US EMS Protocol Census
Statewide

North Carolina Office of Emergency Medical Services (NC OEMS)

Current136 dose entries42 drugs5 documentsNCeffective 2025-09-0198% machine-parsed of 136

North Carolina Office of Emergency Medical Services (NC OEMS) (NC) carries 42 drugs across 136 dose entries in its current published protocol, effective 2025-09-01.

Drugs and doses42

Acetaminophen

IndicationPopulationDoseRouteRepeatStandingSource
Fever adult 325–1000 mg PO not captured standing page 20
Fever peds 15 mg/kg PO not captured standing page 20
Mild to moderate pain adult 1 g IV not captured standing page 21
Mild to moderate pain adult 325–1000 mg PO not captured standing page 21
Mild to moderate pain peds 15 mg/kg PO not captured standing page 21
Mild to moderate pain peds 15 mg/kg IV not captured standing page 21

Activated Charcoal

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 50 g PO not captured standing page 163
Other peds 1 g/kg PO not captured standing page 163

Adenosine

IndicationPopulationDoseRouteRepeatStandingSource
Narrow-complex tachycardia adult 6 mg IV/IO not captured standing page 72
Narrow-complex tachycardia peds 0.1 mg/kg IV/IO not captured standing page 72

Albuterol

IndicationPopulationDoseRouteRepeatStandingSource
Asthma / bronchospasm adult 2.5–5 mg NEB not captured standing page 47
Asthma / bronchospasm peds 1.25–2.5 mg NEB not captured standing page 47
Respiratory distress adult 2.5–5 mg NEB not captured standing page 47
Respiratory distress peds 1.25–2.5 mg NEB not captured standing page 47
Stridor adult 2.5–5 mg NEB not captured standing page 47
Stridor peds 1.25–2.5 mg NEB not captured standing page 47

Amiodarone

IndicationPopulationDoseRouteRepeatStandingSource
Narrow-complex tachycardia adult 150 mg IV/IO not captured standing page 72
VF / pulseless VT adult 300 mg IV/IO not captured standing page 78
VF / pulseless VT adult 300 mg IV/IO not captured standing page 78

Aspirin

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 324 mg PO not captured standing page 68
Mild to moderate pain adult 324–650 mg PO not captured standing page 21

Atropine

IndicationPopulationDoseRouteRepeatStandingSource
Bradycardia adult 1 mg IV/IO not captured standing page 64
Bradycardia peds 0.02 mg/kg IV/IO not captured standing page 64
Nerve agent exposure adult 2 mg IV/IO/IM not captured standing page 165

Calcium Chloride

IndicationPopulationDoseRouteRepeatStandingSource
Crush injury adult 1 g IV/IO not captured standing page 116
Hyperkalemia adult 1 g IV/IO not captured standing page 116

Calcium Gluconate

IndicationPopulationDoseRouteRepeatStandingSource
Crush injury adult 2 g IV/IO not captured standing page 116
Crush injury peds 20 mg/kg IV/IO not captured standing page 116
Hyperkalemia adult 2 g IV/IO not captured standing page 116
Hyperkalemia peds 20 mg/kg IV/IO not captured standing page 116

Dextrose

IndicationPopulationDoseRouteRepeatStandingSource
Hypoglycemia adult 125 mL IV/IO not captured standing page 114
Hypoglycemia peds 5 mL/kg IV/IO not captured standing page 114

Diltiazem

IndicationPopulationDoseRouteRepeatStandingSource
Narrow-complex tachycardia adult 0.25 mg/kg IV/IO not captured standing page 72

Diphenhydramine

IndicationPopulationDoseRouteRepeatStandingSource
Allergic reaction adult 25–50 mg PO not captured standing page 112
Allergic reaction adult 25–50 mg IV/IO/IM not captured standing page 112
Allergic reaction peds 1 mg/kg PO not captured standing page 112
Allergic reaction peds 1 mg/kg IV/IO/IM not captured standing page 112
Dystonic reaction adult 50 mg IV/IO/IM/PO not captured standing page 34
Dystonic reaction peds 1 mg/kg IV/IO/IM/PO not captured standing page 34

Dopamine

IndicationPopulationDoseRouteRepeatStandingSource
Bradycardia adult 2–20 mcg/kg IV/IO not captured standing page 64

