County
Clark County EMS System
Clark County EMS System (Las Vegas, NV) carries 34 drugs across 153 dose entries in its current published protocol, effective 2026-07-01.
An undated version is under review. The figures below are from the current listed document.
Drugs and doses34
Acetaminophen
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 1 g | IV/IO | not captured | not captured | page not captured |
| Mild to moderate pain | adult | 325 mg | PO | not captured | not captured | page not captured |
| Mild to moderate pain | peds | 15 mg/kg | PO | not captured | not captured | page not captured |
| Mild to moderate pain | peds | 15 mg/kg | IV/IO | not captured | not captured | page not captured |
Adenosine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Narrow-complex tachycardia | adult | 6 mg | IV/IO | not captured | not captured | page not captured |
| Narrow-complex tachycardia | peds | 0.1 mg/kg | IV/IO | not captured | not captured | page not captured |
Albuterol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 2.5 mg | NEB | not captured | not captured | page not captured |
| Allergic reaction | peds | 2.5 mg | NEB | not captured | not captured | page not captured |
| Asthma / bronchospasm | adult | 2.5 mg | NEB | not captured | not captured | page not captured |
| Asthma / bronchospasm | peds | 2.5 mg | NEB | not captured | not captured | page not captured |
| Hyperkalemia | adult | 2.5 mg | NEB | not captured | not captured | page not captured |
| Hyperkalemia | peds | 2.5 mg | NEB | not captured | not captured | page not captured |
| Respiratory distress | adult | 2.5 mg | NEB | not captured | not captured | page not captured |
| Respiratory distress | peds | 2.5 mg | NEB | not captured | not captured | page not captured |
Amiodarone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | adult | 300 mg | IV/IO | not captured | not captured | page not captured |
| Cardiac arrest | peds | 5 mg/kg | IV/IO | not captured | not captured | page not captured |
| Narrow-complex tachycardia | adult | 150 mg | IV/IO | not captured | not captured | page not captured |
| Narrow-complex tachycardia | peds | 5 mg/kg | IV/IO | not captured | not captured | page not captured |
Aspirin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 324 mg | PO | not captured | not captured | page not captured |
Atropine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Bradycardia | adult | 1 mg | IV/IO | not captured | not captured | page not captured |
| Bradycardia | peds | 0.02 mg/kg | IV/IO | not captured | not captured | page not captured |
| Other | adult | 2 mg | IV/IO | not captured | not captured | page not captured |
| Other | peds | 0.02 mg/kg | IV/IO | not captured | not captured | page not captured |
Calcium Chloride
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hyperkalemia | adult | 1 g | IV/IO | not captured | not captured | page not captured |
| Other | adult | 1 g | IV/IO | not captured | not captured | page not captured |
| Other | peds | 20 mg/kg | IV/IO | not captured | not captured | page not captured |
Dextrose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 25 g | IV/IO | not captured | not captured | page not captured |
| Other | peds | 5 mL/kg | IV/IO | not captured | not captured | page not captured |
Diazepam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | peds | 0.2 mg/kg | IV/IO | not captured | not captured | page not captured |
| Other | peds | 0.5 mg/kg | PR | not captured | not captured | page not captured |
| Seizure | adult | 5 mg | IV/IO/IM | not captured | not captured | page not captured |
| Seizure | peds | 0.1 mg/kg | IV/IO/IM | not captured | not captured | page not captured |
| Seizure | peds | 0.1 mg/kg | PR | not captured | not captured | page not captured |
Diphenhydramine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 50 mg | IV/IO/IM/PO | not captured | not captured | page not captured |
| Allergic reaction | peds | 1 mg/kg | IV/IO/IM/PO | not captured | not captured | page not captured |
| Dystonic reaction | adult | 50 mg | IV/IO/IM | not captured | not captured | page not captured |
