US EMS Protocol Census
Statewide

Michigan Department of Health and Human Services (MDHHS)

Under review155 dose entries31 drugs28 documentsMIeffective 2025-11-1795% machine-parsed of 155

Michigan Department of Health and Human Services (MDHHS) (MI) carries 31 drugs across 155 dose entries in its current published protocol, effective 2025-11-17.

An undated version is under review. The figures below are from the current listed document.

Drugs and doses31

Acetaminophen

IndicationPopulationDoseRouteRepeatStandingSource
Fever adult 650 mg PO not captured not captured page not captured
Fever adult weight-based PO not captured not captured page not captured
Fever peds weight-based PO not captured not captured page not captured
Mild to moderate pain adult 650 mg PO not captured not captured page not captured

Adenosine

IndicationPopulationDoseRouteRepeatStandingSource
SVT adult 0.1 mg/kg IV not captured not captured page not captured
SVT adult 0.2 mg/kg IV not captured not captured page not captured
SVT adult 12 mg IV not captured not captured page not captured
SVT adult 6 mg IV not captured not captured page not captured
SVT peds 0.1 mg/kg IV not captured not captured page not captured
SVT peds 0.2 mg/kg IV not captured not captured page not captured

Albuterol

IndicationPopulationDoseRouteRepeatStandingSource
Hyperkalemia adult 2.5 mg NEB not captured not captured page not captured
Respiratory distress adult 2.5 mg NEB not captured not captured page not captured

Aspirin

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 325 mg PO not captured not captured page not captured
ACS / chest pain adult 325 mg PO not captured not captured page not captured

Atropine

IndicationPopulationDoseRouteRepeatStandingSource
Bradycardia adult 0.02 mg/kg IV/IO not captured not captured page not captured
Bradycardia adult 1 mg IV/IO not captured not captured page not captured
Bradycardia peds 0.02 mg/kg IV/IO not captured not captured page not captured
Nerve agent exposure adult 2 mg IV/IM not captured not captured page not captured

Calcium Chloride

IndicationPopulationDoseRouteRepeatStandingSource
Beta-blocker / calcium-channel-blocker overdose adult 1 g IV not captured not captured page not captured
Beta-blocker / calcium-channel-blocker overdose adult 20 mg/kg IV not captured not captured page not captured
Beta-blocker / calcium-channel-blocker overdose peds 20 mg/kg IV not captured not captured page not captured
Cardiac arrest adult 1 g IV/IO not captured not captured page not captured
Cardiac arrest adult 20 mg/kg IV/IO not captured not captured page not captured
Cardiac arrest peds 20 mg/kg IV/IO not captured not captured page not captured
Crush injury adult 1 g IV not captured not captured page not captured
Crush injury adult 20 mg/kg IV not captured not captured page not captured
Crush injury peds 20 mg/kg IV not captured not captured page not captured

Cefazolin

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

Ceftriaxone

IndicationPopulationDoseRouteRepeatStandingSource
Trauma / hemorrhage adult 2 g IV not captured not captured page not captured
Trauma / hemorrhage adult 50 mg/kg IV not captured not captured page not captured
Trauma / hemorrhage peds 50 mg/kg IV not captured not captured page not captured

Dextrose

IndicationPopulationDoseRouteRepeatStandingSource
Hypoglycemia adult 0.5 g/kg IV not captured not captured page not captured
Hypoglycemia adult 25 g IV not captured not captured page not captured
Hypoglycemia peds 0.5 g/kg IV not captured not captured page not captured

Diazepam

IndicationPopulationDoseRouteRepeatStandingSource
Procedural sedation adult 5–10 mg IV/IO not captured not captured page not captured

Diphenhydramine

IndicationPopulationDoseRouteRepeatStandingSource
Allergic reaction adult 1 mg/kg IV/IO/IM not captured not captured page not captured
Allergic reaction adult 50 mg IV/IO/IM not captured not captured page not captured
Allergic reaction peds 1 mg/kg IV/IO/IM not captured not captured page not captured
Dystonic reaction adult 1 mg/kg IV not captured not captured page not captured
Dystonic reaction adult 50 mg IV not captured not captured page not captured
Dystonic reaction peds 1 mg/kg IV not captured not captured page not captured
Nausea / vomiting adult 1 mg/kg IV not captured not captured page not captured
Nausea / vomiting adult 12.5–25 mg IV/IM not captured not captured page not captured
Nausea / vomiting peds 1 mg/kg IV not captured not captured page not captured

