Regional
Metro Regional EMS Consortium
Metro Regional EMS Consortium (OR) carries 49 drugs across 197 dose entries in its current published protocol, effective 2026-01-05.
Drugs and doses49
Acetaminophen
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 1000 mg | IV | not captured | standing | page 61 |
| Mild to moderate pain | adult | 650–1000 mg | PO | not captured | standing | page 61 |
| Mild to moderate pain | peds | 15 mg/kg | PO | not captured | standing | page 61 |
Activated Charcoal
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1 g/kg | PO | not captured | standing | page 61 |
| Other | peds | 1 g/kg | PO | not captured | standing | page 61 |
Adenosine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| SVT | adult | 6 mg | IV | not captured | standing | page 61 |
| SVT | peds | 0.1 mg/kg | IV | not captured | standing | page 61 |
Albuterol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 3 mg | NEB | not captured | standing | page 61 |
| Asthma / bronchospasm | peds | 3 mg | NEB | not captured | standing | page 61 |
| Hyperkalemia | peds | 2.5 mg | NEB | not captured | standing | page 61 |
| Other | adult | 2.5 mg | NEB | not captured | standing | page 61 |
Amiodarone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 150 mg | IV/IO | not captured | standing | page 61 |
| Other | adult | 150 mg | IV/IO | not captured | standing | page 61 |
| Wide-complex tachycardia | adult | 150 mg | IV/IO | not captured | standing | page 61 |
| Wide-complex tachycardia | adult | 150 mg | IV/IO | not captured | standing | page 61 |
| Wide-complex tachycardia | peds | 2.5 mg/kg | IV/IO | not captured | standing | page 61 |
| VF / pulseless VT | adult | 300 mg | IV/IO | not captured | standing | page 61 |
| VF / pulseless VT | peds | 5 mg/kg | IV/IO | not captured | standing | page 61 |
Aspirin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 324 mg | PO | not captured | standing | page 61 |
Atropine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Bradycardia | adult | 0.5 mg | IV/IO | not captured | standing | page 62 |
| Bradycardia | adult | 1 mg | IV/IO | not captured | standing | page 62 |
| Bradycardia | peds | 0.02 mg/kg | IV/IO | not captured | standing | page 62 |
| Organophosphate poisoning | adult | 1–5 mg | IV/IO/IM | not captured | standing | page 62 |
| Organophosphate poisoning | peds | 0.05 mg/kg | IV/IO/IM | not captured | standing | page 62 |
Buprenorphine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 16 mg | SL | not captured | standing | page 62 |
Calcium Gluconate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Beta-blocker / calcium-channel-blocker overdose | adult | 1–3 g | IV/IO | not captured | standing | page 62 |
| Beta-blocker / calcium-channel-blocker overdose | peds | 0.6 mL/kg | IV/IO | not captured | standing | page 62 |
| Burns | adult | 3 g | TOP | not captured | standing | page 62 |
| Hyperkalemia | adult | 3 g | IV/IO | not captured | standing | page 62 |
| Hyperkalemia | adult | 3 g | IV/IO | not captured | standing | page 62 |
| Hyperkalemia | peds | 0.6 mL/kg | IV/IO | not captured | standing | page 62 |
| Other | adult | 2.5% calcium gluconate | NEB | not captured | standing | page 62 |
Dexamethasone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 10 mg | IV/IO/IM/PO | not captured | standing | page 62 |
| Anaphylaxis | peds | 0.6 mg/kg | IV/IO/IM/PO | not captured | standing | page 62 |
| Croup | peds | 0.6 mg/kg | IV/IO/IM/PO | not captured | standing | page 72 |
| Other | adult | 10 mg | IV/IO/IM/PO | not captured | standing | page 62 |
Dextrose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 10–25 g | IV/IO | not captured | standing | page 62 |
| Hypoglycemia | peds | 5 mL/kg | IV/IO | not captured | standing | page 62 |
Diphenhydramine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 1 mg/kg | IV/IM | not captured | standing | page 63 |
| Anaphylaxis | peds | 1 mg/kg | IV/IM | not captured | standing | page 63 |
| Procedural sedation | peds | 1 mg/kg | IV/IM | not captured | standing | page 73 |
Dopamine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Bradycardia | adult | 2 mcg/kg | IV | not captured | standing | page 63 |
| Bradycardia | peds | 2 mcg/kg | IV | not captured | standing | page 63 |
| Cardiogenic shock | adult | 5 mcg/kg | IV | not captured | standing | page 63 |
| Cardiogenic shock | peds | 5 mcg/kg | IV | not captured | standing | page 63 |
Droperidol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | adult | 0.625 mg | IV | not captured | standing | page 63 |