| Dystonic reaction | peds | 1 mg/kg | IV/IO/IM | not captured | not captured | page not captured |
Droperidol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 2.5–5 mg | IV/IO | not captured | not captured | page not captured |
| Agitation | adult | 5 mg | IM | not captured | not captured | page not captured |
| Nausea / vomiting | adult | 1.25 mg | IV/IO/IM | not captured | not captured | page not captured |
| Other | adult | 5–10 mg | IM | not captured | not captured | page not captured |
| Other | peds | 0.2 mg/kg | IV/IM | not captured | not captured | page not captured |
| Mild to moderate pain | adult | 1.25 mg | IV/IO/IM | not captured | not captured | page not captured |
Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 0.5 mg | IM | not captured | not captured | page not captured |
| Allergic reaction | peds | 0.01 mg/kg | IM | not captured | not captured | page not captured |
| Bradycardia | peds | 0.01 mg/kg | IV/IO | not captured | not captured | page not captured |
| Cardiac arrest | adult | 1 mg | IV/IO | not captured | not captured | page not captured |
| Cardiac arrest | adult | 2–2.5 mg | ET | not captured | not captured | page not captured |
| Cardiac arrest | peds | 0.01 mg/kg | IV/IO | not captured | not captured | page not captured |
| Cardiac arrest | peds | 0.1 mg/kg | ET | not captured | not captured | page not captured |
| Hypotension / shock | adult | 10 mcg | IV/IO | not captured | not captured | page not captured |
| Hypotension / shock | peds | 0.1 mcg/kg | IV/IO | not captured | not captured | page not captured |
| Respiratory distress | adult | 0.5 mg | IM | not captured | not captured | page not captured |
| Respiratory distress | peds | 0.01 mg/kg | IM | not captured | not captured | page not captured |
| Sepsis | adult | 10 mcg | IV/IO | not captured | not captured | page not captured |
Etomidate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 0.3 mg/kg | IV/IO | not captured | not captured | page not captured |
| Other | peds | 0.3 mg/kg | IV/IO | not captured | not captured | page not captured |
| Narrow-complex tachycardia | adult | 0.15 mg/kg | IV/IO | not captured | not captured | page not captured |
| Narrow-complex tachycardia | peds | 0.15 mg/kg | IV/IO | not captured | not captured | page not captured |
Fentanyl
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1 mcg/kg | IV/IO/IM/IN | not captured | not captured | page not captured |
| Other | peds | 1 mcg/kg | IV/IO/IM/IN | not captured | not captured | page not captured |
| Mild to moderate pain | adult | 1 mcg/kg | IV/IO/IM/IN | not captured | not captured | page not captured |
| Mild to moderate pain | peds | 1 mcg/kg | IV/IO/IM/IN | not captured | not captured | page not captured |
Glucagon
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypotension / shock | adult | 1 mg | IV/IO/IM | not captured | not captured | page not captured |
| Hypotension / shock | peds | 0.5 mg | IV/IO/IM | not captured | not captured | page not captured |
| Other | adult | 1 mg | IM | not captured | not captured | page not captured |
| Other | adult | 1 mg | IV/IO/IM | not captured | not captured | page not captured |
| Other | peds | 0.5 mg | IM | not captured | not captured | page not captured |
| Other | peds | 0.5 mg | IV/IO/IM | not captured | not captured | page not captured |
Hydromorphone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 1 mg | IV/IO | not captured | not captured | page not captured |
| Mild to moderate pain | peds | 0.01 mg/kg | IV/IO | not captured | not captured | page not captured |
Hydroxocobalamin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cyanide poisoning | adult | 5 g | IV/IO | not captured | not captured | page not captured |
| Cyanide poisoning | adult | 5 g | IV/IO | not captured | not captured | page not captured |
| Cyanide poisoning | peds | Reference dosing chart in Pearls | IV/IO | not captured | not captured | page not captured |
| Cyanide poisoning | peds | Reference dosing chart in Pearls | IV/IO | not captured | not captured | page not captured |
