US EMS Protocol Census
Statewide

Bureau of EMS, Trauma & Preparedness

May be outdated153 dose entries36 drugs1 documentMIeffective 2018-03-0193% machine-parsed of 153

Bureau of EMS, Trauma & Preparedness (MI) carries 36 drugs across 153 dose entries in its current published protocol, effective 2018-03-01.

The current listed document is more than 24 months old and may be outdated.

Drugs and doses36

Acetaminophen

IndicationPopulationDoseRouteRepeatStandingSource
Fever adult 15 mg/kg PO not captured standing page 87
Fever peds 15 mg/kg PO not captured standing page 87
Mild to moderate pain adult 15 mg/kg PO not captured standing page 87
Mild to moderate pain peds 15 mg/kg PO not captured standing page 87

Adenosine

IndicationPopulationDoseRouteRepeatStandingSource
Narrow-complex tachycardia adult 6 mg IV/IO not captured standing page 100
Narrow-complex tachycardia peds 0.1 mg/kg IV/IO not captured standing page 100

Albuterol

IndicationPopulationDoseRouteRepeatStandingSource
Crush injury adult 2.5 mg not captured not captured standing page 34
Respiratory distress adult 2.5 mg NEB not captured standing page 63
Respiratory distress peds 2.5 mg NEB not captured standing page 63

Amiodarone

IndicationPopulationDoseRouteRepeatStandingSource
Cardiac arrest adult 300 mg IV/IO not captured standing page 95
Cardiac arrest peds 5 mg/kg IV/IO not captured standing page 95
Narrow-complex tachycardia adult 150 mg IV not captured standing page 101

Aspirin

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 324–325 mg PO not captured standing page 104
ACS / chest pain adult 324–325 mg PO not captured standing page 104

Atropine

IndicationPopulationDoseRouteRepeatStandingSource
Bradycardia adult 0.5 mg IV/IO not captured standing page 99
Bradycardia peds 0.02 mg/kg IV/IO not captured standing page 99
Nerve agent exposure adult 2–6 mg IV/IM not captured standing page 45
Nerve agent exposure peds 0.05–0.1 mg/kg IV/IM not captured standing page 45

Calcium Chloride

IndicationPopulationDoseRouteRepeatStandingSource
Beta-blocker / calcium-channel-blocker overdose adult 0.5–1 g IV not captured standing page 43
Beta-blocker / calcium-channel-blocker overdose peds 20 mg/kg IV not captured standing page 43
Cardiac arrest adult 1 g IV not captured standing page 248
Hyperkalemia adult 1 g IV/IO not captured standing page 34
Hyperkalemia peds 20 mg/kg IV/IO not captured standing page 34

Dextrose

IndicationPopulationDoseRouteRepeatStandingSource
Hypoglycemia adult 25 g IV not captured standing page 59
Hypoglycemia peds 0.5 g/kg IV not captured standing page 59
Other adult 25 g IV not captured standing page 59
Other peds 0.5 g/kg IV not captured standing page 59
Seizure adult 25 g IV not captured standing page 67
Seizure peds 0.5 g/kg IV not captured standing page 67

Diazepam

IndicationPopulationDoseRouteRepeatStandingSource
Seizure adult 2–10 mg IV/IM not captured standing page 45
Seizure peds 0.2–0.5 mg/kg IV/IM not captured standing page 45

Diphenhydramine

IndicationPopulationDoseRouteRepeatStandingSource
Allergic reaction adult 50 mg IV/IO/IM not captured standing page 17
Allergic reaction peds 1 mg/kg IV/IO/IM not captured standing page 17
Dystonic reaction adult 50 mg IV not captured standing page 43
Dystonic reaction peds 1 mg/kg IV not captured standing page 43

Dopamine

IndicationPopulationDoseRouteRepeatStandingSource
Bradycardia adult 5–20 mcg/kg IV not captured standing page 252
Bradycardia peds 5–20 mcg/kg IV not captured standing page 252
Cardiogenic shock adult 5–20 mcg/kg IV not captured standing page 252
Cardiogenic shock peds 5–20 mcg/kg IV not captured standing page 252

Epinephrine

IndicationPopulationDoseRouteRepeatStandingSource
Anaphylaxis adult 0.3 mg IM not captured standing page 16
Anaphylaxis adult 0.3 mg not captured not captured standing page 16
Anaphylaxis peds 0.15 mg IM not captured standing page 16
Anaphylaxis peds 0.15 mg not captured not captured standing page 16
Cardiac arrest adult 1 mg IV/IO not captured standing page 95
Cardiac arrest peds 0.01 mg/kg IV/IO not captured standing page 95
Hypotension / shock adult 1–2 mL IV/IO not captured standing page 14
Hypotension / shock peds 0.1 mL/kg IV/IO not captured standing page 14
Respiratory distress adult 0.3 mg not captured not captured standing page 63
Respiratory distress adult 0.3 mg IM not captured standing page 64

