Statewide
Idaho EMS Physician Commission
Idaho EMS Physician Commission (ID) carries 46 drugs across 149 dose entries in its current published protocol, effective 2025-01-01.
Drugs and doses46
Acetaminophen
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Fever | adult | 500–1000 mg | PO | not captured | standing | pages 53, 58 · source |
| Fever | peds | 15 mg/kg | PO | not captured | standing | pages 53, 58 · source |
| Mild to moderate pain | adult | 500–1000 mg | PO | not captured | standing | pages 10, 11 · source |
| Mild to moderate pain | peds | 15 mg/kg | PO | not captured | standing | pages 10, 11 · source |
Adenosine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 6 mg | IV | not captured | standing | pages 31, 32 · source |
| Other | peds | 0.1 mg/kg | IV | not captured | standing | pages 31, 32 · source |
Albuterol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 2.5 mg | not captured | not captured | standing | pages 22, 23, 44, 48 · source |
| Asthma / bronchospasm | peds | 2.5 mg | not captured | not captured | standing | pages 22, 23, 44, 48 · source |
Amiodarone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 150 mg | IV | not captured | standing | pages 31, 32 · source |
| Other | adult | 300 mg | IV/IO | not captured | standing | pages 29, 35 · source |
| Other | peds | 5 mg/kg | IV/IO | not captured | standing | pages 29, 35 · source |
| Other | peds | 5 mg/kg | IV | not captured | standing | pages 31, 32 · source |
Aspirin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 325 mg | PO | not captured | standing | page 28 · source |
Atropine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Bradycardia | adult | 1 mg | IV | not captured | standing | pages 25, 26 · source |
| Bradycardia | peds | 0.02 mg/kg | IV | not captured | standing | pages 25, 26 · source |
| RSI induction | peds | 0.02 mg/kg | IV | not captured | standing | page 18 · source |
Calcium Chloride
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hyperkalemia | adult | 1 g | IV | not captured | standing | pages 24, 25, 26 · source |
| Hyperkalemia | peds | 20 mg/kg | IV | not captured | standing | pages 24, 25, 26 · source |
Dextrose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | D50W 50-100 mL | IV | not captured | standing | page 54 · source |
| Hypoglycemia | peds | D10W 2 mL/kg (Neonate < 30 Days); D25W 5 mL/kg (Child > 30 Days) | IV | not captured | standing | page 54 · source |
Diazepam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 2–5 mg | IV | not captured | standing | page 51 · source |
| Other | adult | 5–10 mg | IV | not captured | standing | page 15 · source |
| Procedural sedation | adult | 2–5 mg | IV | not captured | standing | pages 19, 51 · source |
| Seizure | adult | 2–5 mg | IV | not captured | standing | pages 57, 58 · source |
Diltiazem
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 20 mg | IV | not captured | standing | page 31 · source |
Diphenhydramine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 25–50 mg | IV/IM/PO | not captured | standing | page 48 · source |
| Allergic reaction | peds | 1 mg/kg | IV/IM/PO | not captured | standing | page 48 · source |
Dopamine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Bradycardia | adult | 2–10 mcg/kg | IV | not captured | standing | page 25 · source |
| Hypotension / shock | adult | 2–10 mcg/kg | IV | not captured | standing | page 25 · source |
| Other | adult | 5–20 mcg/kg | IV | not captured | standing | page 45 · source |
Droperidol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 5 mg | IV/IM | not captured | standing | page 51 · source |
Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 0.5 mg | IM | not captured | standing | page 48 · source |
| Allergic reaction | adult | 1 adult dose | not captured | not captured | standing | page 48 · source |
| Allergic reaction | peds | 0.15 mg | IM | not captured | standing | page 48 · source |
