County
County of Riverside Emergency Medical Services (EMS) Agency (REMSA)
County of Riverside Emergency Medical Services (EMS) Agency (REMSA) (Riverside, CA) carries 28 drugs across 142 dose entries in its current published protocol, effective 2025-07-01.
Drugs and doses28
Acetaminophen
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 1 g | IV | not captured | standing | page 41 |
| Mild to moderate pain | peds | 15 mg/kg | IV | not captured | standing | page 41 |
Adenosine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| SVT | adult | 12 mg | IV | not captured | standing | page 42 |
| SVT | peds | 0.2 mg/kg | IV | not captured | standing | page 42 |
Albuterol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 2.5 mg | NEB | not captured | standing | page 44 |
| Asthma / bronchospasm | peds | 2.5 mg | NEB | not captured | standing | page 44 |
| Hyperkalemia | adult | 2.5 mg | NEB | not captured | standing | page 44 |
| Hyperkalemia | peds | 2.5 mg | NEB | not captured | standing | page 44 |
| Other | adult | 5 mg | NEB | not captured | standing | page 44 |
Aspirin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 324 mg | PO | not captured | standing | page 46 |
Atropine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Bradycardia | adult | 1 mg | IV | not captured | standing | page 47 |
| Bradycardia | peds | 0.02 mg/kg | IV | not captured | standing | page 47 |
| Cardiac arrest | adult | 1 mg | IV | not captured | standing | page 47 |
| Nerve agent exposure | adult | 1 mg | IV | not captured | standing | page 47 |
| Nerve agent exposure | adult | 2 mg | IM | not captured | standing | page 47 |
| Nerve agent exposure | peds | 0.02 mg/kg | IV | not captured | standing | page 47 |
| Nerve agent exposure | peds | 0.05 mg/kg | IM | not captured | standing | page 47 |
Calcium Chloride
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Beta-blocker / calcium-channel-blocker overdose | adult | 1 g | IV | not captured | standing | page 48 |
| Beta-blocker / calcium-channel-blocker overdose | peds | 20 mg/kg | IV | not captured | standing | page 48 |
| Cardiac arrest | adult | 1 g | IV | not captured | standing | page 48 |
| Cardiac arrest | peds | 20 mg/kg | IV | not captured | standing | page 48 |
| Hyperkalemia | adult | 1 g | IV | not captured | standing | page 48 |
| Hyperkalemia | peds | 20 mg/kg | IV | not captured | standing | page 48 |
| Other | adult | 1 g | IV | not captured | standing | page 48 |
| Other | adult | 1 g | IV | not captured | standing | page 48 |
| Other | peds | 20 mg/kg | IV | not captured | standing | page 48 |
Dextrose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 25 g | IV/IO | not captured | standing | page 50 |
| Hypoglycemia | peds | 5 mL/kg | IV/IO | not captured | standing | page 50 |
| Neonatal resuscitation | peds | 5 mL/kg | IV/IO | not captured | standing | page 50 |
Diazepam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nerve agent exposure | adult | 5 mg | IM | not captured | standing | page 11 |
| Nerve agent exposure | peds | 0.1 mg/kg | IM | not captured | standing | page 11 |
| Seizure | adult | 5 mg | IM | not captured | standing | page 132 |
| Seizure | peds | 0.1 mg/kg | IM | not captured | standing | page 132 |
Diphenhydramine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 50 mg | IV/IM | not captured | standing | page 51 |
| Anaphylaxis | peds | 1 mg/kg | IV/IM | not captured | standing | page 51 |
| Dystonic reaction | adult | 50 mg | IV/IM | not captured | standing | page 51 |
| Dystonic reaction | peds | 1 mg/kg | IV/IM | not captured | standing | page 51 |
| Nausea / vomiting | adult | 25–50 mg | IV/IM | not captured | standing | page 51 |
| Nausea / vomiting | peds | 1 mg/kg | IV/IM | not captured | standing | page 51 |
Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 0.3 mg | IM | not captured | standing | page 53 |
| Anaphylaxis | peds | 0.01 mg/kg | IM | not captured | standing | page 53 |
| Cardiac arrest | adult | 1 mg | IV | not captured | standing | page 52 |
| Cardiac arrest | peds | 0.01 mg/kg | IV | not captured | standing | page 52 |
| Croup | peds | 0.5 mg/kg | NEB | not captured | standing | page 52 |
| Hypotension / shock | adult | 0.01 mg | IV | not captured | standing | page 52 |
