US EMS Protocol Census
Regional

Northwest Region Emergency Medical Services & Trauma Care Council

May be outdated227 dose entries54 drugs3 documentsWAeffective 2020-03-0292% machine-parsed of 227

Northwest Region Emergency Medical Services & Trauma Care Council (WA) carries 54 drugs across 227 dose entries in its current published protocol, effective 2020-03-02.

The current listed document is more than 24 months old and may be outdated.

Drugs and doses54

Acetaminophen

IndicationPopulationDoseRouteRepeatStandingSource
Fever adult 1000 mg IV/PO/PR not captured standing page 68
Fever peds 15 mg/kg IV/PO/PR not captured standing page 68
Mild to moderate pain adult 1000 mg IV/PO not captured standing pages 38, 151
Mild to moderate pain peds 15 mg/kg IV/PO not captured standing pages 38, 151
Sepsis adult 1000 mg IV not captured standing page 17
Sepsis peds 15 mg/kg IV not captured standing page 17

Activated Charcoal

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 50 g PO not captured standing page 152
Other adult 50 g PO not captured standing page 152
Other peds 1 g/kg PO not captured standing page 152
Other peds 1 g/kg PO not captured standing page 152

Adenosine

IndicationPopulationDoseRouteRepeatStandingSource
SVT adult 6 mg IV/IO not captured standing pages 21, 152
SVT peds 0.1 mg/kg IV/IO not captured standing pages 21, 152
Narrow-complex tachycardia adult 6 mg IV/IO not captured standing pages 21, 152
Narrow-complex tachycardia peds 0.1 mg/kg IV/IO not captured standing pages 21, 152
Wide-complex tachycardia adult 6 mg IV/IO not captured standing pages 22, 152
Wide-complex tachycardia peds 0.1 mg/kg IV/IO not captured standing pages 22, 152

Albuterol

IndicationPopulationDoseRouteRepeatStandingSource
Anaphylaxis adult 2.5 mg not captured not captured standing page 61
Anaphylaxis peds 2.5 mg not captured not captured standing page 61
Asthma / bronchospasm adult 2.5 mg not captured not captured standing pages 29, 153
Asthma / bronchospasm adult 2.5 mg not captured not captured standing page 153
Asthma / bronchospasm peds 2.5–5 mg not captured not captured standing pages 29, 153
Asthma / bronchospasm peds 2.5–5 mg not captured not captured standing page 153
Crush injury adult 5 mg not captured not captured standing pages 49, 66
Crush injury peds 5 mg not captured not captured standing pages 49, 66
Hyperkalemia adult 10 mg not captured not captured standing page 25

Amiodarone

IndicationPopulationDoseRouteRepeatStandingSource
Cardiac arrest adult 300 mg IV/IO not captured standing page 154
Cardiac arrest peds 5 mg/kg IV/IO not captured standing page 154
Other adult 300 mg IV/IO not captured standing pages 23, 58, 154
Other peds 5 mg/kg IV/IO not captured standing pages 23, 58, 154
Narrow-complex tachycardia adult 150 mg IV/IO not captured standing pages 21, 154
Narrow-complex tachycardia peds 5 mg/kg IV/IO not captured standing pages 21, 154
Wide-complex tachycardia adult 150 mg IV/IO not captured standing pages 22, 57, 154
Wide-complex tachycardia peds 5 mg/kg IV/IO not captured standing pages 22, 57, 154
VF / pulseless VT adult 300 mg IV/IO not captured standing pages 23, 58, 154
VF / pulseless VT peds 5 mg/kg IV/IO not captured standing pages 23, 58, 154

Aspirin

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 325 mg PO not captured standing page 26
ACS / chest pain adult 325 mg PO not captured standing page 26

Atropine

IndicationPopulationDoseRouteRepeatStandingSource
Bradycardia adult 0.5–1 mg IV not captured standing pages 20, 155
Bradycardia peds 0.02 mg/kg IV not captured standing pages 20, 155
Organophosphate poisoning adult 2 mg IV/IO not captured standing pages 37, 66, 155
Organophosphate poisoning peds 0.08 mg/kg IV/IO not captured standing pages 37, 66, 155
Other adult 2–5 drop IV not captured standing pages 16, 155
Other peds 0.02 mg/kg IV/IO not captured standing pages 53, 155
RSI induction peds 0.02 mg/kg IV/IO not captured standing pages 53, 155

Bumetanide

IndicationPopulationDoseRouteRepeatStandingSource
CHF / pulmonary edema adult 0.5–2 mg IV/IO not captured standing page 156

