Regional
Berrien County Medical Control Authority
Berrien County Medical Control Authority (MI) carries 37 drugs across 145 dose entries in its current published protocol, effective 2026-08-15.
Drugs and doses37
Adenosine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| SVT | adult | 6 mg | IV | not captured | standing | pages 105, 120, 121, 311, 312 |
| SVT | peds | 0.1 mg/kg | IV | not captured | standing | pages 105, 120, 121, 311, 312 |
Albuterol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hyperkalemia | adult | 2.5 mg | NEB | not captured | standing | pages 33, 313 |
| Hyperkalemia | peds | 2.5 mg | NEB | not captured | standing | pages 33, 313 |
| Respiratory distress | adult | 2.5 mg | NEB | not captured | standing | pages 15, 16, 61, 62, 83, 108, 313 |
| Respiratory distress | peds | 2.5 mg | NEB | not captured | standing | pages 15, 16, 61, 62, 83, 108, 313 |
Amiodarone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Wide-complex tachycardia | adult | 150 mg | IV/IO | not captured | standing | pages 106, 107, 119, 314, 315 |
| Wide-complex tachycardia | peds | 5 mg/kg | IV/IO | not captured | standing | pages 106, 107, 119, 314, 315 |
| VF / pulseless VT | adult | 300 mg | IV/IO | not captured | standing | pages 101, 115, 314, 315 |
| VF / pulseless VT | peds | 5 mg/kg | IV/IO | not captured | standing | pages 101, 115, 314, 315 |
Aspirin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 325 mg | PO | not captured | standing | pages 110, 316 |
Atropine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Bradycardia | adult | 1 mg | IV/IO | not captured | standing | pages 103, 117, 118, 317 |
| Bradycardia | peds | 0.02 mg/kg | IV/IO | not captured | standing | pages 103, 117, 118, 317 |
| Nerve agent exposure | adult | 2 mg | IV/IM | not captured | standing | pages 317, 318, 386 |
| Nerve agent exposure | peds | 0.05 mg/kg | IV/IM | not captured | standing | pages 317, 318, 386 |
Calcium Chloride
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Beta-blocker / calcium-channel-blocker overdose | adult | 1 g | IV | not captured | standing | pages 42, 322 |
| Beta-blocker / calcium-channel-blocker overdose | peds | 20 mg/kg | IV | not captured | standing | pages 42, 322 |
| Crush injury | adult | 1 g | IV | not captured | standing | page 34 |
| Crush injury | peds | 20 mg/kg | IV | not captured | standing | page 34 |
| Hyperkalemia | adult | 1 g | IV/IO | not captured | standing | pages 101, 116, 322 |
| Hyperkalemia | peds | 20 mg/kg | IV/IO | not captured | standing | pages 101, 116, 322 |
Cefazolin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 2 g | IV | not captured | standing | page 36 |
| Other | peds | 30 mg/kg | IV | not captured | standing | page 36 |
| Trauma / hemorrhage | adult | 2 g | IV | not captured | standing | page 36 |
| Trauma / hemorrhage | adult | 2 g | IV | not captured | standing | page 36 |
| Trauma / hemorrhage | peds | 30 mg/kg | IV | not captured | standing | page 36 |
| Trauma / hemorrhage | peds | 30 mg/kg | IV | not captured | standing | page 36 |
Ceftriaxone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 2 g | IV | not captured | standing | pages 36, 326 |
| Other | peds | 50 mg/kg | IV | not captured | standing | pages 36, 326 |
| Trauma / hemorrhage | adult | 2 g | IV | not captured | standing | pages 36, 326 |
| Trauma / hemorrhage | adult | 2 g | IV | not captured | standing | pages 36, 326 |
| Trauma / hemorrhage | peds | 50 mg/kg | IV | not captured | standing | pages 36, 326 |
| Trauma / hemorrhage | peds | 50 mg/kg | IV | not captured | standing | pages 36, 326 |
Dextrose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | peds | 0.5 g/kg | IV/IO | not captured | standing | pages 115, 328, 329 |
| Hypoglycemia | adult | 25 g | IV | not captured | standing | pages 58, 80, 81, 88, 90, 327, 328 |
