Ebola Virus Disease — Pediatric Algorithm

What precautions are used initially for suspected pediatric Ebola?

Contact, droplet, and/or airborne precautions.

What vital sign is obtained first for suspected pediatric Ebola?

Temperature.

What history is obtained first for suspected pediatric Ebola?

Thorough travel and contact history.

What is done if there is no positive contact or travel history for suspected Ebola?

Exit to the appropriate protocol.

What precautions are required with a positive Ebola contact or travel history?

Universal precautions with proper PPE.

How much provider skin may be exposed with suspected Ebola?

None.

What mask do providers wear for suspected Ebola?

N95 mask.

What gown is worn for suspected Ebola?

Impermeable gown.

What glove technique is used for suspected Ebola?

Double glove.

What eye and face protection is used for suspected Ebola?

Full face shield.

What mask does a suspected Ebola patient wear?

N95 mask.

What assessment and monitoring are done for suspected pediatric Ebola?

Vital signs and cardiac monitor.

When is IV/IO access done for suspected pediatric Ebola?

If indicated.

What is the dose of normal saline for suspected pediatric Ebola?

20 mL/kg.

What is the max dose of normal saline for suspected pediatric Ebola?

60 mL/kg.

When is normal saline given beyond the first bolus in suspected pediatric Ebola?

If indicated.

How many times can the normal saline bolus be repeated in suspected pediatric Ebola?

Once.

When is norepinephrine considered for suspected pediatric Ebola?

Age-based hypotension with no improvement from fluid.

What is the dose of norepinephrine for suspected pediatric Ebola?

0.1 mcg/kg/min.

What is the max dose of norepinephrine for suspected pediatric Ebola?

0.5 mcg/kg/min.

How is norepinephrine adjusted for suspected pediatric Ebola?

Titrated up to the max.

What is the final step for suspected pediatric Ebola?

Transport.