| Nausea / vomiting | peds | Contact OLMC | IV/IM | not captured | standing | page 73 |
| Procedural sedation | adult | 2.5 mg | IV/IO | not captured | standing | page 63 |
| Procedural sedation | adult | 5 mg | IM | not captured | standing | page 63 |
| Procedural sedation | peds | 0.1 mg/kg | IM | not captured | standing | page 63 |
Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 0.3–0.5 mg | IM | not captured | standing | page 63 |
| Anaphylaxis | peds | 0.01 mg/kg | IM | not captured | standing | page 63 |
| Asthma / bronchospasm | adult | 0.3–0.5 mg | IM | not captured | standing | page 63 |
| Asthma / bronchospasm | peds | 0.01 mg/kg | IM | not captured | standing | page 63 |
| Bradycardia | adult | 2 mcg | IV/IO | not captured | standing | page 63 |
| Bradycardia | peds | 0.01 mg/kg | IV/IO | not captured | standing | page 63 |
| Cardiac arrest | adult | 1 mg | IV/IO | not captured | standing | page 63 |
| Cardiac arrest | peds | 0.01 mg/kg | IV/IO | not captured | standing | page 63 |
| Croup | peds | 5 mL | NEB | not captured | standing | page 74 |
| Hypotension / shock | adult | 10–20 mcg | IV/IO | not captured | standing | page 64 |
| Hypotension / shock | peds | 1 mcg/kg | IV/IO | not captured | standing | page 64 |
Etomidate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Procedural sedation | adult | 0.15 mg/kg | IV/IO | not captured | standing | page 64 |
| Procedural sedation | peds | 0.15 mg/kg | IV/IO | not captured | standing | page 64 |
| RSI induction | adult | 0.3 mg/kg | IV/IO | not captured | standing | page 64 |
| RSI induction | peds | 0.3 mg/kg | IV/IO | not captured | standing | page 64 |
Fentanyl
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | adult | 50 mcg | IV/IO | not captured | standing | page 64 |
| Mild to moderate pain | adult | 50–100 mcg | IV/IN | not captured | standing | page 64 |
| Mild to moderate pain | adult | 50–100 mcg | IM | not captured | standing | page 64 |
| Mild to moderate pain | peds | 1–2 mcg/kg | IM | not captured | standing | page 64 |
| Mild to moderate pain | peds | 1 mcg/kg | IV/IN | not captured | standing | page 64 |
| Post-intubation sedation | adult | 50–100 mcg | IV/IO | not captured | standing | page 64 |
| Post-intubation sedation | peds | 1 mcg/kg | IV/IO | not captured | standing | page 64 |
Furosemide
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| CHF / pulmonary edema | adult | 20–40 mg | IV | not captured | standing | page 64 |
Glucagon
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 1 mg | IV/IM | not captured | standing | page 64 |
| Hypoglycemia | adult | 1 mg | IM | not captured | standing | page 64 |
Haloperidol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | adult | 1.25 mg | IV/IM | not captured | standing | page 65 |
| Procedural sedation | adult | 5–10 mg | IV/IO/IM | not captured | standing | page 65 |
Hydromorphone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 0.25–0.5 mg | IV | not captured | standing | page 65 |
| Mild to moderate pain | adult | 0.5–1 mg | IM | not captured | standing | page 65 |
| Mild to moderate pain | peds | 0.01 mg/kg | IV | not captured | standing | page 65 |
| Mild to moderate pain | peds | 0.01 mg/kg | IM | not captured | standing | page 65 |
Hydroxocobalamin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cyanide poisoning | adult | 5 g | IV/IO | not captured | standing | page 65 |
| Cyanide poisoning | peds | 70 mg/kg | IV/IO | not captured | standing | page 65 |
Ibuprofen
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 200–600 mg | PO | not captured | standing | page 65 |
| Mild to moderate pain | peds | 10 mg/kg | PO | not captured | standing | page 65 |
Ipratropium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 0.5 mg | NEB | not captured | standing | page 65 |
| Asthma / bronchospasm | peds | 0.5 mg | NEB | not captured | standing | page 65 |
Ketamine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 12.5–25 mg | IV/IO | not captured | standing | page 66 |
| Mild to moderate pain | adult | 25–50 mg | IM | not captured | standing | page 66 |
| Mild to moderate pain | peds | 0.3 mg/kg | IV/IO | not captured | standing | page 66 |
| Post-intubation sedation | adult | 1 mg/kg | IV/IO | not captured | standing | page 66 |
| RSI induction | adult | 1–2 mg/kg | IV/IO | not captured | standing | page 66 |
| RSI induction | peds | 1–2 mg/kg | IV/IO | not captured | standing | page 66 |
| Seizure | adult | 1 mg/kg | IV/IO | not captured | standing | page 66 |
| Seizure | adult | 2 mg/kg | IM | not captured | standing | page 66 |
Ketorolac
