County
County of San Diego Emergency Medical Services
County of San Diego Emergency Medical Services (San Diego, CA) carries 32 drugs across 108 dose entries in its current published protocol, effective 2026-07-01.
Drugs and doses32
Acetaminophen
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1000 mg | IV | not captured | standing | pages 40, 67, 70, 71, 72, 73, 74 |
| Other | peds | 15 mg/kg | IV | not captured | standing | pages 40, 67, 70, 71, 72, 73, 74 |
Activated Charcoal
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 50 g | PO | not captured | standing | pages 41, 67, 68, 69, 70, 71, 72, 73, 74, 100, 133 |
| Other | peds | 1 g/kg | PO | not captured | standing | pages 41, 67, 68, 69, 70, 71, 72, 73, 74, 100, 133 |
Adenosine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 6 mg | IV/IO | not captured | standing | pages 42, 67, 68, 69, 70, 71, 72, 73, 74, 83, 126 |
| Other | peds | 0.1 mg/kg | IV/IO | not captured | standing | pages 42, 67, 68, 69, 70, 71, 72, 73, 74, 83, 126 |
Albuterol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hyperkalemia | adult | 6 mL | NEB | not captured | standing | pages 43, 87, 95, 129 |
| Hyperkalemia | peds | 5 mg | NEB | not captured | standing | pages 43, 87, 95, 129 |
| Other | adult | 6 mL | NEB | not captured | standing | pages 43, 67, 68, 69, 70, 71, 72, 73, 74, 77, 79, 122, 124, 141, 146 |
| Other | adult | 6 mL | NEB | not captured | standing | pages 43, 105, 143 |
| Other | peds | 5 mg | NEB | not captured | standing | pages 43, 67, 68, 69, 70, 71, 72, 73, 74, 77, 79, 122, 124, 141, 146 |
| Other | peds | 5 mg | NEB | not captured | standing | pages 43, 105, 143 |
Amiodarone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 150 mg | IV/IO | not captured | standing | pages 44, 90, 131 |
| Other | adult | 300 mg | IV/IO | not captured | standing | pages 44, 67, 68, 69, 70, 71, 72, 73, 74, 86, 128 |
| Other | peds | 5 mg/kg | IV/IO | not captured | standing | pages 44, 67, 68, 69, 70, 71, 72, 73, 74, 86, 128 |
| Other | peds | per drug chart | IV/IO | not captured | standing | pages 44, 90, 131 |
| Wide-complex tachycardia | adult | 150 mg | IV/IO | not captured | standing | pages 44, 67, 68, 69, 70, 71, 72, 73, 74, 85, 127 |
| Wide-complex tachycardia | peds | 5 mg/kg | IV/IO | not captured | standing | pages 44, 67, 68, 69, 70, 71, 72, 73, 74, 85, 127 |
Amyl Nitrite
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cyanide poisoning | adult | 1 inhalation | NEB | not captured | standing | page 101 |
Aspirin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 324 mg | PO | not captured | standing | pages 45, 80 |
Atropine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Bradycardia | adult | 1 mg | IV/IO | not captured | standing | pages 46, 82, 125 |
| Bradycardia | peds | 0.02 mg/kg | IV/IO | not captured | standing | pages 46, 82, 125 |
| Organophosphate poisoning | adult | 2 mg | IV/IO | not captured | standing | pages 46, 100, 129, 133 |
| Organophosphate poisoning | peds | per drug chart | IV/IO | not captured | standing | pages 46, 100, 129, 133 |
Buprenorphine-Naloxone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 16 mg | SL | not captured | standing | pages 47, 114 |
Calcium Chloride
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asystole / PEA | adult | 1 g | IV/IO | not captured | standing | pages 48, 87, 129 |
| Asystole / PEA | peds | per drug chart | IV/IO | not captured | standing | pages 48, 87, 129 |
| Hyperkalemia | adult | 1 g | IV/IO | not captured | standing | pages 48, 95 |
| Other | adult | 1 g | IV/IO | not captured | standing | pages 48, 101 |
| Other | adult | 1 g | IV/IO | not captured | standing | pages 48, 105, 143 |
| Other | peds | per drug chart | IV/IO | not captured | standing | pages 48, 105, 143 |
Dextrose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 25 g | IV | not captured | standing | pages 49, 78, 121 |
| Hypoglycemia | peds | D10 per drug chart | IV | not captured | standing | pages 49, 78, 121 |
Diazepam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Seizure | adult | 10 mg | IM | not captured | standing | page 118 |
