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Norton Sound Health Corporation

Name: Norton Sound Health Corporation EMS protocol doses
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May be outdated102 dose entries23 drugs1 documentAKeffective 2024-05-10100% machine-parsed of 102

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Drugs and doses23

A–C Adenosine, Albuterol, Amiodarone, Aspirin, Atropine5

Adenosine

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	6 mg	IV	not captured	standing	page 151
SVT	adult	6 mg	IV	not captured	standing	pages 44, 47, 151
SVT	peds	0.1 mg/kg	IV	not captured	standing	pages 44, 47, 151

Albuterol

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	2.5 mg	NEB	not captured	standing	pages 18, 19, 153
Anaphylaxis	peds	2.5 mg	NEB	not captured	standing	pages 18, 19, 153
Asthma / bronchospasm	adult	2.5 mg	NEB	not captured	standing	pages 18, 56, 82, 84, 88, 153
Asthma / bronchospasm	peds	2.5 mg	NEB	not captured	standing	pages 18, 56, 82, 84, 88, 153
Hyperkalemia	adult	2.5 mg	NEB	not captured	standing	pages 25, 56, 57, 153
Hyperkalemia	peds	2.5 mg	NEB	not captured	standing	pages 25, 56, 57, 153

Amiodarone

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	150 mg	IV	not captured	standing	pages 40, 48, 154
Wide-complex tachycardia	adult	150 mg	IV	not captured	standing	pages 44, 154
Wide-complex tachycardia	peds	5 mg/kg	IV	not captured	standing	pages 44, 154
VF / pulseless VT	adult	300 mg	IV/IO	not captured	standing	pages 28, 30, 154
VF / pulseless VT	adult	300 mg	IV/IO	not captured	standing	pages 28, 30, 154
VF / pulseless VT	peds	5 mg/kg	IV/IO	not captured	standing	pages 28, 30, 154
VF / pulseless VT	peds	5 mg/kg	IV/IO	not captured	standing	pages 28, 30, 154

Aspirin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	324 mg	PO	not captured	standing	pages 36, 37, 155

Atropine

Indication	Population	Dose	Route	Repeat	Standing	Source
Bradycardia	adult	1 mg	IV/IO	not captured	standing	pages 32, 34, 156
Bradycardia	peds	0.02 mg/kg	IV/IO	not captured	standing	pages 32, 34, 156
Organophosphate poisoning	adult	2–6 mg	IV	not captured	standing	pages 80, 156

D–F Dextrose, Diphenhydramine, Epinephrine, Fentanyl4

Dextrose

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypoglycemia	adult	25 g	IV/IO	not captured	standing	pages 16, 20, 90, 92, 94, 96, 157
Hypoglycemia	peds	2–4 mL/kg	IV/IO	not captured	standing	pages 16, 20, 90, 92, 94, 96, 157
Hypoglycemia	peds	5 mL/kg	IV/IO	not captured	standing	pages 16, 20, 90, 92, 94, 96, 157

Diphenhydramine

Indication	Population	Dose	Route	Repeat	Standing	Source
Allergic reaction	adult	50 mg	IV/IO/IM	not captured	standing	pages 18, 19, 159
Allergic reaction	peds	1–2 mg/kg	IV/IO/IM	not captured	standing	pages 18, 19, 159
Dystonic reaction	adult	50 mg	IV/IO/IM	not captured	standing	page 159
Dystonic reaction	peds	1–2 mg/kg	IV/IO/IM	not captured	standing	page 159
Nausea / vomiting	adult	50 mg	IV/IO/IM	not captured	standing	page 159
Nausea / vomiting	peds	1–2 mg/kg	IV/IO/IM	not captured	standing	page 159
Other	adult	50 mg	IV/IO/IM	not captured	standing	page 159
Other	adult	50 mg	IV/IO/IM	not captured	standing	pages 20, 21, 159, 216
Other	peds	1–2 mg/kg	IV/IO/IM	not captured	standing	page 159
Other	peds	1–2 mg/kg	IV/IO/IM	not captured	standing	pages 20, 21, 159, 216

Epinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	0.3 mg	IM	not captured	standing	pages 18, 19, 160, 161
Anaphylaxis	peds	0.01 mg/kg	IM	not captured	standing	pages 18, 19, 160, 161
Asthma / bronchospasm	adult	0.3 mg	SQ	not captured	standing	pages 82, 84, 160, 161
Asthma / bronchospasm	peds	0.01 mg/kg	SQ	not captured	standing	pages 82, 84, 160, 161
Bradycardia	adult	0.5 mL	IV/IO	not captured	standing	pages 32, 34, 160, 161
Bradycardia	peds	0.01 mg/kg	IV/IO	not captured	standing	pages 32, 34, 160, 161
Cardiac arrest	adult	1 mg	IV/IO	not captured	standing	pages 24, 25, 26, 27, 28, 160, 161
Cardiac arrest	peds	0.01 mg/kg	IV/IO	not captured	standing	pages 24, 25, 26, 27, 28, 160, 161
Other	adult	0.1–0.25 mg	IV/IO	not captured	standing	pages 18, 19, 160, 161
Other	peds	0.01 mg/kg	IV/IO	not captured	standing	pages 18, 19, 160, 161

Fentanyl

Indication	Population	Dose	Route	Repeat	Standing	Source
Mild to moderate pain	adult	1–2 mcg/kg	IN	not captured	standing	pages 14, 36, 50, 54, 78, 102, 110, 112, 114, 118
Mild to moderate pain	adult	50–100 mcg	IV/IO	not captured	standing	pages 14, 36, 50, 54, 78, 102, 110, 112, 114, 118
Mild to moderate pain	peds	1–2 mcg/kg	IV/IO	not captured	standing	pages 14, 36, 50, 54, 78, 102, 110, 112, 114, 118
Mild to moderate pain	peds	1–2 mcg/kg	IN	not captured	standing	pages 14, 36, 50, 54, 78, 102, 110, 112, 114, 118

G–L Glucagon, Ipratropium, Ketamine, Lidocaine, Lorazepam5

Glucagon

Indication	Population	Dose	Route	Repeat	Standing	Source
Beta-blocker / calcium-channel-blocker overdose	adult	2 mg	IV	not captured	standing	pages 80, 164
Beta-blocker / calcium-channel-blocker overdose	adult	2 mg	IV	not captured	standing	pages 80, 164
Hypoglycemia	adult	1 mg	IM/IN	not captured	standing	pages 16, 20, 90, 92, 96, 164
Hypoglycemia	peds	0.1 mg/kg	IM/IN	not captured	standing	pages 16, 20, 90, 92, 96, 164

Ipratropium

Indication	Population	Dose	Route	Repeat	Standing	Source
Asthma / bronchospasm	adult	500 mcg	NEB	not captured	standing	pages 18, 82, 84, 88, 166
Asthma / bronchospasm	peds	0.5 mg	NEB	not captured	standing	pages 18, 82, 84, 88, 166

Ketamine

Indication	Population	Dose	Route	Repeat	Standing	Source
Hyperactive delirium	adult	4 mg/kg	IM	not captured	standing	pages 167, 216
Hyperactive delirium	peds	4 mg/kg	IM	not captured	standing	pages 167, 216
RSI induction	adult	2 mg/kg	IV	not captured	standing	page 191
RSI induction	adult	4 mg/kg	IM	not captured	standing	page 191

Lidocaine

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	1–1.5 mg/kg	IV/IO	not captured	standing	pages 48, 168
Mild to moderate pain	adult	20–40 mg	IO	not captured	standing	page 168
Mild to moderate pain	peds	0.5 mg/kg	IO	not captured	standing	page 168
Wide-complex tachycardia	adult	1–1.5 mg/kg	IV/IO	not captured	standing	pages 44, 168
Wide-complex tachycardia	peds	1 mg/kg	IV/IO	not captured	standing	pages 44, 168
VF / pulseless VT	adult	1–1.5 mg/kg	IV/IO	not captured	standing	pages 28, 30, 168
VF / pulseless VT	adult	1–1.5 mg/kg	IV/IO	not captured	standing	pages 28, 30, 168
VF / pulseless VT	peds	1 mg/kg	IV/IO	not captured	standing	pages 28, 30, 168
VF / pulseless VT	peds	1 mg/kg	IV/IO	not captured	standing	pages 28, 30, 168

Lorazepam

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	0.5–1 mg	IV/IO/IM/IN	not captured	standing	pages 32, 102, 170
Other	peds	0.05 mg/kg	IV/IO/IM/IN	not captured	standing	pages 32, 102, 170
Status epilepticus	adult	4 mg	IV/IO/IM	not captured	standing	page 170
Status epilepticus	peds	0.05 mg/kg	IV/IO/IM	not captured	standing	page 170

M–O Magnesium Sulfate, Methylprednisolone, Midazolam, Morphine, Naloxone, Nitroglycerin, Ondansetron7

