County
County of Marin EMS
County of Marin EMS (CA) carries 24 drugs across 86 dose entries in its current published protocol, effective 2026-04-01.
Drugs and doses24
Acetaminophen
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 1000 mg | IV/IO | not captured | standing | page 5 |
| Mild to moderate pain | adult | 500–1000 mg | PO | not captured | standing | pages 5, 76, 79 |
| Mild to moderate pain | peds | 15 mg/kg | PO | not captured | standing | pages 5, 76, 79 |
Adenosine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| SVT | adult | 12 mg | IV/IO | not captured | standing | pages 34, 44, 72 |
| SVT | peds | 0.1 mg/kg | IV/IO | not captured | standing | pages 34, 44, 72 |
Albuterol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 5 mg | NEB | not captured | standing | pages 15, 19, 22, 34, 73, 81, 85 |
| Asthma / bronchospasm | adult | 5 mg | NEB | not captured | standing | pages 15, 19, 22, 34, 73, 81, 85 |
| Asthma / bronchospasm | peds | 2.5 mg | NEB | not captured | standing | pages 15, 19, 22, 34, 73, 81, 85 |
| Asthma / bronchospasm | peds | 2.5 mg | NEB | not captured | standing | pages 15, 19, 22, 34, 73, 81, 85 |
| Crush injury | adult | 5 mg | NEB | not captured | standing | page 85 |
| Crush injury | peds | 5 mg | NEB | not captured | standing | page 85 |
| Other | adult | 5 mg | NEB | not captured | standing | page 15 |
Amiodarone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 150 mg | IV/IO | not captured | standing | page 45 |
| Cardiac arrest | adult | 300 mg | IV/IO | not captured | standing | pages 7, 16, 34 |
| Cardiac arrest | peds | 5 mg/kg | IV/IO | not captured | standing | pages 7, 16, 34 |
| Wide-complex tachycardia | adult | 150 mg | IV/IO | not captured | standing | pages 34, 43, 72 |
| Wide-complex tachycardia | peds | 5 mg/kg | IV/IO | not captured | standing | pages 34, 43, 72 |
Aspirin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 324 mg | PO | not captured | standing | pages 34, 45 |
Atropine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Bradycardia | adult | 1 mg | IV/IO | not captured | standing | pages 34, 42, 71 |
| Bradycardia | peds | 0.02 mg/kg | IV/IO | not captured | standing | pages 34, 42, 71 |
| Organophosphate poisoning | adult | 2 mg | IV/IO | not captured | standing | pages 20, 34, 59 |
| Organophosphate poisoning | peds | 0.05 mg/kg | IV/IO | not captured | standing | pages 20, 34, 59 |
| Other | adult | 1 dose | IM | not captured | standing | page 35 |
| Other | adult | 2 mg | IV/IO | not captured | standing | pages 20, 34, 59 |
| Other | peds | 0.05 mg/kg | IV/IO | not captured | standing | pages 20, 34, 59 |
Calcium Chloride
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Crush injury | adult | 1 g | IV/IO | not captured | standing | pages 34, 85 |
| Crush injury | peds | 1 g | IV/IO | not captured | standing | pages 34, 85 |
| Hyperkalemia | adult | 1 g | IV/IO | not captured | standing | pages 34, 85 |
| Hyperkalemia | peds | 1 g | IV/IO | not captured | standing | pages 34, 85 |
Dextrose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 125 mL | IV/IO | not captured | standing | pages 12, 18, 34, 35, 74, 77, 78 |
| Hypoglycemia | peds | 2–5 mL/kg | IV/IO | not captured | standing | pages 12, 18, 34, 35, 74, 77, 78 |
Diphenhydramine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 50 mg | IV/IO/IM | not captured | standing | pages 19, 34, 35, 58 |
| Allergic reaction | peds | 1 mg/kg | IV/IO/IM | not captured | standing | pages 19, 34, 35, 58 |
| Anaphylaxis | adult | 50 mg | IV/IO/IM | not captured | standing | pages 19, 34, 58 |
| Anaphylaxis | peds | 1 mg/kg | IV/IO/IM | not captured | standing | pages 19, 34, 58 |
| Other | adult | 50 mg | IV/IO/IM | not captured | standing | pages 20, 35, 59 |
| Other | adult | 50 mg | IV/IO/IM | not captured | standing | pages 35, 60, 75 |
| Other | peds | 1 mg/kg | IV/IO/IM | not captured | standing | pages 20, 35, 59 |
| Other | peds | 1 mg/kg | IV/IO/IM | not captured | standing | pages 35, 60, 75 |
Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 0.3 mg | IM | not captured | standing | pages 19, 34, 58 |
| Anaphylaxis | peds | 0.01 mg/kg | IM | not captured | standing | pages 19, 34, 58 |
| Asthma / bronchospasm | peds | 0.01 mg/kg | IM | not captured | standing | page 22 |
| Cardiac arrest | adult | 1 mg | IV/IO | not captured | standing | pages 7, 8, 16, 17, 34, 41 |
