US EMS Protocol Census
Regional

Metro Regional EMS

Under review158 dose entries42 drugs4 documentsOReffective 2026-01-0194% machine-parsed of 158

Metro Regional EMS (OR) carries 42 drugs across 158 dose entries in its current published protocol, effective 2026-01-01.

A newer version (dated 2026-01-01) is under review. The figures below are from the current listed document.

Drugs and doses42

Acetaminophen

IndicationPopulationDoseRouteRepeatStandingSource
Fever adult 1000 mg IV not captured standing page 35
Fever adult 325–1000 mg PO not captured standing page 35
Fever peds 15 mg/kg PO not captured standing page 35
Mild to moderate pain adult 325–1000 mg PO not captured standing page 48
Severe pain adult 1000 mg IV not captured standing page 48

Activated Charcoal

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 50 g PO not captured standing page 51
Other adult 50 g PO not captured standing page 51
Other peds 1 g/kg PO not captured standing page 51
Other peds 1 g/kg PO not captured standing page 51

Adenosine

IndicationPopulationDoseRouteRepeatStandingSource
Narrow-complex tachycardia adult 6 mg IV not captured standing page 22
Narrow-complex tachycardia peds 0.1 mg/kg IV not captured standing page 22

Albuterol

IndicationPopulationDoseRouteRepeatStandingSource
Anaphylaxis adult 2.5 mg NEB not captured standing page 9
Anaphylaxis peds 2.5 mg NEB not captured standing page 9
Asthma / bronchospasm adult 2.5 mg NEB not captured standing page 56
Asthma / bronchospasm peds 2.5 mg NEB not captured standing page 56
COPD adult 2.5 mg NEB not captured standing page 56
Hyperkalemia peds 2.5 mg NEB not captured standing page 36
Other peds 2.5 mg NEB not captured standing page 58

Amiodarone

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 150 mg IV/IO not captured standing page 19
Other adult 150 mg IV/IO not captured standing page 28
Narrow-complex tachycardia adult 150 mg IV/IO not captured standing page 25
Narrow-complex tachycardia peds 2.5 mg/kg IV/IO not captured standing page 25
Wide-complex tachycardia adult 150 mg IV/IO not captured standing page 22
VF / pulseless VT adult 300 mg IV/IO not captured standing page 16
VF / pulseless VT peds 5 mg/kg IV/IO not captured standing page 16

Aspirin

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 324 mg PO not captured standing page 28

Atropine

IndicationPopulationDoseRouteRepeatStandingSource
Bradycardia adult 1 mg IV/IO not captured standing page 20
Organophosphate poisoning adult 1–2 mg IV/IO/IM not captured standing page 52
Organophosphate poisoning adult 3–5 mg IV/IO/IM not captured standing page 52
Organophosphate poisoning peds 0.05 mg/kg IV/IO/IM not captured standing page 52

Calcium Gluconate

IndicationPopulationDoseRouteRepeatStandingSource
Beta-blocker / calcium-channel-blocker overdose adult 1–3 g IV/IO not captured standing page 51
Hyperkalemia adult 3 g IV/IO not captured standing page 36
Hyperkalemia peds 0.6 mL/kg IV/IO not captured standing page 36
Other adult 10% calcium gluconate NEB not captured standing page 52
Other adult 3 g not captured not captured standing page 52

Dexamethasone

IndicationPopulationDoseRouteRepeatStandingSource
Anaphylaxis adult 10 mg IV/IM/PO not captured standing page 9
Anaphylaxis peds 0.6 mg/kg IV/IM/PO not captured standing page 9
Asthma / bronchospasm adult 10 mg IV/IM/PO not captured standing page 56
Asthma / bronchospasm peds 0.6 mg/kg IV/IM/PO not captured standing page 56
Croup peds 0.6 mg/kg IV/IM/PO not captured standing page 58

Dextrose

IndicationPopulationDoseRouteRepeatStandingSource
Hypoglycemia adult 10–25 g IV/IO not captured standing page 32
Hypoglycemia peds 5 mL/kg IV/IO not captured standing page 42
Hypoglycemia peds 5 mL/kg IV/IO not captured standing page 32

Diphenhydramine

IndicationPopulationDoseRouteRepeatStandingSource
Agitation peds 1 mg/kg IV/IM not captured standing page 6
Allergic reaction adult 1 mg/kg IV/IM not captured standing page 9
Allergic reaction peds 1 mg/kg IV/IM not captured standing page 9
Dystonic reaction adult 1 mg/kg IV/IM not captured standing page 7
Dystonic reaction peds 1 mg/kg IV/IM not captured standing page 7

Droperidol

IndicationPopulationDoseRouteRepeatStandingSource
Agitation adult 2.5 mg IV/IO not captured standing page 5
Agitation adult 5–10 mg IM not captured standing page 5
Agitation peds 0.1 mg/kg IM not captured standing page 5
Nausea / vomiting adult 0.625 mg IV not captured standing page 41

