US EMS Protocol Census
County

Michigan Department of Health and Human Services (MDHHS) / Berrien County

May be outdated131 dose entries33 drugs3 documentsMIeffective 2024-02-1297% machine-parsed of 131

Michigan Department of Health and Human Services (MDHHS) / Berrien County (MI) carries 33 drugs across 131 dose entries in its current published protocol, effective 2024-02-12.

The current listed document is more than 24 months old and may be outdated.

Drugs and doses33

Albuterol

IndicationPopulationDoseRouteRepeatStandingSource
Asthma / bronchospasm adult 2.5 mg NEB not captured standing pages 9, 10, 51, 52, 72, 289
Asthma / bronchospasm peds 2.5 mg NEB not captured standing pages 9, 10, 51, 52, 72, 289
Hyperkalemia adult 2.5 mg NEB not captured standing pages 25, 289
Hyperkalemia peds 2.5 mg NEB not captured standing pages 25, 289

Amiodarone

IndicationPopulationDoseRouteRepeatStandingSource
Cardiac arrest adult 300 mg IV/IO not captured standing pages 89, 90, 91, 104, 105, 290, 291
Cardiac arrest peds 5 mg/kg IV/IO not captured standing pages 89, 90, 91, 104, 105, 290, 291
Narrow-complex tachycardia adult 150 mg IV/IO not captured standing pages 95, 96, 108, 109, 290, 291
Narrow-complex tachycardia peds 5 mg/kg IV/IO not captured standing pages 95, 96, 108, 109, 290, 291

Aspirin

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 325 mg PO not captured standing pages 99, 100
Other adult 325 mg PO not captured standing pages 99, 100

Atropine

IndicationPopulationDoseRouteRepeatStandingSource
Bradycardia adult 1 mg IV/IO not captured standing pages 92, 106, 107, 293
Bradycardia peds 0.02 mg/kg IV/IO not captured standing pages 92, 106, 107, 293
Nerve agent exposure adult 2 mg IV/IM not captured standing pages 293, 294, 359, 360
Nerve agent exposure peds 0.05 mg/kg IV/IM not captured standing pages 293, 294, 359, 360

Calcium Chloride

IndicationPopulationDoseRouteRepeatStandingSource
Beta-blocker / calcium-channel-blocker overdose adult 1 g IV not captured standing page 34
Beta-blocker / calcium-channel-blocker overdose peds 20 mg/kg IV not captured standing page 34
Crush injury adult 1 g IV not captured standing page 26
Crush injury peds 20 mg/kg IV not captured standing page 26
Hyperkalemia adult 1 g IV/IO not captured standing pages 90, 104, 105
Hyperkalemia peds 20 mg/kg IV/IO not captured standing pages 90, 104, 105

Cefazolin

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 2 g IV/IO not captured standing page 28
Other peds 30 mg/kg IV/IO not captured standing page 28
Trauma / hemorrhage adult 2 g IV/IO not captured standing page 28
Trauma / hemorrhage adult 2 g IV/IO not captured standing page 28
Trauma / hemorrhage peds 30 mg/kg IV/IO not captured standing page 28
Trauma / hemorrhage peds 30 mg/kg IV/IO not captured standing page 28

Ceftriaxone

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 2 g IV/IO not captured standing pages 28, 301, 302
Other peds 50 mg/kg IV/IO not captured standing pages 28, 301, 302
Trauma / hemorrhage adult 2 g IV/IO not captured standing pages 28, 301, 302
Trauma / hemorrhage adult 2 g IV/IO not captured standing pages 28, 301, 302
Trauma / hemorrhage peds 50 mg/kg IV/IO not captured standing pages 28, 301, 302
Trauma / hemorrhage peds 50 mg/kg IV/IO not captured standing pages 28, 301, 302

Dextrose

IndicationPopulationDoseRouteRepeatStandingSource
Hypoglycemia adult 25 g IV not captured standing pages 48, 70, 303, 304
Hypoglycemia peds 0.5 g/kg IV not captured standing pages 48, 70, 303, 304
Other adult 25 g IV not captured standing pages 48, 70, 303, 304
Other peds 0.5 g/kg IV not captured standing pages 48, 70, 303, 304
Seizure adult 25 g IV not captured standing pages 54, 77, 303, 304
Seizure peds 0.5 g/kg IV not captured standing pages 54, 77, 303, 304

Diazepam

IndicationPopulationDoseRouteRepeatStandingSource
Procedural sedation adult 5–10 mg IV/IO not captured standing pages 159, 305

Diltiazem

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 15–20 mg IV/IO not captured standing pages 95, 306

Diphenhydramine

IndicationPopulationDoseRouteRepeatStandingSource
Allergic reaction adult 50 mg IV/IO/IM not captured standing pages 10, 307
Allergic reaction peds 1 mg/kg IV/IO/IM not captured standing pages 10, 307
Dystonic reaction peds 1 mg/kg IV/IM not captured standing pages 4, 34