Diphenhydramine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 50 mg | IV/IM | not captured | standing | pages 50, 77, 122 |
| Allergic reaction | peds | per drug chart | IV/IM | not captured | standing | pages 50, 77, 122 |
| Dystonic reaction | adult | 50 mg | IV/IM | not captured | standing | pages 50, 100, 133 |
| Dystonic reaction | peds | per drug chart | IV/IM | not captured | standing | pages 50, 100, 133 |
Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 0.5 mg | IM | not captured | standing | pages 51, 77, 122 |
| Anaphylaxis | peds | per drug chart (1:1,000) | IM | not captured | standing | pages 51, 77, 122 |
| Bradycardia | peds | per drug chart (1:10,000) | IV/IO | not captured | standing | pages 52, 125 |
| Cardiac arrest | adult | 1 mg | IV/IO | not captured | standing | pages 52, 86, 128 |
| Cardiac arrest | peds | per drug chart (1:10,000) | IV/IO | not captured | standing | pages 52, 86, 128 |
| Hypotension / shock | adult | 1 mL | IV/IO | not captured | standing | pages 53, 80, 82, 89, 104, 111, 130, 142, 152 |
| Hypotension / shock | peds | per drug chart (1:100,000) | IV/IO | not captured | standing | pages 53, 80, 82, 89, 104, 111, 130, 142, 152 |
| Respiratory distress | peds | per drug chart (1:1,000) | NEB | not captured | standing | pages 51, 122, 141 |
Fentanyl
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 100 mcg | IV | not captured | standing | pages 54, 108, 148 |
| Mild to moderate pain | adult | 50 mcg | IN | not captured | standing | pages 54, 108, 148 |
| Mild to moderate pain | peds | per drug chart | IV | not captured | standing | pages 54, 108, 148 |
| Mild to moderate pain | peds | per drug chart | IN | not captured | standing | pages 54, 108, 148 |
Glucagon
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Beta-blocker / calcium-channel-blocker overdose | adult | 1–5 mg | IV | not captured | standing | page 55 |
| Hypoglycemia | adult | 1 mL | IM | not captured | standing | page 55 |
| Hypoglycemia | peds | per drug chart | IM | not captured | standing | page 55 |
Hydroxocobalamin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cyanide poisoning | adult | 5 g | IV | not captured | standing | page 101 |
Ipratropium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Respiratory distress | adult | 2.5 mL | NEB | not captured | standing | pages 56, 77, 103, 122, 141 |
| Respiratory distress | peds | per drug chart | NEB | not captured | standing | pages 56, 77, 103, 122, 141 |
Ketamine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 0.3 mg/kg | IV | not captured | standing | pages 57, 109 |
| Mild to moderate pain | adult | 0.5 mg/kg | IN | not captured | standing | pages 57, 109 |
Levalbuterol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hyperkalemia | adult | 6 mL | NEB | not captured | standing | pages 43, 87, 95, 129 |
| Hyperkalemia | peds | per drug chart | NEB | not captured | standing | pages 43, 87, 95, 129 |
| Other | adult | 6 mL | NEB | not captured | standing | pages 14, 43, 71, 73, 77, 79, 122, 141, 146 |
| Other | adult | 6 mL | NEB | not captured | standing | pages 43, 105, 143 |
| Other | peds | per drug chart | NEB | not captured | standing | pages 14, 43, 71, 73, 77, 79, 122, 141, 146 |
| Other | peds | per drug chart | NEB | not captured | standing | pages 43, 105, 143 |
Lidocaine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1.5 mg/kg | IV/IO | not captured | standing | pages 58, 90, 131 |
| Other | adult | 40 mg | IO | not captured | standing | pages 35, 58 |
| Other | peds | per drug chart | IV/IO | not captured | standing | pages 58, 90, 131 |
| Wide-complex tachycardia | adult | 1.5 mg/kg | IV/IO | not captured | standing | pages 58, 85, 127 |
| Wide-complex tachycardia | peds | per drug chart | IV/IO | not captured | standing | pages 58, 85, 127 |
| VF / pulseless VT | adult | 1.5 mg/kg | IV/IO | not captured | standing | pages 58, 86, 128 |
| VF / pulseless VT | peds | per drug chart | IV/IO | not captured | standing | pages 58, 86, 128 |
Magnesium Sulfate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Eclampsia / pre-eclampsia | adult | 4 g | IV/IO | not captured | standing | pages 59, 97, 134 |