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 15 mg | IV | not captured | standing | page 66 |
| Mild to moderate pain | adult | 30 mg | IM | not captured | standing | page 66 |
| Mild to moderate pain | peds | 0.5 mg/kg | IV | not captured | standing | page 66 |
| Mild to moderate pain | peds | 1 mg/kg | IM | not captured | standing | page 66 |
Labetalol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 10 mg | IV | not captured | standing | page 66 |
Lidocaine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 40 mg | IO | not captured | standing | page 67 |
| Mild to moderate pain | peds | 0.5 mg/kg | IO | not captured | standing | page 67 |
| Post-ROSC care | adult | 1.5 mg/kg | IV/IO | not captured | standing | page 67 |
| Post-ROSC care | peds | 1.5 mg/kg | IV/IO | not captured | standing | page 67 |
| VF / pulseless VT | adult | 1.5 mg/kg | IV/IO | not captured | standing | page 67 |
| VF / pulseless VT | peds | 1.5 mg/kg | IV/IO | not captured | standing | page 67 |
Lorazepam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 0.5–1 mg | IV/IM | not captured | standing | page 67 |
| Cardiac arrest | adult | 1 mg | IV/IO | not captured | standing | page 67 |
| Post-intubation sedation | adult | 1–2 mg | IV/IO | not captured | standing | page 67 |
| Post-intubation sedation | peds | 0.05 mg/kg | IV/IO | not captured | standing | page 67 |
| Procedural sedation | adult | 1–2 mg | IV/IO | not captured | standing | page 67 |
| Procedural sedation | adult | 2 mg | IV/IO | not captured | standing | page 67 |
| Procedural sedation | adult | 2 mg | IM | not captured | standing | page 67 |
| Procedural sedation | adult | 2 mg | IM | not captured | standing | page 67 |
| Procedural sedation | peds | 0.05 mg/kg | IV/IO | not captured | standing | page 67 |
| Procedural sedation | peds | 0.05 mg/kg | IM | not captured | standing | page 67 |
| Procedural sedation | peds | 0.05 mg/kg | IV/IO | not captured | standing | page 67 |
| Procedural sedation | peds | 0.1 mg/kg | IM | not captured | standing | page 67 |
| Procedural sedation | peds | 0.1 mg/kg | IM | not captured | standing | page 67 |
| Seizure | adult | 2 mg | IV/IO | not captured | standing | page 67 |
| Seizure | adult | 4 mg | IM | not captured | standing | page 67 |
| Seizure | peds | 0.1 mg/kg | IV/IO | not captured | standing | page 67 |
| Seizure | peds | 0.2 mg/kg | IM | not captured | standing | page 67 |
Magnesium Sulfate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 2 g | IV | not captured | standing | page 68 |
| Eclampsia / pre-eclampsia | adult | 10 g | IM | not captured | standing | page 68 |
| Eclampsia / pre-eclampsia | adult | 4 g | IV | not captured | standing | page 68 |
| Other | adult | 2 g | IV/IO | not captured | standing | page 68 |
| Wide-complex tachycardia | adult | 2 g | IV/IO | not captured | standing | page 68 |
Midazolam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | adult | 2.5 mg | IV/IO | not captured | standing | page 68 |
| Post-intubation sedation | adult | 2.5–5 mg | IV/IO | not captured | standing | page 68 |
| Post-intubation sedation | peds | 0.1 mg/kg | IV/IO | not captured | standing | page 68 |
| Procedural sedation | adult | 2.5–5 mg | IV/IO | not captured | standing | page 68 |
| Procedural sedation | adult | 2.5 mg | IV/IO | not captured | standing | page 68 |
| Procedural sedation | adult | 5 mg | IM | not captured | standing | page 68 |
| Procedural sedation | adult | 5 mg | IM/IN | not captured | standing | page 68 |
| Procedural sedation | adult | 5 mg | IM/IN | not captured | standing | page 68 |
| Procedural sedation | peds | 0.1 mg/kg | IV/IO | not captured | standing | page 68 |
| Procedural sedation | peds | 0.1 mg/kg | IM | not captured | standing | page 68 |
| Procedural sedation | peds | 0.1 mg/kg | IV/IO | not captured | standing | page 68 |
| Procedural sedation | peds | 0.2 mg/kg | IM/IN | not captured | standing | page 68 |
| RSI induction | adult | 5–10 mg | IV/IO | not captured | standing | page 68 |
| RSI induction | peds | 0.2 mg/kg | IV/IO | not captured | standing | page 68 |
| Seizure | adult | 10 mg | IM/IN | not captured | standing | page 68 |
| Seizure | adult | 5 mg | IV/IO | not captured | standing | page 68 |
| Seizure | peds | 0.3 mg/kg | IM/IN | not captured | standing | page 68 |
Morphine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 2–8 mg | IV | not captured | standing | page 69 |
| Mild to moderate pain | adult | 5–10 mg | IM | not captured | standing | page 69 |
| Mild to moderate pain | peds | 0.1 mg/kg | IV | not captured | standing | page 69 |