| Allergic reaction | peds | 1 pediatric dose | not captured | not captured | standing | page 48 · source |
| Bradycardia | peds | 0.01 mg/kg | IV/IO | not captured | standing | page 26 · source |
| Cardiac arrest | adult | 1 mg | IV/IO | not captured | standing | pages 24, 29 · source |
| Cardiac arrest | peds | 0.01 mg/kg | IV/IO | not captured | standing | pages 24, 29 · source |
| Hypotension / shock | adult | 10–20 mcg | IV | not captured | standing | page 37 · source |
| Other | adult | 5 mL | NEB | not captured | standing | page 48 · source |
| Other | peds | 2.5 mL | NEB | not captured | standing | page 48 · source |
| Stridor | adult | 5 mL | NEB | not captured | standing | pages 22, 23 · source |
| Stridor | peds | 2.5 mL | NEB | not captured | standing | pages 22, 23 · source |
Etomidate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 0.1 mg/kg | IV | not captured | standing | pages 31, 32 · source |
| Agitation | peds | 0.1 mg/kg | IV | not captured | standing | pages 31, 32 · source |
| RSI induction | adult | 0.3 mg/kg | IV | not captured | standing | page 18 · source |
| RSI induction | peds | 0.3 mg/kg | IV | not captured | standing | page 18 · source |
Fentanyl
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 25–50 mcg | IV/IM | not captured | standing | pages 10, 11 · source |
| Mild to moderate pain | adult | 50–100 mcg | IN | not captured | standing | pages 10, 11 · source |
| Mild to moderate pain | peds | 1–2 mcg/kg | IV/IM | not captured | standing | pages 10, 11 · source |
| Mild to moderate pain | peds | 2 mcg/kg | IN | not captured | standing | pages 10, 11 · source |
Glucagon
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 1 mg | IM | not captured | standing | page 54 · source |
| Hypoglycemia | peds | 0.5 mg | IM | not captured | standing | page 54 · source |
Hydromorphone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 0.5–1 mg | IV/IM | not captured | standing | pages 10, 11 · source |
| Mild to moderate pain | peds | 0.01–0.02 mg/kg | IV/IM | not captured | standing | pages 10, 11 · source |
Hydroxocobalamin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 70 mg/kg | IV | not captured | standing | page 45 · source |
| Other | peds | 70 mg/kg | IV | not captured | standing | page 45 · source |
Ibuprofen
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Fever | peds | 10 mg/kg | PO | not captured | standing | pages 53, 58 · source |
| Mild to moderate pain | adult | 600 mg | PO | not captured | standing | pages 10, 11 · source |
| Mild to moderate pain | peds | 10 mg/kg | PO | not captured | standing | pages 10, 11 · source |
Ipratropium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 0.5 mg | NEB | not captured | standing | pages 22, 23, 44 · source |
| Asthma / bronchospasm | peds | 0.5 mg | NEB | not captured | standing | pages 22, 23, 44 · source |
Ketamine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 1 mg/kg | IV | not captured | standing | page 51 · source |
| Agitation | adult | 4 mg/kg | IM | not captured | standing | page 51 · source |
| Mild to moderate pain | adult | 0.25 mg/kg | IV | not captured | standing | page 10 · source |
| Procedural sedation | adult | 1 mg/kg | IV | not captured | standing | pages 3, 19, 31, 32 · source |
| Procedural sedation | peds | 1 mg/kg | IV | not captured | standing | pages 3, 19, 31, 32 · source |
| RSI induction | adult | 2 mg/kg | IV | not captured | standing | page 18 · source |
| RSI induction | peds | 2 mg/kg | IV | not captured | standing | page 18 · source |
Ketorolac
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 15 mg | IV/IM | not captured | standing | page 10 · source |
Lidocaine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1.5 mg/kg | IV | not captured | standing | page 35 · source |
| Mild to moderate pain | adult | 40 mg | IO | not captured | standing | page 39 · source |
| Mild to moderate pain | peds | 0.5 mg/kg | IO | not captured | standing | page 39 · source |