Epinephrine

IndicationPopulationDoseRouteRepeatStandingSource
Anaphylaxis adult 0.3–0.5 mg IM not captured standing page 9
Anaphylaxis peds 0.01 mg/kg IM not captured standing page 9
Asthma / bronchospasm adult 0.3–0.5 mg IM not captured standing page 56
Asthma / bronchospasm peds 0.01 mg/kg IM not captured standing page 56
Bradycardia adult 2–10 mcg IV/IO not captured standing page 20
Bradycardia peds 0.01 mg/kg IV/IO not captured standing page 20
Cardiac arrest adult 1 mg IV/IO not captured standing page 16
Cardiac arrest peds 0.01 mg/kg IV/IO not captured standing page 16

Etomidate

IndicationPopulationDoseRouteRepeatStandingSource
Procedural sedation adult 0.15 mg/kg IV/IO not captured standing page 25
Procedural sedation peds 0.15 mg/kg IV/IO not captured standing page 25

Fentanyl

IndicationPopulationDoseRouteRepeatStandingSource
Cardiac arrest adult 50 mcg IV/IO not captured standing page 15
Severe pain adult 50–100 mcg IV/IM/IN not captured standing page 48
Severe pain peds 1 mcg/kg IV/IM/IN not captured standing page 48

Glucagon

IndicationPopulationDoseRouteRepeatStandingSource
Anaphylaxis adult 1 mg IV/IM not captured standing page 9
Hypoglycemia adult 1 mg IM not captured standing page 32

Haloperidol

IndicationPopulationDoseRouteRepeatStandingSource
Agitation adult 5–10 mg IV/IO/IM not captured standing page 5
Nausea / vomiting adult 1.25 mg IV/IM not captured standing page 41

Hydromorphone

IndicationPopulationDoseRouteRepeatStandingSource
Severe pain adult 0.25–0.5 mg IV not captured standing page 48
Severe pain adult 0.5–1 mg IM not captured standing page 48
Severe pain peds 0.01 mg/kg IV not captured standing page 48
Severe pain peds 0.01 mg/kg IM not captured standing page 48

Hydroxocobalamin

IndicationPopulationDoseRouteRepeatStandingSource
Cyanide poisoning adult 5 g IV/IO not captured standing page 12
Cyanide poisoning peds 70 mg/kg IV/IO not captured standing page 12

Ibuprofen

IndicationPopulationDoseRouteRepeatStandingSource
Fever adult 200–600 mg PO not captured standing page 35
Fever peds 10 mg/kg PO not captured standing page 35
Mild to moderate pain adult 200–600 mg PO not captured standing page 48

Ipratropium

IndicationPopulationDoseRouteRepeatStandingSource
Asthma / bronchospasm adult 0.5 mg NEB not captured standing page 56
Asthma / bronchospasm peds 0.5 mg NEB not captured standing page 56
COPD adult 0.5 mg NEB not captured standing page 56

Ketamine

IndicationPopulationDoseRouteRepeatStandingSource
Severe pain adult 12.5–25 mg IV/IO not captured standing page 48
Severe pain adult 25–50 mg IM not captured standing page 48
Severe pain peds 0.3 mg/kg IV/IO not captured standing page 48

Ketorolac

IndicationPopulationDoseRouteRepeatStandingSource
Severe pain adult 15 mg IV not captured standing page 48
Severe pain adult 30 mg IM not captured standing page 48
Severe pain peds 0.5 mg/kg IV not captured standing page 48
Severe pain peds 1 mg/kg IM not captured standing page 48

Labetalol

IndicationPopulationDoseRouteRepeatStandingSource
Eclampsia / pre-eclampsia adult 10 mg IV not captured standing page 44

Lidocaine

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 0.75 mg/kg IV/IO not captured standing page 19
VF / pulseless VT adult 1.5 mg/kg IV/IO not captured standing page 16
VF / pulseless VT peds Follow adult dose IV/IO not captured standing page 16

Lorazepam

IndicationPopulationDoseRouteRepeatStandingSource
Mild to moderate pain adult 2 mg IV/IO not captured standing page 7
Procedural sedation adult 2 mg IM not captured standing page 25
Procedural sedation peds 0.1 mg/kg IM not captured standing page 25
Seizure adult 2 mg IV/IO not captured standing page 26
Seizure peds 0.1 mg/kg IV/IO not captured standing page 26

Magnesium Sulfate

IndicationPopulationDoseRouteRepeatStandingSource
Asthma / bronchospasm adult 2 g IV not captured standing page 56
Eclampsia / pre-eclampsia adult 10 g IM not captured standing page 44
Eclampsia / pre-eclampsia adult 2 g IV not captured standing page 44
Eclampsia / pre-eclampsia adult 4 g IV/IO not captured standing page 44
VF / pulseless VT adult 2 g IV/IO not captured standing page 22