Calcium Chloride

IndicationPopulationDoseRouteRepeatStandingSource
Beta-blocker / calcium-channel-blocker overdose adult 1–2 g IV/IO not captured standing page 37
Crush injury adult 1 g IV/IO not captured standing page 49
Hyperkalemia adult 1000 mg IV/IO not captured standing page 25
Hyperkalemia peds 10 mg/kg IV/IO not captured standing page 25

Clopidogrel Bisulfate

IndicationPopulationDoseRouteRepeatStandingSource
STEMI adult 300 mg PO not captured standing page 157

Dexamethasone

IndicationPopulationDoseRouteRepeatStandingSource
Anaphylaxis adult 0.6 mg/kg IV/IO/IM/PO not captured standing page 61
Anaphylaxis peds 0.6 mg/kg IV/IO/IM/PO not captured standing page 61
Asthma / bronchospasm adult 0.6 mg/kg IV/IO/IM/PO not captured standing page 29
Asthma / bronchospasm peds 0.6 mg/kg IV/IO/IM/PO not captured standing page 29
Croup adult 0.6 mg/kg IV/IO/IM/PO not captured standing page 63
Croup peds 0.6 mg/kg IV/IO/IM/PO not captured standing page 63
Other adult 0.6 mg/kg IV/IO/IM/PO not captured standing page 63
Other peds 0.6 mg/kg IV/IO/IM/PO not captured standing page 63

Dextrose

IndicationPopulationDoseRouteRepeatStandingSource
Hypoglycemia adult 12.5–25 g IV/IO not captured standing pages 34, 158
Hypoglycemia peds 0.5 g/kg IV/IO not captured standing pages 34, 158

Diazepam

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 2–5 mg IV/IM/IN not captured standing page 26
Agitation adult 2–5 mg IV/IO/IM/IN not captured standing pages 26, 38
Eclampsia / pre-eclampsia adult 10 mg PR not captured standing page 159
Eclampsia / pre-eclampsia adult 2–5 mg IV not captured standing page 159
Hyperactive delirium adult 2–5 mg IV/IO/IM not captured standing page 39
Hyperactive delirium peds 2–10 mg IV/IO/IM not captured standing page 39
Other adult 2–5 mg IV/IO not captured standing page 159
Other adult 2–5 mg IV/IO/IM/IN not captured standing page 37
Other adult 2–5 mg IV/IM/IN not captured standing page 16
Other peds 0.1 mg/kg IV/IO not captured standing page 159
Seizure adult 10 mg PR not captured standing page 159
Seizure adult 2–5 mg IM not captured standing page 159
Seizure adult 5 mg IV/IO not captured standing page 159
Seizure peds 0.1 mg/kg IV/IO not captured standing page 159
Seizure peds 0.5 mg/kg PR not captured standing page 159

Diltiazem

IndicationPopulationDoseRouteRepeatStandingSource
Narrow-complex tachycardia adult 10–25 mg IV/IO not captured standing page 21

Diphenhydramine

IndicationPopulationDoseRouteRepeatStandingSource
Allergic reaction adult 25–50 mg PO not captured standing pages 33, 160
Allergic reaction adult 25–50 mg IV/IM/PO not captured standing pages 33, 160
Allergic reaction peds 1 mg/kg PO not captured standing pages 33, 160
Allergic reaction peds 1 mg/kg IV/IM/PO not captured standing pages 33, 160
Nausea / vomiting adult 25–50 mg PO not captured standing pages 32, 36, 160
Nausea / vomiting peds 25–50 mg IV/IM/PO not captured standing page 36

Epinephrine

IndicationPopulationDoseRouteRepeatStandingSource
Anaphylaxis adult 0.1–0.3 mg IM not captured standing pages 33, 61, 161
Anaphylaxis peds 0.01 mg/kg IM not captured standing pages 33, 61, 161
Asthma / bronchospasm adult 0.1–0.3 mg IM not captured standing pages 29, 161
Asthma / bronchospasm adult 0.3 mL not captured not captured standing pages 29, 161
Bradycardia adult 2–10 mcg IV/IO not captured standing pages 20, 55, 161
Bradycardia peds 0.01 mg/kg IV/IO not captured standing pages 20, 55, 161
Cardiac arrest adult 1 mg IV/IO not captured standing pages 23, 24, 58, 59, 161
Cardiac arrest peds 0.01 mg/kg IV/IO not captured standing pages 23, 24, 58, 59, 161

Etomidate

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 0.1 mg/kg IV/IO not captured standing pages 38, 162
RSI induction adult 0.1–0.3 mg/kg IV not captured standing pages 53, 162
RSI induction peds 0.1–0.3 mg/kg IV not captured standing pages 53, 162