Lorazepam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 2–4 mg | IV/IM | not captured | standing | page 51 · source |
| Procedural sedation | adult | 0.5–2 mg | IV | not captured | standing | page 10 · source |
| Procedural sedation | adult | 2–4 mg | IM | not captured | standing | page 10 · source |
| Procedural sedation | adult | 2–4 mg | IV/IM | not captured | standing | pages 19, 51 · source |
| Seizure | adult | 2–4 mg | IV/IM | not captured | standing | pages 57, 58 · source |
| Seizure | peds | 0.05 mg/kg | IV/IM | not captured | standing | pages 57, 58 · source |
Magnesium Sulfate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Respiratory distress | adult | 2 g | IV | not captured | standing | page 22 · source |
Methylprednisolone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 125 mg | IV/IM | not captured | standing | page 48 · source |
| Allergic reaction | peds | 2 mg/kg | IV/IM | not captured | standing | page 48 · source |
| Asthma / bronchospasm | adult | 125 mg | IV/IM | not captured | standing | page 48 · source |
| Asthma / bronchospasm | peds | 2 mg/kg | IV/IM | not captured | standing | page 48 · source |
| Respiratory distress | adult | 125 mg | IV/IM | not captured | standing | pages 22, 23 · source |
| Respiratory distress | peds | 2 mg/kg | IV/IM | not captured | standing | pages 22, 23 · source |
| Stridor | adult | 125 mg | IV/IM | not captured | standing | pages 22, 23 · source |
| Stridor | peds | 2 mg/kg | IV/IM | not captured | standing | pages 22, 23 · source |
Metoprolol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 5 mg | IV | not captured | standing | page 31 · source |
Midazolam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 2–5 mg | IM | not captured | standing | pages 31, 32, 51 · source |
| Agitation | adult | 5–10 mg | IN | not captured | standing | pages 31, 32, 51 · source |
| Agitation | peds | 0.1 mg/kg | IV | not captured | standing | pages 31, 32, 51 · source |
| Agitation | peds | 0.2 mg/kg | IM | not captured | standing | pages 31, 32, 51 · source |
| Agitation | peds | 0.2 mg/kg | IN | not captured | standing | pages 31, 32, 51 · source |
| Other | adult | 1–5 mg | IV | not captured | standing | page 15 · source |
| Procedural sedation | adult | 1–5 mg | IV | not captured | standing | page 19 · source |
| Procedural sedation | adult | 2–5 mg | IM | not captured | standing | page 10 · source |
| Procedural sedation | adult | 2–5 mg | IM | not captured | standing | page 19 · source |
| Procedural sedation | adult | 5–10 mg | IN | not captured | standing | page 10 · source |
| Procedural sedation | peds | 0.1 mg/kg | IV | not captured | standing | page 19 · source |
| Procedural sedation | peds | 0.2 mg/kg | IM | not captured | standing | page 19 · source |
| Procedural sedation | peds | 0.2 mg/kg | IN | not captured | standing | page 19 · source |
| RSI induction | adult | 1–5 mg | IV | not captured | standing | page 18 · source |
| RSI induction | peds | 0.1 mg/kg | IV | not captured | standing | page 18 · source |
| Seizure | adult | 2–5 mg | IM | not captured | standing | pages 57, 58 · source |
| Seizure | adult | 5–10 mg | IN | not captured | standing | pages 57, 58 · source |
| Seizure | peds | 0.1 mg/kg | IV | not captured | standing | pages 57, 58 · source |
| Seizure | peds | 0.2 mg/kg | IM | not captured | standing | pages 57, 58 · source |
| Seizure | peds | 0.2 mg/kg | IN | not captured | standing | pages 57, 58 · source |
Morphine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 2–5 mg | IV/IM | not captured | standing | pages 10, 11 · source |
| Mild to moderate pain | peds | 0.1 mg/kg | IV/IM | not captured | standing | pages 10, 11 · source |
Naloxone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Respiratory distress | peds | 0.1 mg/kg | IV/IM/IN | not captured | standing | pages 49, 56 · source |
Nerve Agent Antidote Kit