Epinephrine

IndicationPopulationDoseRouteRepeatStandingSource
Anaphylaxis adult 0.3 mg IM not captured standing pages 8, 9
Anaphylaxis peds 0.15 mg IM not captured standing pages 8, 9
Bradycardia peds 0.01 mg/kg IV/IO not captured standing pages 92, 106, 107
Cardiac arrest adult 1 mg IV/IO not captured standing pages 89, 104, 105, 311
Cardiac arrest peds 0.01 mg/kg IV/IO not captured standing pages 89, 104, 105, 311
Hypotension / shock adult 10–20 mcg IV/IO not captured standing pages 6, 7, 10
Hypotension / shock peds 1 mcg/kg IV/IO not captured standing pages 6, 7, 10
Respiratory distress adult 0.3 mg IM not captured standing pages 52, 72, 73

Fentanyl

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 1 mcg/kg (max 100 mcg) IV/IO/IN not captured standing pages 100, 313
Other peds 1 mcg/kg IV/IO not captured standing pages 159, 160, 314
Mild to moderate pain adult 1 mcg/kg (max 100 mcg) IV/IO/IN not captured standing pages 313, 314
Mild to moderate pain peds 1 mcg/kg IV/IO/IN not captured standing pages 313, 314

Glucagon

IndicationPopulationDoseRouteRepeatStandingSource
Hypoglycemia adult 1 mg IM not captured standing pages 48, 54, 71, 78, 315, 316
Hypoglycemia adult 3 mg IN not captured standing pages 48, 54, 71, 78, 315, 316
Hypoglycemia peds 0.5 mg IM not captured standing pages 48, 54, 71, 78, 315, 316

Hydroxocobalamin

IndicationPopulationDoseRouteRepeatStandingSource
Cyanide poisoning adult 5 g IV/IO not captured standing pages 317, 318
Cyanide poisoning adult 5 g IV/IO not captured standing pages 317, 318
Cyanide poisoning peds 70 mg/kg IV/IO not captured standing pages 317, 318
Cyanide poisoning peds 70 mg/kg IV/IO not captured standing pages 317, 318

Ibuprofen

IndicationPopulationDoseRouteRepeatStandingSource
Fever peds According to MI MEDIC cards PO not captured standing pages 75, 76, 319, 320
Mild to moderate pain adult 400 mg PO not captured standing pages 144, 145, 319, 320
Mild to moderate pain peds According to MI MEDIC cards PO not captured standing pages 144, 145, 319, 320

Ipratropium

IndicationPopulationDoseRouteRepeatStandingSource
Asthma / bronchospasm adult 500 mcg NEB not captured standing pages 9, 10, 52, 321
Asthma / bronchospasm peds 500 mcg NEB not captured standing pages 9, 10, 52, 321

Ketamine

IndicationPopulationDoseRouteRepeatStandingSource
Hyperactive delirium adult 4 mg/kg IM not captured standing pages 57, 322
Mild to moderate pain adult 0.2 mg/kg IV/IO not captured standing pages 145, 322, 323
Mild to moderate pain adult 0.5 mg/kg IN not captured standing pages 145, 146, 322, 323
Mild to moderate pain peds 0.2 mg/kg IV/IO not captured standing pages 145, 322, 323
Mild to moderate pain peds 0.5 mg/kg IN not captured standing pages 145, 146, 322, 323
Procedural sedation adult 1.5 mg/kg IV/IO not captured standing pages 159, 160
Procedural sedation peds 1.5 mg/kg IV/IO not captured standing pages 159, 160

Ketorolac

IndicationPopulationDoseRouteRepeatStandingSource
Mild to moderate pain adult 15 mg IV/IM not captured standing pages 144, 324
Mild to moderate pain peds 1 mg/kg IV/IM not captured standing pages 144, 324

Lidocaine

IndicationPopulationDoseRouteRepeatStandingSource
Cardiac arrest adult 1 mg/kg IV/IO not captured standing pages 89, 90, 91, 104, 105, 325, 326
Cardiac arrest peds 1 mg/kg IV/IO not captured standing pages 89, 90, 91, 104, 105, 325, 326
Mild to moderate pain adult 20 mg IO not captured standing pages 175, 325, 326
Mild to moderate pain peds 0.5 mg/kg IO not captured standing pages 175, 325, 326
Narrow-complex tachycardia adult 1 mg/kg IV/IO not captured standing pages 95, 96, 108, 109, 325, 326
Narrow-complex tachycardia peds 1 mg/kg IV/IO not captured standing pages 95, 96, 108, 109, 325, 326