Fentanyl

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 50–100 mcg IV/IO not captured standing page 163
Other adult 50–100 mcg IN not captured standing page 163
Other peds 1 mcg/kg IV/IO not captured standing page 163
Other peds 1 mcg/kg IN not captured standing page 163
Mild to moderate pain adult 1 mcg/kg IV/IO not captured standing page 104
Mild to moderate pain adult 1 mcg/kg IN not captured standing page 104
Mild to moderate pain peds 1 mcg/kg IV/IO not captured standing page 104
Mild to moderate pain peds 1 mcg/kg IN not captured standing page 104

Glucagon

IndicationPopulationDoseRouteRepeatStandingSource
Hypoglycemia adult 1 mg IM not captured standing page 59
Hypoglycemia peds 0.05 mg/kg IM not captured standing page 59
Other adult 1 mg IM not captured standing page 59
Other peds 0.05 mg/kg IM not captured standing page 59
Seizure adult 1 mg IM not captured standing page 67
Seizure peds 0.05 mg/kg IM not captured standing page 67

Hydrocortisone

IndicationPopulationDoseRouteRepeatStandingSource
Adrenal crisis adult 100 mg IV not captured standing page 20
Adrenal crisis peds 1–2 mg/kg IV not captured standing page 20

Hydromorphone

IndicationPopulationDoseRouteRepeatStandingSource
Severe pain adult 0.5 mg IV/IM not captured standing page 154

Hydroxocobalamin

IndicationPopulationDoseRouteRepeatStandingSource
Cyanide poisoning adult 5 g IV not captured standing page 258
Cyanide poisoning peds 70 mg/kg IV not captured standing page 258

Ibuprofen

IndicationPopulationDoseRouteRepeatStandingSource
Mild to moderate pain adult 10 mg/kg PO not captured standing page 153
Mild to moderate pain peds 10 mg/kg PO not captured standing page 153

Ipratropium

IndicationPopulationDoseRouteRepeatStandingSource
Respiratory distress adult 500 mcg NEB not captured standing page 63
Respiratory distress peds 250–500 mcg NEB not captured standing page 63

Ketamine

IndicationPopulationDoseRouteRepeatStandingSource
Hyperactive delirium adult 4 mg/kg IM not captured standing page 72
Other adult 0.5 mg/kg IN not captured standing page 163
Other adult 4 mg/kg IM not captured standing page 161
Other adult 4 mg/kg IN not captured standing page 161
Other peds 0.5 mg/kg IN not captured standing page 163
Mild to moderate pain adult 0.2 mg/kg IV/IO not captured standing page 153
Mild to moderate pain adult 0.5 mg/kg IN not captured standing page 153
Mild to moderate pain peds 0.2 mg/kg IV/IO not captured standing page 153
Mild to moderate pain peds 0.5 mg/kg IN not captured standing page 153

Ketorolac

IndicationPopulationDoseRouteRepeatStandingSource
Mild to moderate pain adult 15 mg IV/IM not captured standing page 153
Mild to moderate pain peds 1 mg/kg IV/IM not captured standing page 153

Lidocaine

IndicationPopulationDoseRouteRepeatStandingSource
Cardiac arrest adult 100 mg IV/IO not captured standing page 95
Mild to moderate pain adult 20 mg IO not captured standing page 176
Mild to moderate pain peds 0.5 mg/kg IO not captured standing page 176
Narrow-complex tachycardia adult 1 mg/kg IV not captured standing page 101
Narrow-complex tachycardia peds 1 mg/kg IV not captured standing page 101

Lorazepam

IndicationPopulationDoseRouteRepeatStandingSource
Seizure adult 2 mg IV/IO not captured standing page 67
Seizure peds 0.1 mg/kg IV/IO not captured standing page 67

Magnesium Sulfate

IndicationPopulationDoseRouteRepeatStandingSource
Cardiac arrest adult 2 g IV/IO not captured standing page 265
Eclampsia / pre-eclampsia adult 2 g IV/IO not captured standing page 67
Respiratory distress adult 2 g IV not captured standing page 64
Narrow-complex tachycardia adult 2 g IV/IO not captured standing page 265
VF / pulseless VT adult 2 g IV/IO not captured standing page 95

Methylprednisolone

IndicationPopulationDoseRouteRepeatStandingSource
Adrenal crisis adult 125 mg IV not captured standing page 20
Adrenal crisis peds 2 mg/kg IV not captured standing page 20
Allergic reaction adult 125 mg IV not captured standing page 17
Allergic reaction peds 2 mg/kg IV not captured standing page 17
Respiratory distress adult 125 mg IV not captured standing page 64
Respiratory distress peds 2 mg/kg IV not captured standing page 64

