Statewide

Alabama Department of Public Health (ADPH) Office of EMS (OEMS)

May be outdated102 dose entries38 drugs3 documentsALeffective 2018-01-0197% machine-parsed of 102

Alabama Department of Public Health (ADPH) Office of EMS (OEMS) (AL) carries 38 drugs across 102 dose entries in its current published protocol, effective 2018-01-01.

The current listed document is more than 24 months old and may be outdated.

Drugs and doses38

Adenosine

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	6 mg	IV	not captured	standing	pages 46, 48, 87 · source
Other	peds	0.1 mg/kg	IV	not captured	standing	pages 46, 48, 87 · source

Albuterol

Indication	Population	Dose	Route	Repeat	Standing	Source
Asthma / bronchospasm	adult	2.5 mg	NEB	not captured	standing	pages 26, 36, 53, 75, 88 · source
Asthma / bronchospasm	peds	2.5 mg	NEB	not captured	standing	pages 26, 36, 53, 75, 88 · source

Amiodarone

Indication	Population	Dose	Route	Repeat	Standing	Source
Wide-complex tachycardia	adult	150 mg	IV	not captured	standing	pages 46, 89 · source
VF / pulseless VT	adult	300 mg	IV/IO	not captured	standing	pages 40, 43, 89 · source
VF / pulseless VT	peds	5 mg/kg	IV/IO	not captured	standing	pages 40, 43, 89 · source

Aspirin

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	324 mg	PO	not captured	standing	pages 9, 50, 90 · source

Atropine

Indication	Population	Dose	Route	Repeat	Standing	Source
Bradycardia	adult	0.5 mg	IV/IO	not captured	standing	pages 46, 48, 91 · source
Bradycardia	peds	0.02 mg/kg	IV/IO	not captured	standing	pages 46, 48, 91 · source
Organophosphate poisoning	adult	2 mg	IV/IM	not captured	standing	pages 71, 91 · source
Organophosphate poisoning	peds	0.02 mg/kg	IV/IM	not captured	standing	pages 71, 91 · source

Calcium Chloride

Indication	Population	Dose	Route	Repeat	Standing	Source
Beta-blocker / calcium-channel-blocker overdose	adult	1 g	IV/IO	not captured	standing	pages 72, 92 · source
Beta-blocker / calcium-channel-blocker overdose	peds	20 mg/kg	IV/IO	not captured	standing	pages 72, 92 · source
Hyperkalemia	adult	1 g	IV/IO	not captured	standing	pages 41, 92 · source

Dexamethasone

Indication	Population	Dose	Route	Repeat	Standing	Source
Adrenal crisis	adult	5 mg	IM	not captured	standing	page 24 · source
Adrenal crisis	peds	5 mg	IM	not captured	standing	page 24 · source

Dextrose

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypoglycemia	adult	25 g	IV	not captured	standing	pages 62, 94 · source
Hypoglycemia	peds	4 mL/kg	IV	not captured	standing	pages 62, 94 · source

Diazepam

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	0.2 mg/kg	PR	not captured	standing	page 95 · source
Other	adult	5–10 mg	IV	not captured	standing	page 95 · source
Other	peds	0.1 mg/kg	IV	not captured	standing	page 95 · source

Diltiazem

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	10 mg	IV	not captured	standing	pages 46, 93 · source

Diphenhydramine

Indication	Population	Dose	Route	Repeat	Standing	Source
Allergic reaction	adult	50 mg	IV/IM	not captured	standing	pages 26, 96 · source
Allergic reaction	peds	1 mg/kg	IV/IM	not captured	standing	pages 26, 96 · source
Nausea / vomiting	adult	25–50 mg	IV/IM	not captured	standing	pages 67, 96 · source
Nausea / vomiting	peds	1 mg/kg	IV/IM	not captured	standing	pages 67, 96 · source
Other	adult	25 mg	IM	not captured	standing	pages 29, 96 · source
Other	peds	1 mg/kg	IM	not captured	standing	pages 29, 96 · source

Dopamine

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypotension / shock	adult	5–20 mcg/kg	IV/IO	not captured	standing	pages 41, 45, 77, 97 · source
Hypotension / shock	peds	5–20 mcg/kg	IV/IO	not captured	standing	pages 41, 45, 77, 97 · source

Epinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Allergic reaction	adult	0.3 mg	IM	not captured	standing	pages 26, 27, 75, 99 · source
Allergic reaction	peds	0.01 mg/kg	IM	not captured	standing	pages 26, 27, 75, 99 · source
Bradycardia	peds	0.01 mg/kg	IV/IO	not captured	standing	pages 48, 99 · source
Cardiac arrest	adult	1 mg	IV/IO	not captured	standing	pages 40, 41, 43, 44, 99 · source
Cardiac arrest	peds	0.01 mg/kg	IV/IO	not captured	standing	pages 40, 41, 43, 44, 99 · source
Other	adult	0.3 mg	IV	not captured	standing	pages 27, 99 · source
Other	peds	0.01 mg/kg	IV	not captured	standing	pages 27, 99 · source

Fentanyl

Indication	Population	Dose	Route	Repeat	Standing	Source
Severe pain	adult	1 mcg/kg	IV/IM/IN	not captured	standing	pages 23, 31, 50, 57, 100 · source
Severe pain	peds	1 mcg/kg	IV/IM/IN	not captured	standing	pages 23, 31, 50, 57, 100 · source

Furosemide

Indication	Population	Dose	Route	Repeat	Standing	Source
CHF / pulmonary edema	adult	40 mg	IV	not captured	standing	pages 53, 101 · source

Glucagon

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypoglycemia	adult	1 mg	IM	not captured	standing	pages 62, 102 · source
Hypoglycemia	peds	0.5 mg	IM	not captured	standing	pages 62, 102 · source
Other	adult	1 mg	IM	not captured	standing	pages 72, 102 · source
Other	adult	1 mg	IM	not captured	standing	pages 72, 102 · source
Other	peds	0.5 mg	IM	not captured	standing	pages 72, 102 · source
Other	peds	0.5 mg	IM	not captured	standing	pages 72, 102 · source

Haloperidol

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	5 mg	IM	not captured	standing	pages 29, 103 · source
Other	peds	0.1 mg/kg	IM	not captured	standing	pages 29, 103 · source

Hydrocortisone

Indication	Population	Dose	Route	Repeat	Standing	Source
Adrenal crisis	adult	100 mg	IM	not captured	standing	page 24 · source
Adrenal crisis	peds	2 mg/kg	IM	not captured	standing	page 24 · source

Hydroxocobalamin

Indication	Population	Dose	Route	Repeat	Standing	Source
Cyanide poisoning	adult	5 g	IV	not captured	standing	pages 72, 104 · source

Ipratropium

Indication	Population	Dose	Route	Repeat	Standing	Source
Asthma / bronchospasm	adult	0.5 mg	NEB	not captured	standing	pages 75, 88 · source
Asthma / bronchospasm	peds	0.5 mg	NEB	not captured	standing	pages 75, 88 · source

Ketamine

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	1 mg/kg	IV	not captured	standing	pages 29, 105 · source
Other	adult	4 mg/kg	IM	not captured	standing	pages 29, 105 · source
Other	peds	1 mg/kg	IV	not captured	standing	pages 29, 105 · source
Severe pain	adult	0.2 mg/kg	IV	not captured	standing	pages 23, 31, 57, 105 · source
Severe pain	adult	0.5 mg/kg	IM	not captured	standing	pages 23, 31, 57, 105 · source
Severe pain	peds	0.2 mg/kg	IV	not captured	standing	pages 23, 31, 57, 105 · source
Severe pain	peds	0.5 mg/kg	IM	not captured	standing	pages 23, 31, 57, 105 · source

Labetalol

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	20 mg	IV	not captured	standing	pages 60, 106 · source

Lidocaine

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	1.5 mg/kg	IV/IO	not captured	standing	pages 46, 107 · source
VF / pulseless VT	adult	1.5 mg/kg	IV/IO	not captured	standing	pages 40, 43, 107 · source
VF / pulseless VT	peds	1 mg/kg	IV/IO	not captured	standing	pages 40, 43, 107 · source

Lorazepam

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	1–2 mg	IV	not captured	standing	pages 76, 108 · source
Other	peds	0.1 mg/kg	IV	not captured	standing	pages 76, 108 · source

Magnesium Sulfate

Indication	Population	Dose	Route	Repeat	Standing	Source
Asthma / bronchospasm	adult	2 g	IV/IO	not captured	standing	pages 75, 109 · source
Eclampsia / pre-eclampsia	adult	4 g	IV	not captured	standing	pages 73, 109 · source
VF / pulseless VT	adult	2 g	IV/IO	not captured	standing	pages 40, 43, 109 · source
VF / pulseless VT	peds	50 mg/kg	IV/IO	not captured	standing	pages 40, 43, 109 · source