| Mild to moderate pain | peds | 0.1 mg/kg | IM | not captured | standing | page 69 |
Naloxone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Opioid overdose | adult | 0.5 mg | IV | not captured | standing | page 69 |
| Opioid overdose | adult | 2 mg | IM/IN | not captured | standing | page 69 |
| Opioid overdose | peds | 0.1 mg/kg | IV | not captured | standing | page 69 |
| Opioid overdose | peds | 0.1 mg/kg | IM/IN | not captured | standing | page 69 |
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 |
| Other | adult | 0.4 mg | SL | not captured | standing | page 69 |
Norepinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypotension / shock | adult | 4 mcg | IV | not captured | standing | page 69 |
| Hypotension / shock | peds | 0.1 mcg/kg | IV | not captured | standing | page 69 |
Olanzapine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | peds | 2.5 mg | ODT | not captured | standing | page 79 |
| Procedural sedation | adult | 10 mg | ODT | not captured | standing | page 69 |
Ondansetron
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | adult | 8 mg | IV/IM/ODT | not captured | standing | page 69 |
Oral Glucose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 1 tube | PO | not captured | standing | page 65 |
| Hypoglycemia | peds | 1 tube | PO | not captured | standing | page 65 |
Oxymetazoline
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 2 spray | IN | not captured | standing | page 69 |
| Other | peds | 2 spray | IN | not captured | standing | page 69 |
Oxytocin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Obstetric hemorrhage | adult | 10 unit | IV/IM | not captured | standing | page 70 |
Pralidoxime
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Organophosphate poisoning | adult | 1200 mg | IV | not captured | standing | page 70 |
| Organophosphate poisoning | peds | 25–50 mg/kg | IV | not captured | standing | page 70 |
Proparacaine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Burns | adult | 1 drop | not captured | not captured | standing | page 70 |
| Burns | peds | 1 drop | not captured | not captured | standing | page 70 |
Rocuronium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 0.5 mg/kg | IV/IO | not captured | standing | page 70 |
| Other | adult | 1.2 mg/kg | IV/IO | not captured | standing | page 70 |
| Other | peds | 0.5 mg/kg | IV/IO | not captured | standing | page 70 |
| Other | peds | 1.2 mg/kg | IV/IO | not captured | standing | page 70 |
Sodium Bicarbonate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asystole / PEA | adult | 1 mEq/kg | IV/IO | not captured | standing | page 70 |
| Asystole / PEA | peds | 1 mEq/kg | IV/IO | not captured | standing | page 70 |
| Crush injury | adult | 50 mEq | IV/IO | not captured | standing | page 70 |
| Hyperkalemia | adult | 50 mEq | IV/IO | not captured | standing | page 70 |
| Other | adult | 1 mEq/kg | IV/IO | not captured | standing | page 70 |
| Other | adult | 1 mEq/kg | IV/IO | not captured | standing | page 70 |
| Other | adult | 2.5 mL | NEB | not captured | standing | page 70 |
| Other | peds | 1 mEq/kg | IV/IO | not captured | standing | page 70 |
| Other | peds | 1 mEq/kg | IV/IO | not captured | standing | page 70 |
| Other | peds | 2.5 mL | NEB | not captured | standing | page 70 |
Sodium Thiosulfate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cyanide poisoning | adult | 50 mL | IV | not captured | standing | page 70 |
| Cyanide poisoning | peds | 1.65 mL/kg | IV | not captured | standing | page 70 |
Succinylcholine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1.5 mg/kg | IV/IO | not captured | standing | page 71 |
| Other | peds | 1.5 mg/kg | IV/IO | not captured | standing | page 71 |
Tranexamic Acid
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Head injury / TBI | adult | 2 g | IV/IO | not captured | standing | page 71 |
| Obstetric hemorrhage | adult | 2 g | IV/IO | not captured | standing | page 71 |
| Trauma / hemorrhage | adult | 2 g | IV/IO | not captured | standing | page 71 |
Vecuronium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 0.1 mg/kg | IV/IO | not captured | standing | page 71 |
| Other | adult | 0.1 mg/kg | IV/IO | not captured | standing | page 71 |
| Other | peds | 0.1 mg/kg | IV/IO | not captured | standing | page 71 |
| Other | peds | 0.1 mg/kg | IV/IO | not captured | standing | page 71 |
Ziprasidone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Procedural sedation | adult | 10–20 mg | IM | not captured | standing | page 71 |
| Procedural sedation | peds | 10 mg | IM | not captured | standing | page 71 |