Epinephrine

IndicationPopulationDoseRouteRepeatStandingSource
Anaphylaxis adult 0.15 mg IM not captured not captured page not captured
Anaphylaxis adult 0.3 mg IM not captured not captured page not captured
Anaphylaxis peds 0.15 mg IM not captured not captured page not captured
Bradycardia peds 0.01 mg/kg IV/IO not captured not captured page not captured
Cardiac arrest adult 0.01 mg/kg IV/IO not captured not captured page not captured
Cardiac arrest adult 1 mg IV/IO not captured not captured page not captured
Cardiac arrest peds 0.01 mg/kg IV/IO not captured not captured page not captured
Hypotension / shock adult 10–20 mcg IV/IO not captured not captured page not captured
Hypotension / shock peds 1 mcg/kg IV/IO not captured not captured page not captured
Respiratory distress adult 0.15 mg IM not captured not captured page not captured
Respiratory distress adult 0.3 mg IM not captured not captured page not captured
Respiratory distress peds 0.15 mg IM not captured not captured page not captured

Fentanyl

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 1 mcg/kg IV/IO/IM/IN not captured not captured page not captured
Other adult 1 mcg/kg IV/IO not captured not captured page not captured
Other adult 50–100 mcg IV/IO not captured not captured page not captured
Other peds 1 mcg/kg IV/IO not captured not captured page not captured
Mild to moderate pain adult 1 mcg/kg IV/IO/IM/IN not captured not captured page not captured

Glucagon

IndicationPopulationDoseRouteRepeatStandingSource
Hypoglycemia adult 0.5 mg IM not captured not captured page not captured
Hypoglycemia adult 1 mg IM not captured not captured page not captured
Hypoglycemia adult 3 mg IN not captured not captured page not captured
Hypoglycemia peds 0.5 mg IM not captured not captured page not captured

Hydroxocobalamin

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

Ibuprofen

IndicationPopulationDoseRouteRepeatStandingSource
Fever adult 400 mg PO not captured not captured page not captured
Fever adult weight-based PO not captured not captured page not captured
Fever peds weight-based PO not captured not captured page not captured
Mild to moderate pain adult 400 mg PO not captured not captured page not captured
Mild to moderate pain adult weight-based PO not captured not captured page not captured
Mild to moderate pain peds weight-based PO not captured not captured page not captured

Ipratropium

IndicationPopulationDoseRouteRepeatStandingSource
Allergic reaction adult 500 mcg NEB not captured not captured page not captured
Respiratory distress adult 500 mcg NEB not captured not captured page not captured

Lidocaine

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 0.5 mg/kg IO not captured not captured page not captured
Other adult 20 mg IO not captured not captured page not captured
Other peds 0.5 mg/kg IO not captured not captured page not captured
Wide-complex tachycardia adult 1 mg/kg IV not captured not captured page not captured
Wide-complex tachycardia adult 1 mg/kg IV/IO not captured not captured page not captured
Wide-complex tachycardia peds 1 mg/kg IV/IO not captured not captured page not captured
VF / pulseless VT adult 1 mg/kg IV/IO not captured not captured page not captured

Magnesium Sulfate

IndicationPopulationDoseRouteRepeatStandingSource
Asthma / bronchospasm adult 2 g IV not captured not captured page not captured
Cardiac arrest adult 2 g IV/IO not captured not captured page not captured
Eclampsia / pre-eclampsia adult 4 g IV/IO not captured not captured page not captured

Methylprednisolone

IndicationPopulationDoseRouteRepeatStandingSource
Adrenal crisis adult 125 mg IV/IO/IM not captured not captured page not captured
Adrenal crisis adult 2 mg/kg IV/IO/IM not captured not captured page not captured
Adrenal crisis peds 2 mg/kg IV/IO/IM not captured not captured page not captured
Allergic reaction adult 125 mg IV/IO/IM not captured not captured page not captured
Allergic reaction adult 2 mg/kg IV/IO/IM not captured not captured page not captured
Allergic reaction peds 2 mg/kg IV/IO/IM not captured not captured page not captured
Respiratory distress adult 125 mg IV/IO/IM not captured not captured page not captured
Respiratory distress adult 2 mg/kg IV/IO/IM not captured not captured page not captured
Respiratory distress peds 2 mg/kg IV/IO/IM not captured not captured page not captured