Ipratropium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 0.5 mg | not captured | not captured | not captured | page not captured |
| Asthma / bronchospasm | peds | 0.5 mg | not captured | not captured | not captured | page not captured |
| Respiratory distress | adult | 0.5 mg | not captured | not captured | not captured | page not captured |
| Respiratory distress | peds | 0.5 mg | not captured | not captured | not captured | page not captured |
Ketamine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 3–4 mg/kg | IM | not captured | not captured | page not captured |
| Agitation | peds | 4 mg/kg | IM | not captured | not captured | page not captured |
| Other | adult | 2 mg/kg | IV/IO | not captured | not captured | page not captured |
| Other | peds | 2 mg/kg | IV/IO | not captured | not captured | page not captured |
| Mild to moderate pain | adult | 0.2 mg/kg | IV/IO/IN | not captured | not captured | page not captured |
| Mild to moderate pain | peds | 0.2 mg/kg | IV/IO/IN | not captured | not captured | page not captured |
Levalbuterol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 1.25 mg | not captured | not captured | not captured | page not captured |
| Allergic reaction | peds | 1.25 mg | not captured | not captured | not captured | page not captured |
| Asthma / bronchospasm | adult | 1.25 mg | not captured | not captured | not captured | page not captured |
| Asthma / bronchospasm | peds | 1.25 mg | not captured | not captured | not captured | page not captured |
| Respiratory distress | adult | 1.25 mg | not captured | not captured | not captured | page not captured |
| Respiratory distress | peds | 1.25 mg | not captured | not captured | not captured | page not captured |
Lidocaine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 40 mg | IO | not captured | not captured | page not captured |
| Other | peds | 0.5 mg/kg | IO | not captured | not captured | page not captured |
| VF / pulseless VT | adult | 1 mg/kg | IV/IO | not captured | not captured | page not captured |
| VF / pulseless VT | peds | 1 mg/kg | IV/IO | not captured | not captured | page not captured |
Magnesium Sulfate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 2 g | IV/IO | not captured | not captured | page not captured |
| Asthma / bronchospasm | peds | 50 mg/kg | IV/IO | not captured | not captured | page not captured |
| Eclampsia / pre-eclampsia | adult | 4 g | IV/IO | not captured | not captured | page not captured |
| Eclampsia / pre-eclampsia | adult | 8 g | IM | not captured | not captured | page not captured |
| Respiratory distress | adult | 2 g | IV/IO | not captured | not captured | page not captured |
| Respiratory distress | peds | 50 mg/kg | IV/IO | not captured | not captured | page not captured |
| VF / pulseless VT | adult | 2 g | IV/IO | not captured | not captured | page not captured |
| VF / pulseless VT | peds | 25 mg/kg | IV/IO | not captured | not captured | page not captured |
Metoclopramide
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 10 mg | IV/IM | not captured | not captured | page not captured |
| Nausea / vomiting | adult | 10 mg | IV/IM | not captured | not captured | page not captured |
| Nausea / vomiting | peds | 5 mg | IV/IM | not captured | not captured | page not captured |
| Other | adult | 10 mg | IV/IM | not captured | not captured | page not captured |
| Other | peds | 5 mg | IV/IM | not captured | not captured | page not captured |
| Mild to moderate pain | adult | 10 mg | IV/IM | not captured | not captured | page not captured |
| Mild to moderate pain | peds | 5 mg | IV/IM | not captured | not captured | page not captured |
Midazolam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 2.5–10 mg | IM | not captured | not captured | page not captured |
| Agitation | adult | 2.5–5 mg | IV/IO/IM/IN | not captured | not captured | page not captured |
| Other | adult | 0.1 mg/kg | IV/IO/IM/IN | not captured | not captured | page not captured |
| Other | peds | 0.1 mg/kg | IV/IO/IM/IN | not captured | not captured | page not captured |