| Hypoglycemia | peds | 0.5 g/kg | IV | not captured | standing | pages 58, 80, 81, 88, 90, 327, 328 |
| Seizure | adult | 25 g | IV | not captured | standing | pages 64, 88, 327, 328 |
| Seizure | peds | 0.5 g/kg | IV | not captured | standing | pages 64, 88, 327, 328 |
Diazepam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nerve agent exposure | adult | 10 mg | not captured | not captured | standing | pages 381, 385 |
| Nerve agent exposure | peds | 10 mg | not captured | not captured | standing | pages 381, 385 |
| Procedural sedation | adult | 5–10 mg | IV/IO | not captured | standing | pages 173, 330 |
Diltiazem
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Narrow-complex tachycardia | adult | 15–20 mg | IV | not captured | standing | pages 106, 331 |
Diphenhydramine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 50 mg | IV/IO/IM | not captured | standing | page 16 |
| Allergic reaction | peds | 1 mg/kg | IV/IO/IM | not captured | standing | page 16 |
| Dystonic reaction | adult | 50 mg | IV | not captured | standing | page 42 |
| Dystonic reaction | peds | 1 mg/kg | IV | not captured | standing | page 42 |
| Nausea / vomiting | adult | 12.5–25 mg | IV/IM | not captured | standing | page 10 |
| Nausea / vomiting | peds | 1 mg/kg | IV/IM | not captured | standing | page 10 |
Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 0.3 mg | IM | not captured | standing | pages 14, 15 |
| Anaphylaxis | peds | 0.15 mg | IM | not captured | standing | pages 14, 15 |
| Bradycardia | peds | 0.01 mg/kg | IV/IO | not captured | standing | pages 103, 117, 118, 337 |
| Cardiac arrest | adult | 1 mg | IV/IO | not captured | standing | pages 100, 115, 116, 336 |
| Cardiac arrest | peds | 0.01 mg/kg | IV/IO | not captured | standing | pages 100, 115, 116, 336 |
| Hypotension / shock | adult | 10–20 mcg | IV/IO | not captured | standing | pages 12, 13 |
| Hypotension / shock | peds | 1 mcg/kg | IV/IO | not captured | standing | pages 12, 13 |
| Post-ROSC care | adult | 10–20 mcg | IV/IO | not captured | standing | pages 112, 122, 337 |
| Post-ROSC care | peds | 1 mcg/kg | IV/IO | not captured | standing | pages 112, 122, 337 |
| Respiratory distress | adult | 0.3 mg | IM | not captured | standing | pages 62, 63, 84 |
Fentanyl
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 1 mcg/kg | IV/IO/IM/IN | not captured | standing | pages 111, 338, 339 |
| ACS / chest pain | peds | 1 mcg/kg | IV/IO/IM/IN | not captured | standing | pages 111, 338, 339 |
| Mild to moderate pain | adult | 1 mcg/kg | IV/IO/IM/IN | not captured | standing | page 339 |
| Mild to moderate pain | peds | 1 mcg/kg | IV/IO/IM/IN | not captured | standing | page 339 |
| Procedural sedation | adult | 50–100 mcg | IV/IO | not captured | standing | pages 173, 174, 339 |
| Procedural sedation | peds | 1 mcg/kg | IV/IO | not captured | standing | pages 173, 174, 339 |
Glucagon
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 1 mg | IM/IN | not captured | standing | pages 58, 64, 81, 89, 340, 341 |
| Hypoglycemia | peds | 0.5 mg | IM/IN | not captured | standing | pages 58, 64, 81, 89, 340, 341 |
Hydrocortisone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Adrenal crisis | adult | 100 mg | IV/IM | not captured | standing | page 18 |
| Adrenal crisis | peds | 1–2 mg/kg | IV/IM | not captured | standing | page 18 |
Hydroxocobalamin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cyanide poisoning | adult | 5 g | IV/IO | not captured | standing | pages 342, 343 |
| Cyanide poisoning | adult | 5 g | IV/IO | not captured | standing | pages 342, 343 |
| Cyanide poisoning | peds | 70 mg/kg | IV/IO | not captured | standing | pages 342, 343 |
| Cyanide poisoning | peds | 70 mg/kg | IV/IO | not captured | standing | pages 342, 343 |
Ibuprofen