Midazolam

IndicationPopulationDoseRouteRepeatStandingSource
Hyperactive delirium adult 10 mg IM/IN not captured not captured page not captured
Other adult 0.1 mg/kg IM/IN not captured not captured page not captured
Other adult 0.1 mg/kg IM not captured not captured page not captured
Other peds 0.1 mg/kg IM not captured not captured page not captured
Procedural sedation adult 0.05 mg/kg IV/IO not captured not captured page not captured
Procedural sedation adult 1–5 mg IV/IO not captured not captured page not captured
Procedural sedation peds 0.05 mg/kg IV/IO not captured not captured page not captured
Seizure adult 0.1 mg/kg IM not captured not captured page not captured
Seizure adult 10 mg IM not captured not captured page not captured
Seizure adult 5 mg IV/IO not captured not captured page not captured
Seizure adult 5 mg IV/IO/IM/IN not captured not captured page not captured
Seizure peds 0.05 mg/kg IV/IO not captured not captured page not captured
Seizure peds 0.1 mg/kg IM not captured not captured page not captured

Naloxone

IndicationPopulationDoseRouteRepeatStandingSource
Cardiac arrest adult 2 mg IV/IO not captured not captured page not captured
Cardiac arrest adult 2–4 mg IN not captured not captured page not captured
Opioid overdose adult 0.1 mg/kg IM not captured not captured page not captured
Opioid overdose adult 0.1 mg/kg IV not captured not captured page not captured
Opioid overdose adult 0.5 mg IN not captured not captured page not captured
Opioid overdose adult 1 mg IN not captured not captured page not captured
Opioid overdose adult 1.5 mg IN not captured not captured page not captured
Opioid overdose adult 2 mg IN not captured not captured page not captured
Opioid overdose adult 2 mg IM not captured not captured page not captured
Opioid overdose adult 2 mg IV not captured not captured page not captured
Opioid overdose peds 0.1 mg/kg IM not captured not captured page not captured
Opioid overdose peds 0.1 mg/kg IV not captured not captured page not captured
Opioid overdose peds 0.5 mg IN not captured not captured page not captured
Opioid overdose peds 1 mg IN not captured not captured page not captured
Opioid overdose peds 1.5 mg IN not captured not captured page not captured

Nitroglycerin

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 0.4 mg SL not captured not captured page not captured
CHF / pulmonary edema adult 0.4 mg SL not captured not captured page not captured

Ondansetron

IndicationPopulationDoseRouteRepeatStandingSource
Nausea / vomiting adult 0.1 mg/kg IV/IM not captured not captured page not captured
Nausea / vomiting adult 4 mg ODT not captured not captured page not captured
Nausea / vomiting adult 4 mg IV/IM not captured not captured page not captured
Nausea / vomiting peds 0.1 mg/kg IV/IM not captured not captured page not captured

Pralidoxime

IndicationPopulationDoseRouteRepeatStandingSource
Nerve agent exposure adult 600 mg IV/IM not captured not captured page not captured

Prednisone

IndicationPopulationDoseRouteRepeatStandingSource
Adrenal crisis adult 50 mg PO not captured not captured page not captured
Allergic reaction adult 50 mg PO not captured not captured page not captured
Respiratory distress adult 50 mg PO not captured not captured page not captured

Racemic Epinephrine

IndicationPopulationDoseRouteRepeatStandingSource
Stridor adult 0.5 mL NEB not captured not captured page not captured
Stridor peds 0.5 mL NEB not captured not captured page not captured

Sodium Bicarbonate

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 1 mEq/kg IV/IO not captured not captured page not captured
Other adult 1 mEq/kg IV/IO not captured not captured page not captured
Other peds 1 mEq/kg IV/IO not captured not captured page not captured
Tricyclic overdose adult 1 mEq/kg IV not captured not captured page not captured
Tricyclic overdose adult 50 mEq IV not captured not captured page not captured
Tricyclic overdose peds 1 mEq/kg IV not captured not captured page not captured

Tetracaine

IndicationPopulationDoseRouteRepeatStandingSource
Mild to moderate pain adult 1–2 drop not captured not captured not captured page not captured

Tranexamic Acid

IndicationPopulationDoseRouteRepeatStandingSource
Trauma / hemorrhage adult 1 g IV/IO not captured not captured page not captured

Verapamil

IndicationPopulationDoseRouteRepeatStandingSource
Narrow-complex tachycardia adult 5 mg IV not captured not captured page not captured