County
County of Riverside Emergency Medical Services Agency
County of Riverside Emergency Medical Services Agency (CA) carries 24 drugs across 135 dose entries in its current published protocol, effective 2026-07-01.
Drugs and doses24
Acetaminophen
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1 g | IV | not captured | standing | page 2 |
| Other | peds | 15 mg/kg | IV | not captured | standing | page 2 |
| Mild to moderate pain | adult | 1 g | IV | not captured | standing | page 2 |
| Mild to moderate pain | peds | 15 mg/kg | IV | not captured | standing | page 2 |
Adenosine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| SVT | adult | 12 mg | IV | not captured | standing | page 3 |
| SVT | peds | 0.2 mg/kg | IV | not captured | standing | page 3 |
Albuterol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 2.5 mg | NEB | not captured | standing | page 5 |
| Anaphylaxis | peds | 2.5 mg | NEB | not captured | standing | page 5 |
| Asthma / bronchospasm | adult | 2.5 mg | NEB | not captured | standing | page 5 |
| Asthma / bronchospasm | peds | 2.5 mg | NEB | not captured | standing | page 5 |
| Hyperkalemia | adult | 2.5 mg | NEB | not captured | standing | page 5 |
| Hyperkalemia | peds | 2.5 mg | NEB | not captured | standing | page 5 |
| Other | adult | 2.5 mg | NEB | not captured | standing | page 5 |
| Other | adult | 5 mg | NEB | not captured | standing | page 5 |
| Other | peds | 2.5 mg | NEB | not captured | standing | page 5 |
Amiodarone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | adult | 300 mg | IV | not captured | standing | page 6 |
| Cardiac arrest | peds | 5 mg/kg | IV | not captured | standing | page 6 |
| Narrow-complex tachycardia | adult | 150 mg | IV | not captured | standing | page 6 |
| Narrow-complex tachycardia | peds | 5 mg/kg | IV | not captured | standing | page 6 |
Aspirin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 324 mg | PO | not captured | standing | page 7 |
Atropine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Bradycardia | adult | 1 mg | IV | not captured | standing | page 8 |
| Bradycardia | peds | 0.02 mg/kg | IV | not captured | standing | page 8 |
| Cardiac arrest | adult | 1 mg | IV | not captured | standing | page 8 |
| Nerve agent exposure | adult | 1 mg | IV | not captured | standing | page 8 |
| Nerve agent exposure | adult | 2 mg | IM | not captured | standing | page 8 |
| Nerve agent exposure | peds | 0.02 mg/kg | IV | not captured | standing | page 8 |
| Nerve agent exposure | peds | 0.05 mg/kg | IM | not captured | standing | page 8 |
Calcium Chloride
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Beta-blocker / calcium-channel-blocker overdose | adult | 1 g | IV | not captured | standing | page 9 |
| Beta-blocker / calcium-channel-blocker overdose | peds | 20 mg/kg | IV | not captured | standing | page 9 |
| Cardiac arrest | adult | 1 g | IV | not captured | standing | page 9 |
| Cardiac arrest | peds | 20 mg/kg | IV | not captured | standing | page 9 |
| Hyperkalemia | adult | 1 g | IV | not captured | standing | page 9 |
| Hyperkalemia | peds | 20 mg/kg | IV | not captured | standing | page 9 |
| Other | adult | 1 g | IV | not captured | standing | page 9 |
| Other | adult | 1 g | IV | not captured | standing | page 9 |
| Other | peds | 20 mg/kg | IV | not captured | standing | page 9 |
Dextrose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 25 g | IV/IO | not captured | standing | page 11 |
| Hypoglycemia | peds | 5 mL/kg | IV/IO | not captured | standing | page 11 |
| Neonatal resuscitation | peds | 5 mL/kg | IV/IO | not captured | standing | page 11 |
Diphenhydramine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 50 mg | IV | not captured | standing | page 12 |
| Anaphylaxis | adult | 50 mg | IM | not captured | standing | page 12 |
| Anaphylaxis | peds | 1 mg/kg | IV | not captured | standing | page 12 |
| Anaphylaxis | peds | 2 mg/kg | IM | not captured | standing | page 12 |