Methylprednisolone

Indication	Population	Dose	Route	Repeat	Standing	Source
Adrenal crisis	adult	125 mg	IM	not captured	standing	page 24 · source
Adrenal crisis	peds	2 mg/kg	IM	not captured	standing	page 24 · source

Midazolam

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	2 mg	IV/IM/IN	not captured	standing	pages 76, 110 · source
Other	peds	0.1 mg/kg	IV/IM/IN	not captured	standing	pages 76, 110 · source
Procedural sedation	adult	2–2.5 mg	IV/IO/IM/IN	not captured	standing	page 15 · source

Morphine

Indication	Population	Dose	Route	Repeat	Standing	Source
CHF / pulmonary edema	adult	2–4 mg	IV	not captured	standing	pages 53, 111 · source
Severe pain	adult	4 mg	IV	not captured	standing	pages 23, 31, 50, 57, 111 · source
Severe pain	peds	0.1 mg/kg	IV	not captured	standing	pages 23, 31, 50, 57, 111 · source

Naloxone

Indication	Population	Dose	Route	Repeat	Standing	Source
Respiratory distress	adult	2–4 mg	IN	not captured	standing	pages 29, 72, 112 · source
Respiratory distress	adult	2–4 mg	IV/IM	not captured	standing	pages 29, 72, 112 · source
Respiratory distress	peds	0.1 mg/kg	IV/IM/IN	not captured	standing	pages 29, 72, 112 · source
Respiratory distress	peds	2–4 mg	IN	not captured	standing	pages 29, 72, 112 · source

Nicardipine

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	5 mg	IV	not captured	standing	pages 60, 113 · source

Nitroglycerin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	0.4 mg	SL	not captured	standing	pages 50, 114 · source
CHF / pulmonary edema	adult	0.4 mg	SL	not captured	standing	pages 53, 114 · source

Nitrous Oxide

Indication	Population	Dose	Route	Repeat	Standing	Source
Mild to moderate pain	adult	Self-administer	NEB	not captured	standing	pages 31, 33, 36, 50, 57, 115 · source

Ondansetron

Indication	Population	Dose	Route	Repeat	Standing	Source
Nausea / vomiting	adult	4 mg	IV/IM	not captured	standing	pages 67, 117 · source
Nausea / vomiting	adult	4 mg	ODT	not captured	standing	pages 67, 117 · source
Nausea / vomiting	peds	0.1 mg/kg	IV/IM	not captured	standing	pages 67, 117 · source
Nausea / vomiting	peds	0.1 mg/kg	ODT	not captured	standing	pages 67, 117 · source

Oral Glucose Paste

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypoglycemia	adult	As needed	PO	not captured	standing	page 62 · source
Hypoglycemia	peds	As needed	PO	not captured	standing	page 62 · source

Racemic Epinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Croup	adult	0.5 mL	NEB	not captured	standing	pages 75, 119 · source
Croup	peds	0.5 mL	NEB	not captured	standing	pages 75, 119 · source
Stridor	adult	0.5 mL	NEB	not captured	standing	pages 75, 119 · source
Stridor	peds	0.5 mL	NEB	not captured	standing	pages 75, 119 · source

Sodium Bicarbonate

Indication	Population	Dose	Route	Repeat	Standing	Source
Cardiac arrest	adult	1 mEq/kg	IV/IO	not captured	standing	pages 41, 44, 120 · source
Cardiac arrest	peds	1 mEq/kg	IV/IO	not captured	standing	pages 41, 44, 120 · source
Tricyclic overdose	adult	1 mEq/kg	IV	not captured	standing	pages 72, 120 · source

Thiamine

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	100 mg	IV/IM	not captured	standing	pages 62, 121 · source

Tranexamic Acid

Indication	Population	Dose	Route	Repeat	Standing	Source
Trauma / hemorrhage	adult	1 g	IV	not captured	standing	pages 31, 85, 122 · source

Cite this

Alabama Department of Public Health (ADPH) Office of EMS (OEMS), United States EMS Protocol Census. 102 dose entries, effective 2018-01-01.

https://protoquiz.com/census/agencies/alabama-department-of-public-health-adph-office-of-ems-oems/

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