# Allergic Reaction / Anaphylaxis - Pediatric

Official OCEMS reference: SO-P-060.
Collection: Standing orders. Source topic: Pediatrics - ALS Standing Orders.
Population: Pediatric. Scope: ALS.
Source index update: April 1, 2023. Source checked: 2026-09-16.

Independent OC Medic source briefing. The complete official document remains authoritative for exact requirements, exceptions, and clinical or administrative language.

## Document profile

- Document type: Clinical standing order
- Where it fits: Allergic Reaction / Anaphylaxis - Pediatric is an official standing-order reference used to verify assessment, treatment authority, base-contact triggers, and transport direction.
- Document note: Use the complete official document for mandatory wording, exceptions, definitions, and requirements that cannot be reduced safely to directory metadata.

## Use this source safely

- Match the patient, age group, presentation, and provider scope before applying a standing-order pathway.
- Verify medication doses, repeat limits, base-contact requirements, and transport language in the complete current document.
- Check current OCEMS notices and agency direction before field use.
- When the source and a summary differ, follow the current official document and medical or operational direction.

## Related OC Medic guides

- [Pediatric allergic reaction & anaphylaxis](https://www.ocmedic.com/guides/pediatric-anaphylaxis/): Use weight-based epinephrine first for anaphylaxis, then treat airway, breathing, and perfusion.
- [Pediatric respiratory distress](https://www.ocmedic.com/guides/pediatric-respiratory-distress/): Distinguish wheeze, croup-like cough, anaphylaxis, and poor perfusion.
- [Albuterol](https://www.ocmedic.com/guides/albuterol/): Nebulized treatment for bronchospasm, with adult and pediatric protocol distinctions.
- [Diphenhydramine (Benadryl)](https://www.ocmedic.com/guides/diphenhydramine/): Allergic and dystonic reactions: weight-based pediatric dosing and adjunctive use in anaphylaxis.
- [Epinephrine](https://www.ocmedic.com/guides/epinephrine/): Anaphylaxis, cardiac arrest, and push-dose shock treatment: concentrations and age-specific rules.

## Related official references

- [SO-P-040 - Cardiopulmonary Arrest - Pediatric](https://www.ocmedic.com/reference/so-p-040-cardiopulmonary-arrest-pediatric/)
- [SO-P-035 - Acute Respiratory Distress - Pediatric](https://www.ocmedic.com/reference/so-p-035-acute-respiratory-distress-pediatric/)
- [SO-P-065 - Altered Mental Status - Pediatric](https://www.ocmedic.com/reference/so-p-065-altered-mental-status-pediatric/)
- [SO-P-025 - Amputation Injuries - Pediatric](https://www.ocmedic.com/reference/so-p-025-amputation-injuries-pediatric/)
- [SO-P-045 - Bradycardia - Pediatric](https://www.ocmedic.com/reference/so-p-045-bradycardia-pediatric/)
- [SO-P-095 - Burn (Thermal, Electrical, Chemical) - Pediatric](https://www.ocmedic.com/reference/so-p-095-burn-thermal-electrical-chemical-pediatric/)

## Official source

- [Open the official document](https://www.ochealthinfo.com/sites/healthcare/files/2023-04/SO-P-60%20Allergic%20Rxn%204-2023.pdf)
- [View the official source index](https://www.ochealthinfo.com/providers-partners/emergency-medical-services/ems-policies-procedures-standing-orders/ems-standing)
- [OCEMS notices and system updates](https://www.ochealthinfo.com/providers-partners/emergency-medical-services)