Magnesium Sulfate

Indication	Population	Dose	Route	Repeat	Standing	Source
Asthma / bronchospasm	adult	2 g	IV/IO	not captured	standing	page 172
Asthma / bronchospasm	peds	25–50 mg/kg	IV/IO	not captured	standing	page 172
Eclampsia / pre-eclampsia	adult	4 g	IV/IO	not captured	standing	pages 76, 172
VF / pulseless VT	adult	1–2 g	IV/IO	not captured	standing	pages 28, 30, 172
VF / pulseless VT	peds	25–50 mg/kg	IV/IO	not captured	standing	pages 28, 30, 172

Methylprednisolone

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	125 mg	IV/IO/IM	not captured	standing	page 174
Anaphylaxis	peds	2 mg/kg	IV/IO/IM	not captured	standing	page 174
Asthma / bronchospasm	adult	125 mg	IV/IO/IM	not captured	standing	page 174
Asthma / bronchospasm	peds	2 mg/kg	IV/IO/IM	not captured	standing	page 174
COPD	adult	125 mg	IV/IO/IM	not captured	standing	page 174
COPD	peds	2 mg/kg	IV/IO/IM	not captured	standing	page 174

Midazolam

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	2 mg	IV/IO/IM/IN	not captured	standing	pages 14, 20, 175
Other	peds	0.1 mg/kg	IV/IO/IM/IN	not captured	standing	pages 14, 20, 175
Procedural sedation	adult	2 mg	IV/IO/IM/IN	not captured	standing	pages 32, 175
Status epilepticus	adult	2 mg	IV/IM/IN	not captured	standing	page 175
Status epilepticus	peds	0.1 mg/kg	IV/IM/IN	not captured	standing	page 175

Morphine

Indication	Population	Dose	Route	Repeat	Standing	Source
Mild to moderate pain	adult	2–4 mg	IV/IO/IM	not captured	standing	pages 14, 36, 50, 54, 78, 102, 110, 112, 114, 118, 177
Mild to moderate pain	peds	0.1 mg/kg	IV/IO/IM	not captured	standing	pages 14, 36, 50, 54, 78, 102, 110, 112, 114, 118, 177

Naloxone

Indication	Population	Dose	Route	Repeat	Standing	Source
Opioid overdose	adult	0.5 mg	IV/IO/IM/IN	not captured	standing	pages 16, 80, 178
Opioid overdose	peds	0.1 mg/kg	IV/IO/IM/IN	not captured	standing	pages 16, 80, 178

Nitroglycerin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	0.4 mg	SL	not captured	standing	pages 36, 37, 86, 87
Other	adult	1.2 mg	SL	not captured	standing	pages 58, 59

Ondansetron

Indication	Population	Dose	Route	Repeat	Standing	Source
Nausea / vomiting	adult	8 mg	IV/IO/IM	not captured	standing	pages 14, 36, 50, 98, 110, 112, 114, 181
Nausea / vomiting	adult	8 mg	ODT	not captured	standing	pages 14, 36, 50, 98, 110, 112, 114, 181
Nausea / vomiting	peds	0.1 mg/kg	IV/IO/IM	not captured	standing	pages 14, 36, 50, 98, 110, 112, 114, 181
Nausea / vomiting	peds	4 mg	ODT	not captured	standing	pages 14, 36, 50, 98, 110, 112, 114, 181

S–Z Sodium Bicarbonate, Tranexamic Acid2

Sodium Bicarbonate

Indication	Population	Dose	Route	Repeat	Standing	Source
Crush injury	adult	1 mEq/kg	IV/IO	not captured	standing	pages 108, 109, 183
Hyperkalemia	adult	1 mEq/kg	IV/IO	not captured	standing	pages 25, 56, 57, 183
Hyperkalemia	peds	1 mEq/kg	IV/IO	not captured	standing	pages 25, 56, 57, 183
Tricyclic overdose	adult	1 mEq/kg	IV/IO	not captured	standing	pages 24, 80, 183
Tricyclic overdose	peds	1 mEq/kg	IV/IO	not captured	standing	pages 24, 80, 183

Tranexamic Acid

Indication	Population	Dose	Route	Repeat	Standing	Source
Trauma / hemorrhage	adult	2 g	IV	not captured	standing	pages 102, 184

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Norton Sound Health Corporation, United States EMS Protocol Census. 102 dose entries, effective 2024-05-10.

https://protoquiz.com/census/agencies/norton-sound-health-corporation/

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