Magnesium Sulfate

IndicationPopulationDoseRouteRepeatStandingSource
Asthma / bronchospasm adult 2 g IV/IO not captured standing pages 53, 327, 328
Eclampsia / pre-eclampsia adult 4 g IV/IO not captured standing pages 66, 67, 327, 328
Eclampsia / pre-eclampsia adult 4 g IV/IO not captured standing pages 54, 66, 67, 327, 328
VF / pulseless VT adult 2 g IV/IO not captured standing pages 90, 96, 327, 328
VF / pulseless VT adult 2 g IV/IO not captured standing pages 327, 328

Methylprednisolone

IndicationPopulationDoseRouteRepeatStandingSource
Adrenal crisis adult 125 mg IV/IO/IM not captured standing pages 12, 329
Adrenal crisis peds 2 mg/kg IV/IO/IM not captured standing pages 12, 329
Allergic reaction adult 125 mg IV/IO/IM not captured standing pages 11, 329, 330
Allergic reaction peds 2 mg/kg IV/IO/IM not captured standing pages 11, 329, 330
Asthma / bronchospasm adult 125 mg IV/IO/IM not captured standing page 329
Asthma / bronchospasm peds 2 mg/kg IV/IO/IM not captured standing page 329
Other adult 125 mg IV/IO/IM not captured standing page 329
Other peds 2 mg/kg IV/IO/IM not captured standing page 329

Midazolam

IndicationPopulationDoseRouteRepeatStandingSource
Agitation adult 10 mg IM/IN not captured standing pages 57, 58, 331
Other adult 0.1 mg/kg IM/IN not captured standing pages 155, 332
Other peds 0.1 mg/kg IM/IN not captured standing pages 155, 332
Procedural sedation adult 1–5 mg IV/IO/IN not captured standing pages 159, 160, 332
Procedural sedation peds 0.05 mg/kg IV/IO/IN not captured standing pages 159, 160, 332
Seizure adult 10 mg IM not captured standing pages 54, 55, 331, 332
Seizure adult 5 mg IV/IO not captured standing pages 54, 55, 331, 332
Seizure peds 0.1 mg/kg IM not captured standing pages 54, 55, 331, 332

Naloxone

IndicationPopulationDoseRouteRepeatStandingSource
Opioid overdose adult 2 mg IV/IM/IN not captured standing pages 14, 15
Opioid overdose peds 0.1 mg/kg IV/IM/IN not captured standing pages 14, 15
Opioid overdose peds 0.5 mL IN not captured standing page 14

Nitroglycerin

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 0.4 mg SL not captured standing pages 99, 100, 336
CHF / pulmonary edema adult 0.4 mg SL not captured standing pages 97, 336

Ondansetron

IndicationPopulationDoseRouteRepeatStandingSource
Nausea / vomiting adult 4 mg ODT not captured standing pages 3, 4
Nausea / vomiting adult 4 mg IV/IM not captured standing pages 3, 4
Nausea / vomiting peds 0.1 mg/kg IV/IM not captured standing pages 3, 4
Nausea / vomiting peds 4 mg ODT not captured standing pages 3, 4

Pralidoxime

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 600 mg IV/IM not captured standing page 339
Other peds 600 mg IV/IM not captured standing page 339

Prednisone

IndicationPopulationDoseRouteRepeatStandingSource
Adrenal crisis adult 50 mg PO not captured standing pages 12, 342
Adrenal crisis peds 50 mg PO not captured standing pages 12, 342
Allergic reaction adult 50 mg PO not captured standing pages 10, 11, 342, 343
Allergic reaction peds 50 mg PO not captured standing pages 10, 11, 342, 343
Other adult 50 mg PO not captured standing pages 52, 53, 342, 343
Other peds 50 mg PO not captured standing pages 52, 53, 342, 343

Racemic Epinephrine

IndicationPopulationDoseRouteRepeatStandingSource
Stridor peds 0.5 mL NEB not captured standing pages 74, 346

Sodium Bicarbonate

IndicationPopulationDoseRouteRepeatStandingSource
Crush injury adult 100 mEq IV not captured standing page 26
Crush injury peds 1 mEq/kg IV not captured standing page 26
Hyperkalemia adult 1 mEq/kg IV/IO not captured standing pages 90, 105
Hyperkalemia peds 1 mEq/kg IV/IO not captured standing pages 90, 105
Tricyclic overdose adult 50 mEq IV not captured standing page 34
Tricyclic overdose peds 1 mEq/kg IV not captured standing page 34

Tetracaine

IndicationPopulationDoseRouteRepeatStandingSource
Mild to moderate pain adult 1–2 drop not captured not captured standing pages 35, 347
Mild to moderate pain peds 1–2 drop not captured not captured standing pages 35, 347

Tranexamic Acid

IndicationPopulationDoseRouteRepeatStandingSource
Trauma / hemorrhage adult 1 g IV/IO not captured standing pages 44, 348

Verapamil

IndicationPopulationDoseRouteRepeatStandingSource
Narrow-complex tachycardia adult 5 mg IV not captured standing pages 95, 349