Epinephrine

IndicationPopulationDoseRouteRepeatStandingSource
Anaphylaxis adult 0.3–0.5 mg IM not captured standing page 112
Anaphylaxis peds 0.01 mg/kg IM not captured standing page 112
Bradycardia adult 1–10 mcg IV/IO not captured standing page 64
Bradycardia peds 0.01 mg/kg IV/IO not captured standing page 64
Cardiac arrest adult 1 mg IV/IO not captured standing page 62
Cardiac arrest peds 0.01 mg/kg IV/IO not captured standing page 62
Respiratory distress adult 0.3–0.5 mg IM not captured standing page 47
Respiratory distress peds 0.01 mg/kg IM not captured standing page 47
Stridor adult 1 mg NEB not captured standing page 47
Stridor peds 1 mg NEB not captured standing page 47

Etomidate

IndicationPopulationDoseRouteRepeatStandingSource
RSI induction adult 0.3 mg/kg IV/IO not captured standing page 45

Fentanyl

IndicationPopulationDoseRouteRepeatStandingSource
Mild to moderate pain adult 50–100 mcg IV/IO/IM not captured standing page 21
Mild to moderate pain peds 1 mcg/kg IV/IO/IM not captured standing page 21
Mild to moderate pain peds 1 mcg/kg IN not captured standing page 21

Furosemide

IndicationPopulationDoseRouteRepeatStandingSource
CHF / pulmonary edema adult 40 mg IV not captured standing page 70
CHF / pulmonary edema peds 1 mg/kg IV not captured standing page 70

Glucagon

IndicationPopulationDoseRouteRepeatStandingSource
Hypoglycemia adult 1–2 mg IM not captured standing page 114
Hypoglycemia peds 0.1 mg/kg IM not captured standing page 114

Haloperidol

IndicationPopulationDoseRouteRepeatStandingSource
Agitation adult 2–5 mg IM not captured standing page 36

Hydroxocobalamin

IndicationPopulationDoseRouteRepeatStandingSource
Cyanide poisoning adult 70 mg/kg IV/IO not captured standing page 154

Ibuprofen

IndicationPopulationDoseRouteRepeatStandingSource
Fever adult 400–600 mg PO not captured standing page 20
Fever peds 10 mg/kg PO not captured standing page 20
Mild to moderate pain adult 400–600 mg PO not captured standing page 21
Mild to moderate pain peds 10 mg/kg PO not captured standing page 21

Ipratropium

IndicationPopulationDoseRouteRepeatStandingSource
Respiratory distress adult 0.5 mg NEB not captured standing page 47
Respiratory distress peds 0.5 mg NEB not captured standing page 47

Ketamine

IndicationPopulationDoseRouteRepeatStandingSource
Hyperactive delirium adult 4 mg/kg IM not captured standing page 37
Hyperactive delirium peds 2 mg/kg IM not captured standing page 37
Mild to moderate pain adult 0.3 mg/kg IV/IO not captured standing page 21
Post-intubation sedation adult 1.5–2 mg/kg IV/IO not captured standing page 55
RSI induction adult 1–2 mg/kg IV/IO not captured standing page 45
RSI induction adult 4 mg/kg IM not captured standing page 45
RSI induction peds 2 mg/kg IM not captured standing page 45

Ketorolac

IndicationPopulationDoseRouteRepeatStandingSource
Mild to moderate pain adult 15 mg IV/IO not captured standing page 21
Mild to moderate pain adult 30 mg IM not captured standing page 21
Mild to moderate pain peds 0.5 mg/kg IV/IO not captured standing page 21
Mild to moderate pain peds 0.5 mg/kg IM not captured standing page 21

Lidocaine

IndicationPopulationDoseRouteRepeatStandingSource
VF / pulseless VT adult 1–1.5 mg/kg IV/IO not captured standing page 78
VF / pulseless VT adult 1–1.5 mg/kg IV/IO not captured standing page 78

Magnesium Sulfate

IndicationPopulationDoseRouteRepeatStandingSource
Crush injury adult 2 g IV/IO not captured standing page 138
Crush injury peds 20 mg/kg IV/IO not captured standing page 138
Respiratory distress adult 2 g IV/IO not captured standing page 47
Respiratory distress peds 40 mg/kg IV/IO not captured standing page 47

Methylprednisolone

IndicationPopulationDoseRouteRepeatStandingSource
Allergic reaction adult 125 mg IV/IO not captured standing page 112
Allergic reaction peds 2 mg/kg IV/IO not captured standing page 112
CHF / pulmonary edema peds 2 mg/kg IV/IO not captured standing page 101
Respiratory distress adult 125 mg IV/IO/IM not captured standing page 47
Respiratory distress peds 2 mg/kg IV/IO/IM not captured standing page 47