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Fever | peds | According to MI MEDIC cards | PO | not captured | standing | pages 344, 345 |
| Mild to moderate pain | adult | 400 mg | PO | not captured | standing | page 344 |
| Mild to moderate pain | peds | According to MI MEDIC cards | PO | not captured | standing | page 344 |
Ipratropium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 500 mcg | NEB | not captured | standing | pages 15, 16, 62, 63, 346 |
| Asthma / bronchospasm | peds | 500 mcg | NEB | not captured | standing | pages 15, 16, 62, 63, 346 |
Ketamine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hyperactive delirium | adult | 4 mg/kg | IM | not captured | standing | pages 67, 348 |
| Mild to moderate pain | adult | 0.2 mg/kg | IV/IO | not captured | standing | pages 161, 348 |
| Mild to moderate pain | adult | 0.5 mg/kg | IN | not captured | standing | pages 161, 162, 348 |
| Mild to moderate pain | peds | 0.2 mg/kg | IV/IO | not captured | standing | pages 161, 348 |
| Mild to moderate pain | peds | 0.5 mg/kg | IN | not captured | standing | pages 161, 162, 348 |
| Procedural sedation | adult | 1.5 mg/kg | IV/IO | not captured | standing | pages 173, 174, 348 |
| Procedural sedation | peds | 1.5 mg/kg | IV/IO | not captured | standing | pages 173, 174, 348 |
Ketorolac
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 15 mg | IV/IM | not captured | standing | pages 160, 349 |
| Mild to moderate pain | peds | 1 mg/kg | IV/IM | not captured | standing | pages 160, 349 |
Lidocaine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 20 mg | IO | not captured | standing | pages 189, 351 |
| Mild to moderate pain | peds | 0.5 mg/kg | IO | not captured | standing | pages 189, 351 |
| Wide-complex tachycardia | adult | 1 mg/kg | IV | not captured | standing | pages 106, 107, 120, 350 |
| Wide-complex tachycardia | peds | 1 mg/kg | IV | not captured | standing | pages 106, 107, 120, 350 |
| VF / pulseless VT | adult | 1 mg/kg | IV/IO | not captured | standing | pages 101, 115, 350 |
| VF / pulseless VT | peds | 1 mg/kg | IV/IO | not captured | standing | pages 101, 115, 350 |
Magnesium Sulfate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 2 g | IV | not captured | standing | pages 63, 352 |
| Eclampsia / pre-eclampsia | adult | 4 g | IV/IO | not captured | standing | pages 64, 76, 353 |
| VF / pulseless VT | adult | 2 g | IV/IO | not captured | standing | pages 101, 353 |
Methylprednisolone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Adrenal crisis | adult | 125 mg | IV/IO/IM | not captured | standing | pages 18, 354 |
| Adrenal crisis | peds | 2 mg/kg | IV/IO/IM | not captured | standing | pages 18, 354 |
| Allergic reaction | adult | 125 mg | IV/IO/IM | not captured | standing | pages 17, 354 |
| Allergic reaction | peds | 2 mg/kg | IV/IO/IM | not captured | standing | pages 17, 354 |
| Respiratory distress | adult | 125 mg | IV/IO/IM | not captured | standing | pages 63, 84, 355 |
| Respiratory distress | peds | 2 mg/kg | IV/IO/IM | not captured | standing | pages 63, 84, 355 |
Midazolam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hyperactive delirium | adult | 10 mg | IM/IN | not captured | standing | pages 67, 356 |
| Other | adult | 0.1 mg/kg | IM/IN | not captured | standing | pages 171, 357 |
| Other | peds | 0.1 mg/kg | IM/IN | not captured | standing | pages 171, 357 |
| Procedural sedation | adult | 1–5 mg | IV/IO/IN | not captured | standing | pages 173, 174, 357 |
| Procedural sedation | peds | 0.05 mg/kg | IV/IO/IN | not captured | standing | pages 173, 174, 357 |
| Seizure | adult | 10 mg | IM | not captured | standing | pages 64, 88, 356 |
| Seizure | adult | 5 mg | IV/IO | not captured | standing | pages 64, 88, 356, 357 |
| Seizure | adult | 5 mg | IV/IO/IM/IN | not captured | standing | pages 64, 89, 356, 357 |