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nerve agent exposure | adult | 3 doses | IM | not captured | standing | page 41 · source |
| Nerve agent exposure | peds | 1 dose of each (0-2 yrs), 2 doses (2-10 yrs) | IM | not captured | standing | page 41 · source |
Nitroglycerin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 0.4 mg | SL | not captured | standing | page 28 · source |
| ACS / chest pain | adult | 1 inch | TOP | not captured | standing | page 28 · source |
| CHF / pulmonary edema | adult | 0.4 mg | SL | not captured | standing | page 27 · source |
| CHF / pulmonary edema | adult | 1 inch | TOP | not captured | standing | page 27 · source |
Nitrous Oxide
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | Self-administered | NEB | not captured | standing | pages 10, 11 · source |
| Mild to moderate pain | peds | Self-administered | NEB | not captured | standing | pages 10, 11 · source |
Norepinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Bradycardia | adult | 1–10 mcg | IV | not captured | standing | page 25 · source |
| Hypotension / shock | adult | 2–10 mcg | IV | not captured | standing | pages 30, 37, 38 · source |
Ondansetron
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | adult | 4–8 mg | PO | not captured | standing | pages 10, 11, 47, 61, 72, 73 · source |
| Nausea / vomiting | adult | 4–8 mg | IV/IM | not captured | standing | pages 10, 11, 47, 61, 72, 73 · source |
| Nausea / vomiting | peds | 0.1 mg/kg | PO | not captured | standing | pages 10, 11, 47, 61, 72, 73 · source |
| Nausea / vomiting | peds | 0.1 mg/kg | IV/IM | not captured | standing | pages 10, 11, 47, 61, 72, 73 · source |
Oxytocin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Obstetric hemorrhage | adult | 10mu IM or 20mu IV drip | IV/IM | not captured | standing | page 63 · source |
Pralidoxime
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nerve agent exposure | adult | 1–2 g | IV/IM | not captured | standing | page 46 · source |
| Nerve agent exposure | peds | 25 mg/kg | IV/IM | not captured | standing | page 46 · source |
Proparacaine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1-2 gtts | not captured | not captured | standing | page 67 · source |
| Other | peds | 1-2 gtts | not captured | not captured | standing | page 67 · source |
Rocuronium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1 mg/kg | IV | not captured | standing | page 15 · source |
| RSI paralysis | adult | 1 mg/kg | IV | not captured | standing | pages 18, 19 · source |
Sodium Bicarbonate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Crush injury | adult | 1 mEq/kg | IV | not captured | standing | page 68 · source |
| Crush injury | peds | 1 mEq/kg | IV | not captured | standing | page 68 · source |
| Hyperkalemia | adult | 50 mEq | IV | not captured | standing | pages 24, 25, 26 · source |
| Hyperkalemia | peds | 1 mEq/kg | IV | not captured | standing | pages 24, 25, 26 · source |
| Tricyclic overdose | adult | 50 mEq | IV | not captured | standing | page 56 · source |
| Tricyclic overdose | peds | 1 mEq/kg | IV | not captured | standing | page 56 · source |
Sodium Thiosulfate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 12.5 g | IV | not captured | standing | page 45 · source |
| Other | peds | 1.6 mL/kg | IV | not captured | standing | page 45 · source |
Succinylcholine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| RSI paralysis | adult | 1.5 mg/kg | IV | not captured | standing | page 18 · source |
| RSI paralysis | peds | 1.5 mg/kg | IV | not captured | standing | page 18 · source |
Tetracaine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 2 gtts | not captured | not captured | standing | page 12 · source |
| Other | peds | 2 gtts | not captured | not captured | standing | page 12 · source |
Tranexamic Acid
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1 g | TOP | not captured | standing | page 52 · source |
| Trauma / hemorrhage | adult | 2 g | IV | not captured | standing | pages 37, 70 · source |