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City

Louisville Metro EMS

Current117 dose entries32 drugs1 documentLouisville, KYeffective 2025-04-30100% machine-parsed of 117

Drugs and doses32

A–C Acetaminophen, Adenosine, Albuterol, Amiodarone, Aspirin, Atropine, Calcium Chloride7

Acetaminophen

IndicationPopulationDoseRouteRepeatStandingSource
Fever peds 15 mg/kg PO not captured standing pages 60, 113 · source

Adenosine

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 12 mg IV/IO not captured standing pages 37, 71, 114 · source
Other peds 0.1 mg/kg IV/IO not captured standing pages 37, 71, 114 · source

Albuterol

IndicationPopulationDoseRouteRepeatStandingSource
Asthma / bronchospasm adult 2.5 mg NEB not captured standing pages 16, 19, 22, 52, 56, 115 · source
Asthma / bronchospasm peds 2.5 mg NEB not captured standing pages 16, 19, 22, 52, 56, 115 · source

Amiodarone

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 300 mg IV/IO not captured standing pages 29, 65, 116 · source
Other peds 5 mg/kg IV/IO not captured standing pages 29, 65, 116 · source
Wide-complex tachycardia adult 150 mg IV/IO not captured standing pages 38, 71, 116 · source
Wide-complex tachycardia peds 5 mg/kg IV/IO not captured standing pages 38, 71, 116 · source

Aspirin

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 324 mg PO not captured standing pages 26, 117 · source

Atropine

IndicationPopulationDoseRouteRepeatStandingSource
Bradycardia adult 1 mg IV/IO not captured standing pages 20, 57, 118 · source
Bradycardia peds 0.02 mg/kg IV/IO not captured standing pages 20, 57, 118 · source
Organophosphate poisoning adult 2 mg IV/IO not captured standing pages 18, 54, 118 · source
Organophosphate poisoning peds 0.02 mg/kg IV/IO not captured standing pages 18, 54, 118 · source

Calcium Chloride

IndicationPopulationDoseRouteRepeatStandingSource
Hyperkalemia adult 1 g IV/IO not captured standing pages 18, 21, 29, 54, 57, 66, 119 · source
Hyperkalemia peds 20 mg/kg IV/IO not captured standing pages 18, 21, 29, 54, 57, 66, 119 · source
Trauma / hemorrhage adult 2 g IV/IO not captured standing pages 30, 49, 81, 119 · source
Trauma / hemorrhage peds 1 g IV/IO not captured standing pages 30, 49, 81, 119 · source
D–F Dextrose, Diltiazem, Diphenhydramine, Droperidol, Epinephrine, Etomidate, Fentanyl7

Dextrose

IndicationPopulationDoseRouteRepeatStandingSource
Hypoglycemia adult 25 g IV/IO not captured standing pages 17, 23, 28, 53, 59, 65, 120 · source
Hypoglycemia peds 4 mL/kg IV/IO not captured standing pages 17, 23, 28, 53, 59, 65, 120 · source

Diltiazem

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 0.25 mg/kg (max 20 mg) IV/IO not captured standing pages 37, 121 · source

Diphenhydramine

IndicationPopulationDoseRouteRepeatStandingSource
Dystonic reaction adult 50 mg IV/IO/IM not captured standing pages 18, 54, 122 · source
Dystonic reaction peds 1 mg/kg (max 50 mg) IV/IO/IM not captured standing pages 18, 54, 122 · source
Other adult 50 mg IV/IO/IM not captured standing pages 16, 52, 122 · source
Other peds 1 mg/kg (max 50 mg) IV/IO/IM not captured standing pages 16, 52, 122 · source

Droperidol

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 2.5 mg IV/IO/IM not captured standing pages 13, 26, 27, 51, 63, 123 · source
Other adult 5 mg IM not captured standing pages 14, 123 · source
Other adult 5 mg IM not captured standing pages 14, 123 · source

Epinephrine

IndicationPopulationDoseRouteRepeatStandingSource
Anaphylaxis adult 0.3 mg IM not captured standing pages 16, 52, 124, 125 · source
Anaphylaxis peds 0.15 mg IM not captured standing pages 16, 52, 124, 125 · source
Asthma / bronchospasm adult 0.3 mg IM not captured standing pages 19, 56, 124, 125 · source
Asthma / bronchospasm peds 0.15 mg IM not captured standing pages 19, 56, 124, 125 · source
Bradycardia peds 0.01 mg/kg IV/IO not captured standing pages 20, 57, 124, 125, 126 · source
Cardiac arrest adult 1 mg IV/IO not captured standing pages 25, 28, 64, 65, 66, 79, 80, 124, 125 · source
Cardiac arrest peds 0.01 mg/kg IV/IO not captured standing pages 25, 28, 64, 65, 66, 79, 80, 124, 125 · source
Croup peds 3 mg NEB not captured standing pages 58, 125 · source