| Eclampsia / pre-eclampsia | adult | 4 g | IV/IO | not captured | standing | pages 59, 97, 98, 134, 135 |
Midazolam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 5 mg | IV/IM/IN | not captured | standing | pages 60, 78, 110, 150 |
| Agitation | peds | per drug chart | IV/IM/IN | not captured | standing | pages 60, 78, 110, 150 |
| Post-intubation sedation | adult | 2–5 mg | IV/IO/IM/IN | not captured | standing | pages 60, 102, 103, 153 |
| Post-intubation sedation | peds | per drug chart | IV/IO/IM/IN | not captured | standing | pages 60, 102, 103, 153 |
| Procedural sedation | adult | 1–5 mg | IV/IO | not captured | standing | pages 60, 83, 84, 85, 126, 127 |
| Procedural sedation | adult | 1–5 mg | IV/IO | not captured | standing | pages 60, 82, 125 |
| Procedural sedation | peds | per drug chart | IV/IO | not captured | standing | pages 60, 83, 84, 85, 126, 127 |
| Procedural sedation | peds | per drug chart | IV/IO | not captured | standing | pages 60, 82, 125 |
| Status epilepticus | adult | 10 mg | IM/IN | not captured | standing | pages 60, 78, 121 |
| Status epilepticus | adult | 5 mg | IV/IO | not captured | standing | pages 60, 78, 121 |
| Status epilepticus | peds | per drug chart | IM/IN | not captured | standing | pages 60, 78, 121 |
| Status epilepticus | peds | per drug chart | IV/IO | not captured | standing | pages 60, 78, 121 |
Morphine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 0.1 mg/kg | IV | not captured | standing | pages 61, 108, 148 |
| Mild to moderate pain | adult | 0.1 mg/kg | IM | not captured | standing | pages 61, 108, 148 |
| Mild to moderate pain | peds | per drug chart | IV | not captured | standing | pages 61, 108, 148 |
| Mild to moderate pain | peds | per drug chart | IM | not captured | standing | pages 61, 108, 148 |
Naloxone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Opioid overdose | adult | 2 mg | IV/IM/IN | not captured | standing | pages 62, 78, 100, 121, 133 |
| Opioid overdose | peds | per drug chart | IV/IM/IN | not captured | standing | pages 62, 78, 100, 121, 133 |
Nerve Agent Antidote Kit
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nerve agent exposure | adult | 1 autoinjector | IM | not captured | standing | pages 118, 119 |
| Nerve agent exposure | peds | per weight | IM | not captured | standing | pages 118, 119 |
Nitroglycerin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 0.4 mg | SL | not captured | standing | pages 63, 80, 103 |
| CHF / pulmonary edema | adult | 0.4 mg | SL | not captured | standing | pages 63, 80, 103 |
Ondansetron
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | adult | 4 mg | IV/IM/ODT | not captured | standing | pages 64, 75, 105, 143, 149 |
| Nausea / vomiting | peds | per drug chart | IV/IM/ODT | not captured | standing | pages 64, 75, 105, 143, 149 |
Oral Glucose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 15 g | PO | not captured | standing | pages 78, 121, 147 |
| Hypoglycemia | peds | 15 g | PO | not captured | standing | pages 78, 121, 147 |
Sodium Bicarbonate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hyperkalemia | adult | 1 mEq/kg | IV/IO | not captured | standing | pages 65, 87, 105, 129, 143 |
| Hyperkalemia | peds | per drug chart | IV/IO | not captured | standing | pages 65, 87, 105, 129, 143 |
| Other | adult | 1 mEq/kg | IV/IO | not captured | standing | pages 65, 105, 143 |
| Other | peds | per drug chart | IV/IO | not captured | standing | pages 65, 105, 143 |
| Tricyclic overdose | adult | 1 mEq/kg | IV/IO | not captured | standing | pages 65, 87, 100, 129, 133 |
| Tricyclic overdose | peds | per drug chart | IV/IO | not captured | standing | pages 65, 87, 100, 129, 133 |
Sodium Thiosulfate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cyanide poisoning | adult | 12.5 g | IV | not captured | standing | page 101 |
Tranexamic Acid
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Obstetric hemorrhage | adult | 1 g | IV/IO | not captured | standing | pages 66, 98, 135 |
| Trauma / hemorrhage | adult | 1 g | IV/IO | not captured | standing | pages 66, 105, 143 |