Famotidine

IndicationPopulationDoseRouteRepeatStandingSource
Allergic reaction adult 20 mg IV/IO not captured standing pages 33, 61, 163
Allergic reaction peds 0.25 mg/kg IV/IO not captured standing pages 33, 61, 163

Fentanyl

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 25 mcg IV not captured standing pages 26, 163
Other adult 25 mcg not captured not captured standing pages 16, 163
Other peds 2 mcg/kg IV not captured standing pages 53, 163
Mild to moderate pain adult 1 mcg/kg IV/IO/IM/IN not captured standing pages 38, 67, 163
Mild to moderate pain peds 1 mcg/kg IV/IO/IM/IN not captured standing pages 38, 67, 163

Furosemide

IndicationPopulationDoseRouteRepeatStandingSource
CHF / pulmonary edema adult 40–80 mg IV not captured standing pages 30, 164
Hyperkalemia adult 40 mg IV not captured standing pages 25, 164
Hyperkalemia peds 40 mg IV not captured standing pages 25, 164

Glucagon

IndicationPopulationDoseRouteRepeatStandingSource
Beta-blocker / calcium-channel-blocker overdose adult 3–5 mg IV/IM/IN not captured standing pages 37, 164
Beta-blocker / calcium-channel-blocker overdose adult 3–5 mg IV/IM/IN not captured standing pages 37, 164
Hypoglycemia adult 1 mg IM/IN not captured standing pages 34, 70, 164
Hypoglycemia peds 0.1 mg/kg IM/IN not captured standing pages 34, 70, 164
Other peds 0.1 mg/kg IV/IO not captured standing pages 66, 164

Heparin Sodium

IndicationPopulationDoseRouteRepeatStandingSource
STEMI adult 60 unit/kg (max 4000 unit) IV not captured standing pages 26, 165

Hydromorphone

IndicationPopulationDoseRouteRepeatStandingSource
Mild to moderate pain adult 0.5 mg IV not captured standing pages 26, 166
Mild to moderate pain adult 1–2 mg IM not captured standing page 166
Mild to moderate pain peds 0.015 mg/kg IV not captured standing pages 26, 166
Mild to moderate pain peds 0.015 mg/kg IM not captured standing page 166

Ipratropium

IndicationPopulationDoseRouteRepeatStandingSource
Allergic reaction adult 0.5 mg not captured not captured standing page 33
Asthma / bronchospasm adult 0.5 mg not captured not captured standing pages 29, 63, 167
Asthma / bronchospasm peds 0.5 mg not captured not captured standing pages 29, 63, 167

Ketamine

IndicationPopulationDoseRouteRepeatStandingSource
Hyperactive delirium adult 5–10 mg/kg IM not captured standing pages 39, 167
Hyperactive delirium peds 5–10 mg/kg IM not captured standing pages 39, 167
Other adult 0.5–1 mg/kg IV/IO not captured standing pages 37, 66
Other peds 0.5–1 mg/kg IV/IO not captured standing pages 37, 66
Mild to moderate pain adult 0.25 mg/kg IV/IO not captured standing page 67
Mild to moderate pain adult 0.5 mg/kg IM not captured standing pages 38, 67
Procedural sedation adult 0.5–2 mg/kg IV/IO not captured standing pages 38, 167
Procedural sedation peds 0.5–2 mg/kg IV/IO not captured standing pages 38, 167
RSI induction adult 1–2 mg/kg IV not captured standing pages 53, 167
RSI induction peds 4–5 mg IM not captured standing pages 53, 167

Ketorolac

IndicationPopulationDoseRouteRepeatStandingSource
Mild to moderate pain adult 15 mg IV not captured standing pages 17, 36, 169
Mild to moderate pain adult 30 mg IM not captured standing pages 32, 169
Mild to moderate pain peds 0.5 mg/kg IV not captured standing pages 17, 36, 169
Mild to moderate pain peds 1 mg/kg IM not captured standing pages 32, 169

Labetalol

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 10–20 mg IV not captured standing page 26
Other adult 10–20 mg IV not captured standing page 170

Lidocaine

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 0.5–1 mg/kg IV/IO not captured standing page 171
Wide-complex tachycardia adult 1–1.5 mg/kg IV/IO not captured standing page 22
Wide-complex tachycardia peds 1–1.5 mg/kg IV/IO not captured standing page 22
VF / pulseless VT adult 1–1.5 mg/kg IV/IO not captured standing page 23
VF / pulseless VT peds 1–1.5 mg/kg IV/IO not captured standing page 23