| Respiratory distress | adult | 0.3 mg | IM | not captured | standing | page 53 |
| Respiratory distress | peds | 0.01 mg/kg | IM | not captured | standing | page 53 |
Fentanyl
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 50 mcg | IV/IM/IN | not captured | standing | page 55 |
| Mild to moderate pain | peds | 1 mcg/kg | IV/IM/IN | not captured | standing | page 55 |
| Procedural sedation | adult | 50 mcg | IV/IM/IN | not captured | standing | page 55 |
| Procedural sedation | peds | 1 mcg/kg | IV/IM/IN | not captured | standing | page 55 |
Glucagon
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Beta-blocker / calcium-channel-blocker overdose | adult | 1 mg | IV/IM | not captured | standing | page 57 |
| Beta-blocker / calcium-channel-blocker overdose | peds | 50 mcg/kg | IV/IM | not captured | standing | page 57 |
| Hypoglycemia | adult | 1 mg | IM | not captured | standing | page 57 |
| Hypoglycemia | peds | 0.5 mg | IM | not captured | standing | page 57 |
| Other | adult | 1 mg | IV/IM | not captured | standing | page 57 |
| Other | peds | 0.5 mg | IV/IM | not captured | standing | page 57 |
Ipratropium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 0.5 mg | NEB | not captured | standing | page 60 |
| Asthma / bronchospasm | peds | 0.5 mg | NEB | not captured | standing | page 60 |
Ketamine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 0.3 mg/kg | IV | not captured | standing | page 61 |
| Mild to moderate pain | adult | 0.5 mg/kg | IN | not captured | standing | page 61 |
Ketorolac
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 15 mg | IV | not captured | standing | page 62 |
| Mild to moderate pain | adult | 15 mg | IV | not captured | standing | page 62 |
| Mild to moderate pain | adult | 30 mg | IM | not captured | standing | page 62 |
| Mild to moderate pain | adult | 30 mg | IM | not captured | standing | page 62 |
| Mild to moderate pain | peds | 0.5 mg/kg | IV | not captured | standing | page 62 |
| Mild to moderate pain | peds | 0.5 mg/kg | IM | not captured | standing | page 62 |
| Mild to moderate pain | peds | 0.5 mg/kg | IV | not captured | standing | page 62 |
| Mild to moderate pain | peds | 0.5 mg/kg | IM | not captured | standing | page 62 |
| Severe pain | adult | 15 mg | IV | not captured | standing | page 62 |
| Severe pain | adult | 30 mg | IM | not captured | standing | page 62 |
| Severe pain | peds | 0.5 mg/kg | IV | not captured | standing | page 62 |
| Severe pain | peds | 0.5 mg/kg | IM | not captured | standing | page 62 |
Lidocaine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 50 mg | not captured | not captured | standing | page 21 |
| Mild to moderate pain | peds | 0.5 mg/kg | not captured | not captured | standing | page 21 |
| Narrow-complex tachycardia | adult | 1 mg/kg | IV | not captured | standing | page 63 |
| Narrow-complex tachycardia | peds | 1 mg/kg | IV | not captured | standing | page 63 |
| VF / pulseless VT | adult | 1 mg/kg | IV | not captured | standing | page 63 |
| VF / pulseless VT | peds | 1 mg/kg | IV | not captured | standing | page 63 |
Lorazepam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 1 mg | IV/IO/IM/IN | not captured | standing | page 12 |
| Agitation | adult | 2.6 mg | IV/IN | not captured | standing | page 13 |
| Agitation | peds | 0.05 mg/kg | IV/IN | not captured | standing | page 13 |
| Agitation | peds | 0.1 mg/kg | IM | not captured | standing | page 13 |
| Seizure | adult | 2.4 mg | IV/IN | not captured | standing | page 12 |
| Seizure | adult | 5.2 mg | IM | not captured | standing | page 12 |
| Seizure | peds | 0.05 mg/kg | IV/IN | not captured | standing | page 12 |
| Seizure | peds | 0.1 mg/kg | IM | not captured | standing | page 12 |
Magnesium Sulfate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 2 g | IV/IO | not captured | standing | page 13 |
| Asthma / bronchospasm | peds | 50 mg/kg | IV/IO | not captured | standing | page 13 |
| Cardiac arrest | adult | 2 g | IV/IO | not captured | standing | page 13 |
| Cardiac arrest | peds | 50 mg/kg | IV/IO | not captured | standing | page 13 |
| Eclampsia / pre-eclampsia | adult | 5 g | IV | not captured | standing | page 64 |
| Eclampsia / pre-eclampsia | adult | 5 g | IM | not captured | standing | page 64 |
| Other | adult | 2 g | IV/IO | not captured | standing | page 13 |