| Nausea / vomiting | adult | 25–50 mg | IV | not captured | standing | page 12 |
| Nausea / vomiting | adult | 25–50 mg | IM | not captured | standing | page 12 |
| Nausea / vomiting | peds | 1 mg/kg | IV | not captured | standing | page 12 |
| Nausea / vomiting | peds | 2 mg/kg | IM | not captured | standing | page 12 |
| Other | adult | 50 mg | IV | not captured | standing | page 12 |
| Other | adult | 50 mg | IM | not captured | standing | page 12 |
| Other | peds | 1 mg/kg | IV | not captured | standing | page 12 |
| Other | peds | 2 mg/kg | IM | not captured | standing | page 12 |
Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 0.3 mg | IM | not captured | standing | page 15 |
| Anaphylaxis | peds | 0.01 mg/kg | IM | not captured | standing | page 15 |
| Cardiac arrest | adult | 1 mg | IV | not captured | standing | page 13 |
| Cardiac arrest | peds | 0.01 mg/kg | IV | not captured | standing | page 13 |
| Croup | peds | 0.5 mg/kg | NEB | not captured | standing | page 14 |
| Hypotension / shock | adult | 0.01 mg | IV | not captured | standing | page 13 |
| Hypotension / shock | peds | 0.01 mg | IV | not captured | standing | page 13 |
| Neonatal resuscitation | peds | 0.01 mg/kg | IV | not captured | standing | page 15 |
| Respiratory distress | adult | 0.3 mg | IM | not captured | standing | page 14 |
| Respiratory distress | peds | 0.01 mg/kg | IM | not captured | standing | page 14 |
Fentanyl
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 50 mcg | IV/IM/IN | not captured | standing | page 16 |
| Mild to moderate pain | peds | 1 mcg/kg | IV/IM/IN | not captured | standing | page 16 |
| Post-ROSC care | adult | Dosing dependent on pain | IV/IM/IN | not captured | standing | page 16 |
| Procedural sedation | adult | 50 mcg | IV/IM/IN | not captured | standing | page 16 |
| Procedural sedation | peds | 1 mcg/kg | IV/IM/IN | not captured | standing | page 16 |
Glucagon
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Beta-blocker / calcium-channel-blocker overdose | adult | 1 mg | IV/IM | not captured | standing | page 18 |
| Beta-blocker / calcium-channel-blocker overdose | peds | 50 mcg/kg | IV/IM | not captured | standing | page 18 |
| Hypoglycemia | adult | 1 mg | IM | not captured | standing | page 18 |
| Hypoglycemia | peds | 0.5 mg | IM | not captured | standing | page 18 |
| Neonatal resuscitation | peds | 0.5 mg | IM | not captured | standing | page 18 |
| Other | adult | 1 mg | IV/IM | not captured | standing | page 18 |
| Other | peds | 0.5 mg | IV/IM | not captured | standing | page 18 |
Ipratropium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 0.5 mg | NEB | not captured | standing | page 21 |
| Asthma / bronchospasm | peds | 0.5 mg | NEB | not captured | standing | page 21 |
Ketamine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 0.3 mg/kg | IV | not captured | standing | page 22 |
| Mild to moderate pain | adult | 0.5 mg/kg | IN | not captured | standing | page 22 |
Ketorolac
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 15 mg | IV | not captured | standing | page 23 |
| Mild to moderate pain | adult | 30 mg | IM | not captured | standing | page 23 |
| Mild to moderate pain | peds | 0.5 mg/kg | IV | not captured | standing | page 23 |
| Mild to moderate pain | peds | 0.5 mg/kg | IM | not captured | standing | page 23 |
Lidocaine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | adult | 1 mg/kg | IV | not captured | standing | page 24 |
| Cardiac arrest | peds | 1 mg/kg | IV | not captured | standing | page 24 |
| Mild to moderate pain | adult | 50 mg | not captured | not captured | standing | page 24 |
| Mild to moderate pain | peds | 0.5 mg/kg | not captured | not captured | standing | page 24 |
| Narrow-complex tachycardia | adult | 1 mg/kg | IV | not captured | standing | page 24 |
| Narrow-complex tachycardia | peds | 1 mg/kg | IV | not captured | standing | page 24 |