Lorazepam

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 0.5–4 mg IV/IM/IN not captured standing page 26
Hyperactive delirium adult 0.5–2 mg IV/IO/IM/IN not captured standing page 38
Hyperactive delirium peds 0.5–2 mg IV/IO/IM/IN not captured standing page 38
Other adult 0.5–2 mg IV/IO/IM/IN not captured standing page 39
Other adult 0.5–4 mg IV/IM/IN not captured standing page 16
Other peds 0.5–4 mg IV/IO/IM/IN not captured standing page 39
Seizure adult 1–2 mg IV/IO/IM/IN not captured standing page 70
Seizure peds 0.1 mg/kg IV/IO/IM/IN not captured standing page 70

Magnesium Sulfate

IndicationPopulationDoseRouteRepeatStandingSource
Asthma / bronchospasm adult 2 g IV not captured standing pages 29, 63
Crush injury adult 1 mEq/kg IV not captured standing page 49
Crush injury peds 1 mEq/kg IV not captured standing page 49
Eclampsia / pre-eclampsia adult 4 g IV not captured standing page 42
Wide-complex tachycardia adult 2 g IV not captured standing page 22
Wide-complex tachycardia peds 50 mg/kg IV not captured standing page 22
VF / pulseless VT adult 2 g IV not captured standing page 23
VF / pulseless VT peds 50 mg/kg IV not captured standing page 23

Methylprednisolone

IndicationPopulationDoseRouteRepeatStandingSource
Allergic reaction adult 125 mg IV/IO/IM not captured standing page 33
Allergic reaction peds 2 mg/kg IV/IO/IM not captured standing page 33
Anaphylaxis adult 125 mg IV/IO/IM not captured standing page 61
Anaphylaxis peds 2 mg/kg IV/IO/IM not captured standing page 61
Asthma / bronchospasm adult 125 mg IV/IO/IM not captured standing pages 29, 63
Asthma / bronchospasm peds 2 mg/kg IV/IO/IM not captured standing pages 29, 63

Metoprolol

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 2.5–5 mg IV not captured standing page 26
Narrow-complex tachycardia adult 2.5–5 mg IV not captured standing page 21

Midazolam

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 2.5–5 mg IV/IM/IN not captured standing page 26
Hyperactive delirium adult 2.5–5 mg IV/IO/IM/IN not captured standing pages 38, 39
Hyperactive delirium peds 2.5–10 mg IV/IO/IM/IN not captured standing pages 38, 39
Other adult 2.5–5 mg IV/IM/IN not captured standing page 16
Procedural sedation adult 2–2.5 mg IV/IO/IM/IN not captured standing page 16
RSI induction adult 0.1 mg/kg IV/IO not captured standing pages 93, 94
RSI induction peds 0.1 mg/kg IV/IO not captured standing pages 93, 94
Seizure adult 2.5–5 mg IV/IM/IN not captured standing page 40
Seizure peds 5–10 mg IV/IM/IN not captured standing page 40

Morphine

IndicationPopulationDoseRouteRepeatStandingSource
Mild to moderate pain adult 2 mg IV not captured standing pages 26, 38, 177
Mild to moderate pain adult 2 mg IM not captured standing pages 26, 38, 177
Mild to moderate pain peds 0.1 mg/kg IV not captured standing pages 26, 38, 177
Mild to moderate pain peds 0.1 mg/kg IM not captured standing pages 26, 38, 177

Naloxone

IndicationPopulationDoseRouteRepeatStandingSource
Opioid overdose adult 0.4–4 mg IN not captured standing pages 37, 65, 177
Opioid overdose adult 0.4–4 mg IV/IO/IM not captured standing pages 37, 65, 177
Opioid overdose peds 0.1 mg/kg IN not captured standing pages 37, 65, 177
Opioid overdose peds 0.1 mg/kg IV/IO/IM not captured standing pages 37, 65, 177

Nitroglycerin

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 0.4 mg SL not captured standing pages 26, 30, 178
ACS / chest pain adult 1 inch TOP not captured standing pages 26, 30, 178

Norepinephrine

IndicationPopulationDoseRouteRepeatStandingSource
Hypotension / shock adult 2–20 mcg IV/IO not captured standing pages 17, 19, 31, 180
Hypotension / shock adult 2–20 mcg IV/IO not captured standing page 19
Other adult 2–20 mcg IV/IO not captured standing page 31
Sepsis adult 2–20 mcg IV/IO not captured standing page 17