| Cardiac arrest | peds | 0.01 mg/kg | IV/IO | not captured | standing | pages 7, 8, 16, 17, 34, 41 |
| Hypotension / shock | adult | 1 mL | IV/IO | not captured | standing | pages 9, 34, 42, 57, 58, 61, 82 |
| Stridor | adult | 5 mL | not captured | not captured | standing | pages 14, 22 |
| Stridor | peds | 5 mL | not captured | not captured | standing | pages 14, 22 |
Fentanyl
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 50–100 mcg | IV/IO/IN | not captured | standing | pages 5, 79 |
| Mild to moderate pain | adult | 50–100 mcg | IM | not captured | standing | page 5 |
| Mild to moderate pain | peds | 1 mcg/kg | IV/IO/IN | not captured | standing | pages 5, 79 |
Glucagon
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 1 mg | IM | not captured | standing | pages 12, 18, 35, 74, 77, 78 |
Glucose Paste
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 30 g | PO | not captured | standing | page 35 |
Hydroxocobalamin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cyanide poisoning | adult | 5 g | IV/IO | not captured | standing | pages 15, 34 |
Ipratropium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 500 mcg | NEB | not captured | standing | pages 22, 35, 81 |
| Asthma / bronchospasm | adult | 500 mcg | NEB | not captured | standing | pages 22, 35, 81 |
| Asthma / bronchospasm | peds | 500 mcg | NEB | not captured | standing | pages 22, 35, 81 |
| Asthma / bronchospasm | peds | 500 mcg | NEB | not captured | standing | pages 22, 35, 81 |
Lidocaine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 20–40 mg | IO | not captured | standing | pages 26, 35, 69 |
| Mild to moderate pain | peds | 0.5 mg/kg | IO | not captured | standing | pages 26, 35, 69 |
Magnesium Sulfate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 5 g | IV | not captured | standing | page 66 |
| Other | adult | 5 g | IV | not captured | standing | page 35 |
Midazolam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1 mg | IV/IO | not captured | standing | pages 44, 72 |
| Other | peds | 0.05 mg/kg | IV/IO | not captured | standing | pages 44, 72 |
| Procedural sedation | adult | 1 mg | IV/IO | not captured | standing | page 32 |
| RSI induction | adult | 1–2 mg | IV/IO | not captured | standing | page 6 |
| Seizure | adult | 5 mg | IM | not captured | standing | pages 35, 62, 77 |
| Seizure | adult | 5 mg | IN | not captured | standing | pages 35, 62, 77 |
| Seizure | peds | 0.2 mg/kg | IM | not captured | standing | pages 35, 62, 77 |
| Seizure | peds | 0.2 mg/kg | IN | not captured | standing | pages 35, 62, 77 |
Morphine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 5 mg | IV/IO | not captured | standing | pages 5, 79 |
| Mild to moderate pain | adult | 5–10 mg | IM | not captured | standing | pages 5, 79 |
| Mild to moderate pain | peds | 0.1 mg/kg | IV/IO | not captured | standing | pages 5, 79 |
| Mild to moderate pain | peds | 0.1 mg/kg | IM | not captured | standing | pages 5, 79 |
Naloxone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Opioid overdose | adult | 0.4–4 mg | IV/IO/IM | not captured | standing | pages 12, 35, 78 |
| Opioid overdose | adult | 2–4 mg | IN | not captured | standing | pages 12, 35, 78 |
| Opioid overdose | peds | 0.1 mg/kg | IV/IO/IM | not captured | standing | pages 12, 35, 78 |
| Opioid overdose | peds | 0.1 mg/kg | IN | not captured | standing | pages 12, 35, 78 |
Nitroglycerin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 0.4 mg | SL | not captured | standing | pages 35, 45 |
| CHF / pulmonary edema | adult | 0.4 mg | SL | not captured | standing | page 82 |
| Eclampsia / pre-eclampsia | adult | 0.4 mg | SL | not captured | standing | page 66 |
Ondansetron
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | adult | 4 mg | IV/IO/IM/ODT | not captured | standing | pages 5, 60, 75 |
| Nausea / vomiting | peds | 2 mg | IV/IO/IM/ODT | not captured | standing | pages 5, 60, 75 |
Pralidoxime
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 600 mg | IM | not captured | standing | page 35 |
Sodium Bicarbonate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Crush injury | adult | 50 mEq | IV/IO | not captured | standing | pages 34, 35, 85 |
| Hyperkalemia | adult | 50 mEq | IV/IO | not captured | standing | pages 7, 8 |
| Other | adult | 50 mEq | IV/IO | not captured | standing | page 59 |