90 degree angle(d) Aspirate slightly by attempting to withdrawthe plunger of the syringe. If no blood isseen to aspirate into the syringe, use lightpressure to depress the plunger and injectall the medication. If blood is seen toaspirate, a second site must be used(e)(f)(g)(h)Depress the plunger to administer theinjectionWithdraw the needle from the injection siteWipe the injection site with an alcohol preppadProperly dispose of the syringe and needleassembly in an appropriate sharpscontainer and place a band-aid over theinjection siteModule 4-47