Ondansetron

IndicationPopulationDoseRouteRepeatStandingSource
Nausea / vomiting adult 4 mg SL not captured standing pages 32, 36, 181
Nausea / vomiting adult 4–8 mg IV/IM not captured standing pages 32, 36, 181
Nausea / vomiting peds 0.15 mg/kg SL not captured standing pages 32, 36, 181
Nausea / vomiting peds 0.15 mg/kg IV/IM not captured standing pages 32, 36, 181

Oral Glucose

IndicationPopulationDoseRouteRepeatStandingSource
Hypoglycemia adult One tube PO not captured standing pages 34, 37, 65, 165
Hypoglycemia adult One tube PO not captured standing page 165
Hypoglycemia peds One tube PO not captured standing pages 34, 37, 65, 165
Hypoglycemia peds One tube PO not captured standing page 165
Other peds One tube PO not captured standing page 64

Oxymetazoline

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 2–3 puff IN not captured standing page 182
RSI induction adult 2–3 puff IN not captured standing pages 92, 182

Oxytocin

IndicationPopulationDoseRouteRepeatStandingSource
Obstetric hemorrhage adult 10 unit IM not captured standing page 43
Obstetric hemorrhage adult 20 unit IV not captured standing page 43

Prednisone

IndicationPopulationDoseRouteRepeatStandingSource
Asthma / bronchospasm adult 60 mg PO not captured standing pages 29, 183
Asthma / bronchospasm peds 1–2 mg/kg PO not captured standing pages 29, 183

Procainamide

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 20 mg IV not captured standing page 21
Other adult 20 mg IV not captured standing page 22
Other adult 4 mg/kg IV not captured standing pages 56, 57
Other peds 4 mg/kg IV not captured standing pages 56, 57

Promethazine

IndicationPopulationDoseRouteRepeatStandingSource
Nausea / vomiting adult 6.25–12.5 mg IV/IM not captured standing pages 32, 36, 50, 61, 184
Nausea / vomiting peds 6.25–12.5 mg IV/IM not captured standing pages 32, 36, 50, 61, 184

Propofol

IndicationPopulationDoseRouteRepeatStandingSource
Hyperactive delirium adult 20–50 mg IV not captured standing page 185

Rocuronium

IndicationPopulationDoseRouteRepeatStandingSource
RSI induction adult 0.6–1.2 mg/kg IV not captured standing pages 53, 93, 94, 186
RSI induction peds 0.6–1.2 mg/kg IV not captured standing pages 53, 93, 94, 186

Sodium Bicarbonate

IndicationPopulationDoseRouteRepeatStandingSource
Cardiac arrest adult 1 mEq/kg IV/IO not captured standing pages 23, 24, 25, 37, 58, 59
Cardiac arrest peds 1 mEq/kg IV/IO not captured standing pages 23, 24, 25, 37, 58, 59
Hyperkalemia adult 1 mEq/kg IV/IO not captured standing pages 25, 49
Hyperkalemia peds 1 mEq/kg IV/IO not captured standing pages 25, 49
Other adult 1.5 mEq/kg IV/IO not captured standing pages 37, 66
Other adult 50 mEq IV/IO not captured standing pages 34, 35
Other peds 1 mEq/kg IV/IO not captured standing pages 37, 66
Other peds 50 mEq IV/IO not captured standing pages 34, 35

Succinylcholine

IndicationPopulationDoseRouteRepeatStandingSource
Other peds 2 mg/kg IV not captured standing pages 53, 187
RSI induction adult 1.5 mg/kg IV not captured standing pages 93, 187
RSI induction peds 2 mg/kg IV not captured standing pages 93, 187

Tenecteplase

IndicationPopulationDoseRouteRepeatStandingSource
STEMI adult 30 mg IV not captured standing page 187

Thiamine

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 100 mg IV/IM not captured standing pages 34, 188

Ticagrelor

IndicationPopulationDoseRouteRepeatStandingSource
STEMI adult 180 mg PO not captured standing page 188

Tranexamic Acid

IndicationPopulationDoseRouteRepeatStandingSource
Trauma / hemorrhage adult 1 g IV not captured standing pages 45, 189
Trauma / hemorrhage peds 15 mg/kg IV not captured standing pages 45, 189

Vecuronium

IndicationPopulationDoseRouteRepeatStandingSource
RSI induction adult 0.1 mg/kg IV not captured standing pages 94, 191
RSI induction peds 0.1 mg/kg IV not captured standing pages 94, 191

Verapamil

IndicationPopulationDoseRouteRepeatStandingSource
Narrow-complex tachycardia adult 5 mg IV/IO not captured standing pages 21, 191