| Other | peds | 50 mg/kg | IV/IO | not captured | standing | page 13 |
Midazolam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 2.5 mg | IV | not captured | standing | page 67 |
| Agitation | adult | 5 mg | IM/IN | not captured | standing | page 67 |
| Agitation | peds | 0.1 mg/kg | IV | not captured | standing | page 67 |
| Agitation | peds | 0.2 mg/kg | IM/IN | not captured | standing | page 67 |
| Other | adult | 1 mg | IV | not captured | standing | page 65 |
| Other | adult | 1 mg | IM/IN | not captured | standing | page 65 |
| Other | adult | 2.5 mg | IV | not captured | standing | page 65 |
| Other | adult | 5 mg | IM/IN | not captured | standing | page 65 |
| Other | peds | 0.1 mg/kg | IV | not captured | standing | page 65 |
| Other | peds | 0.2 mg/kg | IM/IN | not captured | standing | page 65 |
| Seizure | adult | 2.5 mg | IV | not captured | standing | page 66 |
| Seizure | adult | 5 mg | IM/IN | not captured | standing | page 66 |
| Seizure | peds | 0.1 mg/kg | IV | not captured | standing | page 66 |
| Seizure | peds | 0.2 mg/kg | IM/IN | not captured | standing | page 66 |
Morphine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 2.5 mg | IM | not captured | standing | page 14 |
| Mild to moderate pain | adult | 5 mg | IV/IM | not captured | standing | page 13 |
| Mild to moderate pain | adult | 5 mg | IV | not captured | standing | page 14 |
| Mild to moderate pain | peds | 0.1 mg/kg | IV/IM | not captured | standing | page 13 |
| Mild to moderate pain | peds | 0.1 mg/kg | IV | not captured | standing | page 14 |
| Mild to moderate pain | peds | 0.1 mg/kg | IM | not captured | standing | page 14 |
Naloxone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Neonatal resuscitation | peds | 0.1 mg/kg | IV/IO/IM/IN | not captured | standing | page 68 |
| Opioid overdose | adult | 0.4 mg | IN | not captured | standing | page 14 |
| Opioid overdose | adult | 0.5 mg | IV/IM | not captured | standing | page 14 |
| Opioid overdose | peds | 0.1 mg/kg | IV/IM | not captured | standing | page 14 |
Nerve Agent Antidote Kit
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nerve agent exposure | adult | 1 injection | IM | not captured | standing | page 11 |
| Nerve agent exposure | adult | 1 injection | IM | not captured | standing | page 11 |
Nitroglycerin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 0.4 mg | SL | not captured | standing | page 69 |
| CHF / pulmonary edema | adult | 0.4 mg | SL | not captured | standing | page 69 |
Ondansetron
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | adult | 4 mg | IV/IM | not captured | standing | page 15 |
| Nausea / vomiting | adult | 4 mg | PO | not captured | standing | page 72 |
| Nausea / vomiting | peds | 0.1 mg/kg | IV/IM | not captured | standing | page 15 |
| Nausea / vomiting | peds | 4 mg | PO | not captured | standing | page 72 |
Oral Glucose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 15 g | PO | not captured | standing | page 59 |
| Hypoglycemia | peds | As tolerated | PO | not captured | standing | page 59 |
Pralidoxime
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nerve agent exposure | adult | 600 mg | IM | not captured | standing | page 12 |
| Nerve agent exposure | adult | 600 mg | not captured | not captured | standing | page 12 |
| Nerve agent exposure | peds | 20 mg/kg | IM | not captured | standing | page 12 |
| Nerve agent exposure | peds | 20 mg/kg | not captured | not captured | standing | page 12 |
Sodium Bicarbonate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | adult | 50 mEq | IV | not captured | standing | page 73 |
| Cardiac arrest | peds | 1 mEq/kg | IV | not captured | standing | page 73 |
| Hyperkalemia | adult | 50 mEq | IV | not captured | standing | page 73 |
| Hyperkalemia | peds | 1 mEq/kg | IV | not captured | standing | page 73 |
| Other | adult | 50 mEq | IV | not captured | standing | page 73 |
| Other | adult | 50 mEq | IV | not captured | standing | page 73 |
| Other | peds | 1 mEq/kg | IV | not captured | standing | page 73 |
Tranexamic Acid
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Obstetric hemorrhage | adult | 1 g | IV/IO | not captured | standing | page 74 |
| Trauma / hemorrhage | adult | 1 g | IV/IO | not captured | standing | page 74 |