| Seizure | adult | 0.1 mg/kg | IV/IO/IM/IN | not captured | not captured | page not captured |
| Seizure | peds | 0.1 mg/kg | IV/IO/IM/IN | not captured | not captured | page not captured |
| Narrow-complex tachycardia | adult | 0.1 mg/kg | IV/IO/IM/IN | not captured | not captured | page not captured |
Morphine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 0.1 mg/kg | IV/IO/IM | not captured | not captured | page not captured |
| Mild to moderate pain | peds | 0.1 mg/kg | IV/IO/IM | not captured | not captured | page not captured |
| Narrow-complex tachycardia | adult | 0.1 mg/kg | IV/IO/IM | not captured | not captured | page not captured |
Naloxone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 0.4–2 mg | IV/IO/IM | not captured | not captured | page not captured |
| Other | adult | 0.4–2 mg | IV/IO/IM | not captured | not captured | page not captured |
| Other | peds | 0.1 mg/kg | IN | not captured | not captured | page not captured |
| Other | peds | 0.1 mg/kg | IV/IO/IM | not captured | not captured | page not captured |
| Other | peds | 0.1 mg/kg | IN | not captured | not captured | page not captured |
| Other | peds | 0.1 mg/kg | IV/IO/IM | not captured | not captured | page not captured |
Nitroglycerin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 0.4 mg | SL | not captured | not captured | page not captured |
| CHF / pulmonary edema | adult | 0.4 mg | SL | not captured | not captured | page not captured |
Ondansetron
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 4 mg | IV/IO/IM/ODT | not captured | not captured | page not captured |
| Other | adult | 4 mg | IV/IO/IM/ODT | not captured | not captured | page not captured |
| Other | peds | 0.15 mg/kg | IV/IO/IM/ODT | not captured | not captured | page not captured |
| Mild to moderate pain | adult | 4 mg | IV/IO/IM/ODT | not captured | not captured | page not captured |
| Mild to moderate pain | peds | 0.15 mg/kg | IV/IO/IM/ODT | not captured | not captured | page not captured |
Oral Glucose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 15 g | PO | not captured | not captured | page not captured |
| Other | peds | 15 g | PO | not captured | not captured | page not captured |
Oxymetazoline
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 2 spray | IN | not captured | not captured | page not captured |
| Other | peds | 2 spray | IN | not captured | not captured | page not captured |
| RSI induction | adult | 1–2 spray | IN | not captured | not captured | page not captured |
| RSI induction | peds | 1–2 spray | IN | not captured | not captured | page not captured |
Phenylephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypotension / shock | adult | 100–200 mcg | IV/IO | not captured | not captured | page not captured |
| Other | adult | 2 spray | IN | not captured | not captured | page not captured |
| Other | peds | 2 spray | IN | not captured | not captured | page not captured |
| RSI induction | adult | 1–2 spray | IN | not captured | not captured | page not captured |
| RSI induction | peds | 1–2 spray | IN | not captured | not captured | page not captured |
| Sepsis | adult | 100–200 mcg | IV/IO | not captured | not captured | page not captured |
Prochlorperazine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 10 mg | IV/IO/IM | not captured | not captured | page not captured |
| Other | adult | 10 mg | IV/IO/IM | not captured | not captured | page not captured |
| Mild to moderate pain | adult | 10 mg | IV/IO/IM | not captured | not captured | page not captured |
Sodium Bicarbonate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hyperkalemia | adult | 50 mEq | IV/IO | not captured | not captured | page not captured |
| Other | adult | 50 mEq | IV/IO | not captured | not captured | page not captured |
| Other | peds | 1 mEq/kg | IV/IO | not captured | not captured | page not captured |
Tranexamic Acid
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1 g | IV/IO | not captured | not captured | page not captured |
| Trauma / hemorrhage | adult | 1 g | IV/IO | not captured | not captured | page not captured |