City
Office of the EMS Medical Director for Kansas City, Missouri
Office of the EMS Medical Director for Kansas City, Missouri (Kansas City, MO) carries 20 drugs across 69 dose entries in its current published protocol, effective 2026-04-01.
Drugs and doses20
Albuterol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 2.5 mg | NEB | not captured | standing | pages 53, 70, 83 |
| Asthma / bronchospasm | peds | 2.5 mg | NEB | not captured | standing | pages 53, 70, 83 |
Amiodarone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | adult | 300 mg | IV/IO | not captured | standing | pages 75, 86, 149 |
| Cardiac arrest | peds | 5 mg/kg | IV/IO | not captured | standing | pages 75, 86, 149 |
| Narrow-complex tachycardia | adult | 150 mg | IV/IO | not captured | standing | pages 74, 149 |
Aspirin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 324 mg | PO | not captured | standing | pages 72, 150 |
Atropine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Bradycardia | adult | 1 mg | IV/IO | not captured | standing | pages 73, 151 |
| Bradycardia | peds | 0.02 mg/kg | IV/IO | not captured | standing | pages 73, 151 |
| Nerve agent exposure | adult | 1 mg | IV/IM | not captured | standing | pages 104, 105, 151 |
| Organophosphate poisoning | adult | 1 mg | IV/IM | not captured | standing | pages 104, 105, 151 |
Calcium Chloride
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1 g | IV/IO | not captured | standing | pages 75, 153 |
| Other | adult | 1 g | IV/IO | not captured | standing | pages 95, 153 |
| Other | peds | 1 g | IV/IO | not captured | standing | pages 75, 153 |
| Other | peds | 1 g | IV/IO | not captured | standing | pages 95, 153 |
Dextrose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 125 mL | IV | not captured | standing | pages 59, 154 |
| Hypoglycemia | peds | 5 mL/kg | IV | not captured | standing | pages 59, 154 |
Diphenhydramine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 1 mg/kg (max 50 mg) | IV/IO/IM | not captured | standing | page 53 |
| Anaphylaxis | peds | 1 mg/kg (max 50 mg) | IV/IO/IM | not captured | standing | page 53 |
Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 0.01 mg/kg | IM | not captured | standing | page 53 |
| Anaphylaxis | adult | 0.01 mg/kg | IM | not captured | standing | page 53 |
| Anaphylaxis | peds | 0.01 mg/kg | IM | not captured | standing | page 53 |
| Anaphylaxis | peds | 0.01 mg/kg | IM | not captured | standing | page 53 |
| Bradycardia | peds | 0.01 mg/kg | IV/IO | not captured | standing | pages 73, 84, 86 |
| Cardiac arrest | adult | 1 mg | IV/IO | not captured | standing | pages 75, 86 |
| Cardiac arrest | peds | 0.01 mg/kg | IV/IO | not captured | standing | pages 75, 86 |
| Hypotension / shock | adult | 10–20 mcg | IV/IO | not captured | standing | page 60 |
Fentanyl
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 25–100 mcg | IV/IO | not captured | standing | pages 64, 65 |
| Other | peds | 1–2 mcg/kg | IV/IO | not captured | standing | pages 64, 65 |
| Severe pain | adult | 50 mcg | IV/IM/IN | not captured | standing | page 63 |
| Severe pain | peds | 1 mcg/kg | IV/IM/IN | not captured | standing | page 63 |
Glucagon
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 1 mg | IM/IN/SQ | not captured | standing | page 59 |
| Hypoglycemia | peds | 0.1 mg/kg | IM/IN/SQ | not captured | standing | page 59 |
Hydroxocobalamin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cyanide poisoning | adult | 5 g | IV | not captured | standing | page 56 |
| Cyanide poisoning | peds | 70 mg/kg | IV | not captured | standing | page 56 |
Ipratropium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 0.5 mg | NEB | not captured | standing | pages 70, 83, 152 |
| Asthma / bronchospasm | adult | 0.5 mg | NEB | not captured | standing | pages 70, 83, 152 |
| Asthma / bronchospasm | peds | 0.5 mg | NEB | not captured | standing | pages 70, 83, 152 |
| Asthma / bronchospasm | peds | 0.5 mg | NEB | not captured | standing | pages 70, 83, 152 |
| COPD | adult | 0.5 mg | NEB | not captured | standing | pages 70, 152 |
Magnesium Sulfate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 2 g | IV/IO | not captured | standing | page 83 |
| Asthma / bronchospasm | peds | 50 mg/kg (max 2 g) | IV/IO | not captured | standing | page 83 |
| Seizure | adult | 4 g | IV/IO | not captured | standing | page 66 |
| VF / pulseless VT | adult | 2 g | IV/IO | not captured | standing | pages 74, 75 |
| VF / pulseless VT | peds | 2 g | IV/IO | not captured | standing | pages 74, 75 |
Methylprednisolone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 125 mg | IV/IO | not captured | standing | pages 70, 83, 161 |
| Asthma / bronchospasm | peds | 2 mg/kg | IV/IO | not captured | standing | pages 70, 83, 161 |
| Other | adult | 125 mg | IV/IO | not captured | standing | pages 60, 161 |
| Other | peds | 2 mg/kg | IV/IO | not captured | standing | pages 60, 161 |
Midazolam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 0.1 mg/kg (max 10 mg) | IV/IO/IM/IN | not captured | standing | page 55 |
| Agitation | peds | 0.1 mg/kg (max 5 mg) | IV/IO/IM/IN | not captured | standing | page 55 |
| Other | adult | 2–5 mg | IV/IO | not captured | standing | page 64 |
| Other | peds | 0.2–0.3 mg/kg (max 5 mg) | IV/IO | not captured | standing | page 64 |
| Procedural sedation | adult | 1–2 mg | IV/IN | not captured | standing | page 73 |
| Seizure | adult | 0.1 mg/kg (max 5 mg) | IV/IO/IM/IN | not captured | standing | page 66 |
| Seizure | peds | 0.1 mg/kg (max 5 mg) | IV/IO/IM/IN | not captured | standing | page 66 |
Naloxone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Opioid overdose | adult | 0.4–2 mg | IV/IO/IM | not captured | standing | pages 54, 62 |
| Opioid overdose | peds | 0.1 mg/kg (max 2 mg) | IV/IO/IM | not captured | standing | pages 54, 62 |
Nerve Agent Antidote Kit
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nerve agent exposure | adult | 1 DuoDote | IM | not captured | standing | pages 104, 105 |
| Organophosphate poisoning | adult | 1 DuoDote | IM | not captured | standing | pages 104, 105 |
| Other | adult | 3 DuoDotes | IM | not captured | standing | pages 104, 105 |
Nitroglycerin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 0.4 mg | SL | not captured | standing | pages 71, 72, 164 |
| CHF / pulmonary edema | adult | 0.4 mg | SL | not captured | standing | pages 71, 164 |
| CHF / pulmonary edema | adult | 0.4 mg | SL | not captured | standing | pages 71, 164 |
Ondansetron
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | adult | 4 mg | IV/PO | not captured | standing | pages 61, 165 |
| Nausea / vomiting | peds | 4 mg | IV/PO | not captured | standing | pages 61, 165 |
Sodium Bicarbonate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Crush injury | adult | 1 mEq/kg | IV/IO | not captured | standing | pages 95, 167 |
| Crush injury | peds | 1 mEq/kg | IV/IO | not captured | standing | pages 95, 167 |
| Other | adult | 1 mEq/kg | IV | not captured | standing | pages 62, 167 |
| Other | peds | 1 mEq/kg | IV | not captured | standing | pages 62, 167 |