Midazolam

IndicationPopulationDoseRouteRepeatStandingSource
Agitation adult 2.5 mg IV/IO/IN not captured standing page 36
Agitation adult 5 mg IM not captured standing page 36
Agitation peds 0.1–0.2 mg/kg IV/IO/IN not captured standing page 36
Eclampsia / pre-eclampsia adult 10 mg IM not captured standing page 171
Eclampsia / pre-eclampsia adult 2–2.5 mg IV/IO not captured standing page 171
Eclampsia / pre-eclampsia peds 0.2 mg IV/IO not captured standing page 171
Eclampsia / pre-eclampsia peds 0.2 mg/kg IM not captured standing page 171
Hyperactive delirium adult 10 mg IM not captured standing page 37
Hyperactive delirium peds 0.1–0.2 mg/kg IM not captured standing page 37
Post-intubation sedation adult 2–2.5 mg IV/IO not captured standing page 55
Post-intubation sedation peds 0.1–0.2 mg/kg IV/IO not captured standing page 55
Procedural sedation adult 2–2.5 mg IV/IO not captured standing page 72
Procedural sedation peds 0.1–0.2 mg/kg IV/IO not captured standing page 72
Seizure adult 10 mg IM not captured standing page 25
Seizure adult 2–2.5 mg IV/IO not captured standing page 25
Seizure peds 0.2 mg/kg IV/IO not captured standing page 25
Seizure peds 0.2 mg/kg IM not captured standing page 25

Morphine

IndicationPopulationDoseRouteRepeatStandingSource
CHF / pulmonary edema peds 0.1 mg/kg IV/IO not captured standing page 101
Mild to moderate pain adult 4 mg IV/IO/IM not captured standing page 21
Mild to moderate pain peds 0.1 mg/kg IV/IO/IM not captured standing page 21

Naloxone

IndicationPopulationDoseRouteRepeatStandingSource
Opioid overdose adult 0.4–2 mg IM/IN not captured standing page 66
Opioid overdose adult 0.4–2 mg IV/IO/IM/IN/ET not captured standing page 66
Opioid overdose peds 0.1 mg/kg IM/IN not captured standing page 66
Opioid overdose peds 0.1 mg/kg IV/IO/IM/IN/ET not captured standing page 66

Nitrous Oxide

IndicationPopulationDoseRouteRepeatStandingSource
Mild to moderate pain adult 70:30 to 50:50 Mix NO/O2 NEB not captured standing page 21

Ondansetron

IndicationPopulationDoseRouteRepeatStandingSource
Nausea / vomiting adult 4 mg IV/IO/IM/PO/ODT not captured standing page 7
Nausea / vomiting peds 0.2 mg/kg IV/IO/IM/PO/ODT not captured standing page 7

Oral Glucose

IndicationPopulationDoseRouteRepeatStandingSource
Hypoglycemia adult 1/2 to 1 Tube PO not captured standing page 127
Hypoglycemia peds 1/2 to 1 Tube PO not captured standing page 127

Oxymetazoline

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 2 spray IN not captured standing page 18

Oxytocin

IndicationPopulationDoseRouteRepeatStandingSource
Obstetric hemorrhage adult 10 unit IM not captured standing page 167

Pralidoxime

IndicationPopulationDoseRouteRepeatStandingSource
Nerve agent exposure adult 600 mg IV/IO/IM not captured standing page 165
Nerve agent exposure peds 15–25 mg/kg IV/IO/IM not captured standing page 165

Promethazine

IndicationPopulationDoseRouteRepeatStandingSource
Nausea / vomiting adult 12.5 mg IM/PO not captured standing page 7

Rocuronium

IndicationPopulationDoseRouteRepeatStandingSource
Post-intubation sedation adult 0.6–1.2 mg/kg IV/IO not captured standing page 55
RSI induction adult 1 mg/kg IV/IO not captured standing page 45

Sodium Bicarbonate

IndicationPopulationDoseRouteRepeatStandingSource
Crush injury adult 50 mEq IV/IO not captured standing page 116
Crush injury peds 1 mEq/kg IV/IO not captured standing page 116
Hyperkalemia adult 50 mEq IV/IO not captured standing page 116
Hyperkalemia peds 1 mEq/kg IV/IO not captured standing page 116

Succinylcholine

IndicationPopulationDoseRouteRepeatStandingSource
RSI induction adult 2 mg/kg IV/IO not captured standing page 45

Tranexamic Acid

IndicationPopulationDoseRouteRepeatStandingSource
Obstetric hemorrhage adult 2 g IV/IO not captured standing page 171
Obstetric hemorrhage peds 20 mg/kg IV/IO not captured standing page 171
Other adult 1 g TOP not captured standing page 18
Trauma / hemorrhage adult 1–2 g IV/IO not captured standing page 143
Trauma / hemorrhage adult 1 g TOP not captured standing page 15

Vecuronium

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 10 mg IV/IO not captured standing page 86
Post-intubation sedation adult 10 mg IV/IO not captured standing page 55