| Seizure | peds | 0.1 mg/kg | IM | not captured | standing | pages 64, 88, 356 |
| Seizure | peds | 0.1 mg/kg | IV/IO/IM/IN | not captured | standing | pages 64, 89, 356, 357 |
Morphine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 0.1 mg/kg | IV/IO/IM | not captured | standing | pages 358, 359 |
| Mild to moderate pain | peds | 0.1 mg/kg | IV/IO/IM | not captured | standing | pages 358, 359 |
Naloxone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Opioid overdose | adult | 2 mg | IM/IN | not captured | standing | pages 20, 21 |
| Opioid overdose | adult | 2 mg | IV | not captured | standing | page 21 |
| Opioid overdose | peds | 0.1 mg/kg | IM/IN | not captured | standing | pages 20, 21 |
| Opioid overdose | peds | 0.1 mg/kg | IV | not captured | standing | page 21 |
Nitroglycerin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 0.4 mg | SL | not captured | standing | pages 110, 111, 362 |
| CHF / pulmonary edema | adult | 0.4 mg | SL | not captured | standing | pages 108, 362 |
Ondansetron
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | adult | 4 mg | ODT | not captured | standing | page 9 |
| Nausea / vomiting | adult | 4 mg | IV/IM | not captured | standing | pages 9, 10 |
| Nausea / vomiting | peds | 0.1 mg/kg | IV/IM | not captured | standing | pages 9, 10 |
| Nausea / vomiting | peds | 4 mg | ODT | not captured | standing | page 9 |
Oral Glucose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | small amounts | PO | not captured | standing | pages 58, 80, 90 |
| Hypoglycemia | peds | small amounts | PO | not captured | standing | pages 58, 80, 90 |
Pralidoxime
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nerve agent exposure | adult | 600 mg | IV/IM | not captured | standing | pages 365, 385 |
| Nerve agent exposure | peds | 600 mg | IV/IM | not captured | standing | pages 365, 385 |
Prednisone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Adrenal crisis | adult | 50 mg | PO | not captured | standing | pages 18, 368 |
| Adrenal crisis | peds | 50 mg | PO | not captured | standing | pages 18, 368 |
| Allergic reaction | adult | 50 mg | PO | not captured | standing | pages 16, 17, 368, 369 |
| Allergic reaction | peds | 50 mg | PO | not captured | standing | pages 16, 17, 368, 369 |
| Respiratory distress | adult | 50 mg | PO | not captured | standing | pages 62, 63, 84, 369 |
| Respiratory distress | peds | 50 mg | PO | not captured | standing | pages 62, 63, 84, 369 |
Racemic Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Stridor | peds | 0.5 mL | NEB | not captured | standing | page 372 |
Sodium Bicarbonate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Crush injury | adult | 100 mEq | IV | not captured | standing | page 34 |
| Crush injury | peds | 1 mEq/kg | IV | not captured | standing | page 34 |
| Hyperkalemia | adult | 1 mEq/kg | IV/IO | not captured | standing | pages 101, 116 |
| Hyperkalemia | peds | 1 mEq/kg | IV/IO | not captured | standing | pages 101, 116 |
| Tricyclic overdose | adult | 50 mEq | IV | not captured | standing | page 42 |
| Tricyclic overdose | peds | 1 mEq/kg | IV | not captured | standing | page 42 |
Tetracaine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 1–2 drop | not captured | not captured | standing | pages 43, 373 |
| Mild to moderate pain | peds | 1–2 drop | not captured | not captured | standing | pages 43, 373 |
Tranexamic Acid
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Trauma / hemorrhage | adult | 1 g | IV/IO | not captured | standing | pages 54, 374 |
| Trauma / hemorrhage | adult | 1 g | IV/IO | not captured | standing | pages 54, 374 |
Verapamil
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Narrow-complex tachycardia | adult | 5 mg | IV | not captured | standing | pages 106, 375 |