Midazolam

IndicationPopulationDoseRouteRepeatStandingSource
Hyperactive delirium adult 10 mg IM not captured standing page 72
Hyperactive delirium adult 5 mg IN not captured standing page 72
Nerve agent exposure adult 0.05 mg/kg IV/IO not captured standing page 45
Nerve agent exposure adult 0.1 mg/kg IM not captured standing page 45
Nerve agent exposure peds 0.15 mg/kg IM not captured standing page 45
Nerve agent exposure peds 0.15 mg/kg IV/IO not captured standing page 45
Other adult 1–5 mg IV/IO/IN not captured standing page 163
Other adult 1–5 mg IV/IO/IN not captured standing page 51
Other peds 0.05 mg/kg IV/IO/IN not captured standing page 163
Other peds 0.05 mg/kg IV/IO/IN not captured standing page 51
Seizure adult 10 mg IM not captured standing page 45
Seizure adult 5 mg IV/IO not captured standing page 45
Seizure peds 0.1 mg/kg IM not captured standing page 45

Morphine

IndicationPopulationDoseRouteRepeatStandingSource
Mild to moderate pain adult 0.1 mg/kg IV/IO not captured standing page 154
Mild to moderate pain peds 0.1 mg/kg IV/IO not captured standing page 154

Naloxone

IndicationPopulationDoseRouteRepeatStandingSource
Opioid overdose adult 0.4 mg IN not captured standing page 239
Opioid overdose adult 0.4 mg IV/IO/IM not captured standing page 240
Opioid overdose peds 0.1 mg/kg IN not captured standing page 239
Opioid overdose peds 0.1 mg/kg IV/IO/IM not captured standing page 240

Nerve Agent Antidote Kit

IndicationPopulationDoseRouteRepeatStandingSource
Nerve agent exposure adult 1-3 injectors IM not captured standing page 45
Nerve agent exposure peds 1 injector IM not captured standing page 45

Nitroglycerin

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 0.4 mg SL not captured standing page 104
CHF / pulmonary edema adult 0.4 mg SL not captured standing page 102

Ondansetron

IndicationPopulationDoseRouteRepeatStandingSource
Nausea / vomiting adult 4 mg ODT not captured standing page 10
Nausea / vomiting adult 4 mg IV/IM not captured standing page 10
Nausea / vomiting adult 4 mg IV/IM not captured standing page 10
Nausea / vomiting adult 4 mg IV/IO not captured standing page 154
Nausea / vomiting adult 4 mg ODT not captured standing page 154
Nausea / vomiting peds 0.1 mg/kg IV/IM not captured standing page 10
Nausea / vomiting peds 0.1 mg/kg IV/IM not captured standing page 10
Nausea / vomiting peds 0.1 mg/kg IV/IO not captured standing page 154

Prednisone

IndicationPopulationDoseRouteRepeatStandingSource
Adrenal crisis adult 50 mg PO not captured standing page 20
Adrenal crisis peds 50 mg PO not captured standing page 20
Allergic reaction adult 50 mg PO not captured standing page 17
Allergic reaction peds 50 mg PO not captured standing page 17
Respiratory distress adult 50 mg PO not captured standing page 64
Respiratory distress peds 50 mg PO not captured standing page 64

Sodium Bicarbonate

IndicationPopulationDoseRouteRepeatStandingSource
Crush injury adult 100 mEq IV not captured standing page 34
Crush injury peds 1 mEq/kg IV not captured standing page 34
Hyperactive delirium adult 50 mEq IV not captured standing page 72
Hyperkalemia adult 1 mEq/kg IV/IO not captured standing page 95
Hyperkalemia peds 1 mEq/kg IV/IO not captured standing page 95
Tricyclic overdose adult 50 mEq IV/IO not captured standing page 43
Tricyclic overdose peds 1 mEq/kg IV/IO not captured standing page 43

Sodium Thiosulfate

IndicationPopulationDoseRouteRepeatStandingSource
Cyanide poisoning adult 50 mL IV not captured standing page 293
Cyanide poisoning peds 1.65 mL/kg IV not captured standing page 293

Tetracaine

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 1–2 drop not captured not captured standing page 44
Other peds 1–2 drop not captured not captured standing page 44
Mild to moderate pain adult 1–2 drop not captured not captured standing page 44
Mild to moderate pain peds 1–2 drop not captured not captured standing page 44

Tranexamic Acid

IndicationPopulationDoseRouteRepeatStandingSource
Trauma / hemorrhage adult 1 g IV not captured standing page 275
Trauma / hemorrhage peds 15 mg/kg IV not captured standing page 275