Etomidate

IndicationPopulationDoseRouteRepeatStandingSource
RSI induction adult 0.3 mg/kg IV/IO not captured standing pages 33, 34, 127 · source
RSI induction adult 0.3 mg/kg IV/IO not captured standing pages 111, 127 · source

Fentanyl

IndicationPopulationDoseRouteRepeatStandingSource
Mild to moderate pain adult 50 mcg IV/IO/IN not captured standing pages 13, 27, 40, 41, 43, 44, 45, 73, 74, 76, 77, 78, 128, 129 · source
Mild to moderate pain peds 1 mcg/kg IV/IO/IN not captured standing pages 13, 27, 40, 41, 43, 44, 45, 73, 74, 76, 77, 78, 128, 129 · source
G–L Glucagon, Ibuprofen, Ipratropium, Ketamine, Labetalol, Lidocaine6

Glucagon

IndicationPopulationDoseRouteRepeatStandingSource
Beta-blocker / calcium-channel-blocker overdose adult 3 mg IV/IO not captured standing pages 18, 21, 29, 54, 66, 130 · source
Beta-blocker / calcium-channel-blocker overdose peds 0.07 mg/kg IV/IO not captured standing pages 18, 21, 29, 54, 66, 130 · source
Hypoglycemia adult 1 mg IM not captured standing pages 17, 23, 53, 59, 130 · source
Hypoglycemia peds 0.1 mg/kg IM not captured standing pages 17, 23, 53, 59, 130 · source

Ibuprofen

IndicationPopulationDoseRouteRepeatStandingSource
Fever peds 10 mg/kg PO not captured standing pages 60, 132 · source

Ipratropium

IndicationPopulationDoseRouteRepeatStandingSource
Asthma / bronchospasm adult 0.5 mg NEB not captured standing pages 19, 22, 56, 115, 133 · source
Asthma / bronchospasm peds 0.5 mg NEB not captured standing pages 19, 22, 56, 115, 133 · source

Ketamine

IndicationPopulationDoseRouteRepeatStandingSource
Mild to moderate pain adult 0.3 mg/kg IV/IO not captured standing pages 13, 40, 41, 43, 44, 46, 73, 74, 76, 77, 78, 134, 135 · source
Mild to moderate pain peds 0.3 mg/kg IV/IO not captured standing pages 13, 40, 41, 43, 44, 46, 73, 74, 76, 77, 78, 134, 135 · source

Labetalol

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 20 mg IV not captured standing pages 31, 136 · source

Lidocaine

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 40 mg IO not captured standing page 137 · source
Other peds 0.5 mg/kg IO not captured standing page 137 · source
Wide-complex tachycardia adult 100 mg IV/IO not captured standing pages 38, 137 · source
VF / pulseless VT adult 100 mg IV/IO not captured standing pages 29, 137 · source
M–O Magnesium Sulfate, Methylprednisolone, Midazolam, Naloxone, Nitroglycerin, Norepinephrine, Ondansetron, Oral Glucose, Oxtocin9

Magnesium Sulfate

IndicationPopulationDoseRouteRepeatStandingSource
Eclampsia / pre-eclampsia adult 4 g IV/IO not captured standing pages 31, 138 · source
Other adult 2 g IV/IO not captured standing pages 29, 138 · source
Other adult 2 g IV/IO not captured standing page 138 · source
Other adult 2 g IV not captured standing pages 19, 56, 138 · source
Other peds 50 mg/kg IV/IO not captured standing pages 29, 138 · source
Other peds 50 mg/kg IV not captured standing pages 19, 56, 138 · source

Methylprednisolone

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 125 mg IV/IO not captured standing pages 16, 139 · source
Other adult 125 mg IV/IO not captured standing pages 19, 56, 139 · source
Other adult 2 mg/kg IV/IO not captured standing pages 30, 67, 139 · source
Other peds 2 mg/kg IV/IO not captured standing pages 16, 139 · source
Other peds 2 mg/kg IV/IO not captured standing pages 19, 56, 139 · source
Other peds 2 mg/kg IV/IO not captured standing pages 30, 67, 139 · source

Midazolam

IndicationPopulationDoseRouteRepeatStandingSource
Agitation adult 5 mg IM not captured standing pages 14, 140 · source
Eclampsia / pre-eclampsia adult 10 mg IM/IN not captured standing pages 31, 140 · source
Eclampsia / pre-eclampsia adult 2 mg IV/IO not captured standing pages 31, 140 · source
Hyperthermia adult 2 mg IV/IO not captured standing pages 24, 141 · source
Hyperthermia peds 0.1 mg/kg IV/IO not captured standing pages 24, 141 · source
Hyperthermia peds 0.1 mg/kg IM/IN not captured standing page 141 · source
Procedural sedation adult 2 mg IV/IO not captured standing pages 20, 57, 140, 141 · source
Procedural sedation adult 2 mg IV/IO not captured standing pages 37, 71, 140, 141 · source
Procedural sedation peds 0.1 mg/kg IV/IO not captured standing pages 20, 57, 140, 141 · source
Procedural sedation peds 0.1 mg/kg IN not captured standing pages 20, 57, 140, 141 · source
Procedural sedation peds 0.1 mg/kg IV/IO not captured standing pages 37, 71, 140, 141 · source
Procedural sedation peds 0.1 mg/kg IN not captured standing pages 37, 71, 140, 141 · source
RSI induction adult 2 mg IV/IO not captured standing pages 33, 34, 140 · source
RSI induction adult 2 mg IV/IO not captured standing page 140 · source
Seizure adult 10 mg IM/IN not captured standing pages 35, 70, 140, 141 · source
Seizure adult 2 mg IV/IO not captured standing pages 35, 70, 140, 141 · source
Seizure peds 0.15 mg/kg IV/IO not captured standing pages 35, 70, 140, 141 · source
Seizure peds 0.15 mg/kg IM/IN not captured standing pages 35, 70, 140, 141 · source