Midazolam

IndicationPopulationDoseRouteRepeatStandingSource
Agitation adult 2.5–5 mg IV/IO not captured standing page 5
Agitation adult 5–10 mg IM not captured standing page 5
Agitation peds 0.1 mg/kg IV/IO not captured standing page 5
Agitation peds 0.1 mg/kg IM not captured standing page 5
Mild to moderate pain adult 2.5–5 mg IV/IO/IM not captured standing page 7
Procedural sedation adult 2–2.5 mg IV/IO/IM/IN not captured standing page 20
Procedural sedation adult 5 mg IM/IN not captured standing page 25
Procedural sedation peds 0.2 mg/kg IM/IN not captured standing page 25
Seizure adult 10 mg IM/IN not captured standing page 60
Seizure adult 5 mg IV/IO not captured standing page 60
Seizure peds 0.1 mg/kg IV/IO not captured standing page 60
Seizure peds 0.3 mg/kg IM/IN not captured standing page 60

Morphine

IndicationPopulationDoseRouteRepeatStandingSource
Severe pain adult 2–8 mg IV not captured standing page 48
Severe pain adult 5–10 mg IM not captured standing page 48
Severe pain peds 0.1 mg/kg IV not captured standing page 48
Severe pain peds 0.1 mg/kg IM not captured standing page 48

Naloxone

IndicationPopulationDoseRouteRepeatStandingSource
Opioid overdose adult 0.5 mg IV not captured standing page 8
Opioid overdose adult 2 mg IM/IN not captured standing page 8
Opioid overdose peds 0.1 mg/kg IV not captured standing page 8
Opioid overdose peds 0.1 mg/kg IM/IN not captured standing page 8

Nitroglycerin

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 0.4 mg SL not captured standing page 28
CHF / pulmonary edema adult 0.4 mg SL not captured standing page 55
CHF / pulmonary edema adult 0.4 mg SL not captured standing page 55
CHF / pulmonary edema adult 1 mg IV not captured standing page 55

Norepinephrine

IndicationPopulationDoseRouteRepeatStandingSource
Cardiogenic shock adult 4 mcg IV not captured standing page 63
Cardiogenic shock peds 0.1 mcg/kg IV not captured standing page 63
Hypotension / shock adult 4 mcg IV not captured standing page 63
Hypotension / shock adult 4 mcg IV not captured standing page 63
Hypotension / shock peds 0.1 mcg/kg IV not captured standing page 63
Hypotension / shock peds 0.1 mcg/kg IV not captured standing page 63

Olanzapine

IndicationPopulationDoseRouteRepeatStandingSource
Agitation adult 10 mg ODT not captured standing page 5
Agitation peds 2.5–5 mg ODT not captured standing page 5

Ondansetron

IndicationPopulationDoseRouteRepeatStandingSource
Nausea / vomiting adult 4 mg IV not captured standing page 41
Nausea / vomiting adult 4 mg IM not captured standing page 41
Nausea / vomiting adult 8 mg PO not captured standing page 41
Nausea / vomiting peds 0.1 mg/kg IV not captured standing page 41
Nausea / vomiting peds 0.1 mg/kg IM not captured standing page 41
Nausea / vomiting peds 2 mg PO not captured standing page 41

Oral Glucose

IndicationPopulationDoseRouteRepeatStandingSource
Hypoglycemia adult As directed PO not captured standing page 32
Hypoglycemia peds As directed PO not captured standing page 32

Oxymetazoline

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 2 spray IN not captured standing page 33
Other peds 2 spray IN not captured standing page 33

Oxytocin

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 10 unit IV/IM not captured standing page 45

Proparacaine

IndicationPopulationDoseRouteRepeatStandingSource
Mild to moderate pain adult 1 drop not captured not captured standing page 34
Mild to moderate pain adult 1 drop not captured not captured standing page 34
Mild to moderate pain peds 1 drop not captured not captured standing page 34
Mild to moderate pain peds 1 drop not captured not captured standing page 34

Sodium Bicarbonate

IndicationPopulationDoseRouteRepeatStandingSource
Hyperkalemia adult 50 mEq IV/IO not captured standing page 36
Other adult 1 mEq/kg IV/IO not captured standing page 52
Other adult 2.5 mL NEB not captured standing page 52

Sodium Thiosulfate

IndicationPopulationDoseRouteRepeatStandingSource
Cyanide poisoning adult 50 mL IV/IO not captured standing page 12

Tranexamic Acid

IndicationPopulationDoseRouteRepeatStandingSource
Head injury / TBI adult 2 g IV/IO not captured standing page 70
Obstetric hemorrhage adult 2 g IV not captured standing page 45
Trauma / hemorrhage adult 2 g IV/IO not captured standing page 63

Ziprasidone

IndicationPopulationDoseRouteRepeatStandingSource
Agitation adult 10–20 mg IM not captured standing page 5
Agitation peds 10 mg IM not captured standing page 5