Magnesium Sulfate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 2 g | IV | not captured | standing | page 25 |
| Asthma / bronchospasm | peds | 50 mg/kg | IV | not captured | standing | page 25 |
| Cardiac arrest | adult | 2 g | IV | not captured | standing | page 25 |
| Cardiac arrest | peds | 50 mg/kg | IV | not captured | standing | page 25 |
| Eclampsia / pre-eclampsia | adult | 5 g | IV | not captured | standing | page 25 |
| Eclampsia / pre-eclampsia | adult | 5 g | IM | not captured | standing | page 25 |
| Other | adult | 2 g | IV | not captured | standing | page 25 |
| Other | peds | 50 mg/kg | IV | not captured | standing | page 25 |
Midazolam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 2.5 mg | IV | not captured | standing | page 27 |
| Agitation | adult | 5 mg | IM/IN | not captured | standing | page 27 |
| Agitation | peds | 0.1 mg/kg | IV | not captured | standing | page 27 |
| Agitation | peds | 0.2 mg/kg | IM/IN | not captured | standing | page 27 |
| Other | adult | 1 mg | IV | not captured | standing | page 26 |
| Other | adult | 1 mg | IM/IN | not captured | standing | page 26 |
| Other | adult | 2.5 mg | IV | not captured | standing | page 26 |
| Other | adult | 5 mg | IM/IN | not captured | standing | page 26 |
| Other | peds | 0.1 mg/kg | IV | not captured | standing | page 26 |
| Other | peds | 0.2 mg/kg | IM/IN | not captured | standing | page 26 |
| Seizure | adult | 2.5 mg | IV | not captured | standing | page 27 |
| Seizure | adult | 5 mg | IM/IN | not captured | standing | page 27 |
| Seizure | peds | 0.1 mg/kg | IV | not captured | standing | page 27 |
| Seizure | peds | 0.2 mg/kg | IM/IN | not captured | standing | page 27 |
Naloxone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | peds | 0.1 mg/kg | IV/IM/IN | not captured | standing | page 29 |
| Neonatal resuscitation | peds | 0.1 mg/kg | IV/IM/IN | not captured | standing | page 29 |
| Opioid overdose | adult | 1 mg | IV/IM/IN | not captured | standing | page 29 |
| Opioid overdose | peds | 0.1 mg/kg | IV/IM/IN | not captured | standing | page 29 |
| Other | peds | 0.1 mg/kg | IV/IM/IN | not captured | standing | page 29 |
Nitroglycerin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 0.4 mg | SL | not captured | standing | page 30 |
| CHF / pulmonary edema | adult | 0.4 mg | SL | not captured | standing | page 30 |
Ondansetron
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | adult | 4 mg | PO | not captured | standing | page 33 |
| Nausea / vomiting | adult | 4 mg | IV/IM | not captured | standing | page 33 |
| Nausea / vomiting | peds | 0.1 mg/kg | IV/IM | not captured | standing | page 33 |
| Nausea / vomiting | peds | 4 mg | PO | not captured | standing | page 33 |
Oral Glucose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 15 g | PO | not captured | standing | page 20 |
| Hypoglycemia | peds | As tolerated | PO | not captured | standing | page 20 |
Sodium Bicarbonate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | adult | 50 mEq | IV | not captured | standing | page 34 |
| Cardiac arrest | peds | 1 mEq/kg | IV | not captured | standing | page 34 |
| Hyperkalemia | adult | 50 mEq | IV | not captured | standing | page 34 |
| Hyperkalemia | peds | 1 mEq/kg | IV | not captured | standing | page 34 |
| Neonatal resuscitation | peds | 1 mEq/kg | IV | not captured | standing | page 34 |
| Other | adult | 50 mEq | IV | not captured | standing | page 34 |
| Other | adult | 50 mEq | IV | not captured | standing | page 34 |
| Other | adult | 50 mEq | IV | not captured | standing | page 34 |
| Other | peds | 1 mEq/kg | IV | not captured | standing | page 34 |
| Other | peds | 1 mEq/kg | IV | not captured | standing | page 34 |
Tranexamic Acid
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Obstetric hemorrhage | adult | 1 g | IV | not captured | standing | page 35 |
| Trauma / hemorrhage | adult | 1 g | IM | not captured | standing | page 35 |
| Trauma / hemorrhage | adult | 2 g | IV | not captured | standing | page 35 |