Naloxone

IndicationPopulationDoseRouteRepeatStandingSource
Opioid overdose adult 0.4–2 mg IV/IO not captured standing pages 17, 28, 53, 65, 142 · source
Opioid overdose adult 2–4 mg IN not captured standing pages 17, 53, 142 · source
Opioid overdose peds 0.1 mg/kg IN not captured standing pages 17, 53, 142 · source
Opioid overdose peds 0.1 mg/kg IV/IO not captured standing pages 17, 28, 53, 65, 142 · source
Respiratory distress adult 0.4–2 mg IV/IO/IN not captured standing pages 44, 77, 142 · source
Respiratory distress peds 0.1 mg/kg IV/IO/IN not captured standing pages 44, 77, 142 · source

Nitroglycerin

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 0.4 mg SL not captured standing pages 22, 26, 143 · source
ACS / chest pain adult 0.4 mg SL not captured standing pages 22, 26, 143 · source
CHF / pulmonary edema adult 0.4 mg SL not captured standing pages 22, 143 · source

Norepinephrine

IndicationPopulationDoseRouteRepeatStandingSource
Hypotension / shock adult 8–12 mcg IV not captured standing pages 20, 30, 32, 144 · source
Hypotension / shock adult 8–12 mcg IV not captured standing pages 20, 30, 32, 144 · source
Hypotension / shock adult 8–12 mcg IV not captured standing pages 20, 30, 32, 144 · source

Ondansetron

IndicationPopulationDoseRouteRepeatStandingSource
Nausea / vomiting adult 4 mg IV/IO/SL not captured standing pages 13, 26, 27, 51, 63, 76, 77, 145 · source
Nausea / vomiting adult 4 mg IV/IO/SL not captured standing pages 13, 26, 27, 51, 63, 76, 77, 145 · source
Nausea / vomiting peds 0.1 mg/kg IV/IO/SL not captured standing pages 13, 26, 27, 51, 63, 76, 77, 145 · source
Nausea / vomiting peds 0.1 mg/kg IV/IO/SL not captured standing pages 13, 26, 27, 51, 63, 76, 77, 145 · source

Oral Glucose

IndicationPopulationDoseRouteRepeatStandingSource
Hypoglycemia adult 15 g BUC not captured standing pages 17, 23, 53, 59, 131 · source
Hypoglycemia peds 15 g BUC not captured standing pages 17, 23, 53, 59, 131 · source

Oxtocin

IndicationPopulationDoseRouteRepeatStandingSource
Obstetric hemorrhage adult 10 unit IM not captured standing pages 31, 146 · source
S–Z Sodium Bicarbonate, Succinylcholine, Tranexamic Acid3

Sodium Bicarbonate

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 100 mEq IV/IO not captured standing page 147 · source
Other adult 100 mEq IV/IO not captured standing page 147 · source
Other adult 100 mEq IV/IO not captured standing page 147 · source
Other peds 1 mEq/kg IV/IO not captured standing page 147 · source

Succinylcholine

IndicationPopulationDoseRouteRepeatStandingSource
RSI induction adult 1.5 mg/kg IV/IO not captured standing page 148 · source

Tranexamic Acid

IndicationPopulationDoseRouteRepeatStandingSource
Obstetric hemorrhage adult 2 g IV/IO not captured standing page 149 · source
Other adult 2 g IV/IO not captured standing page 149 · source
Other adult 2 g IV/IO not captured standing pages 149, 150 · source
Other adult 500 mg NEB not captured standing pages 149, 150 · source
Other peds 1 g IV/IO not captured standing pages 149, 150 · source
Other peds 15 mg/kg IV/IO not captured standing page 149 · source
Other peds 500 mg NEB not captured standing pages 149, 150 · source
Trauma / hemorrhage adult 2 g IV/IO not captured standing pages 149, 150 · source
Trauma / hemorrhage peds 15 mg/kg IV/IO not captured standing pages 149, 150 · source
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Louisville Metro EMS, United States EMS Protocol Census. 117 dose entries, effective 2025-04-30.

https://protoquiz.com/census/agencies/louisville-metro-ems/

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Training reference compiled from published protocols. Not a clinical order. Verify with your agency and medical director.