Regional
Old Dominion EMS Alliance, Inc.
Old Dominion EMS Alliance, Inc. (Henrico, VA) carries 41 drugs across 190 dose entries in its current published protocol, effective 2026-06-17.
Drugs and doses41
Adenosine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| SVT | adult | 6 mg | IV | not captured | standing | page 458 |
| SVT | peds | 0.1 mg/kg | IV | not captured | standing | page 458 |
Albuterol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 1-2 inhalations | MDI | not captured | standing | page 460 |
| Asthma / bronchospasm | adult | 5 mg | NEB | not captured | standing | page 460 |
| Asthma / bronchospasm | peds | 2.5 mg | NEB | not captured | standing | page 460 |
Amiodarone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Wide-complex tachycardia | adult | 150 mg | IV | not captured | standing | page 462 |
| Wide-complex tachycardia | adult | 300 mg | IV | not captured | standing | page 462 |
| Wide-complex tachycardia | peds | 5 mg/kg | IV | not captured | standing | page 462 |
| Wide-complex tachycardia | peds | 5 mg/kg | IV | not captured | standing | page 462 |
| VF / pulseless VT | adult | 300 mg | IV | not captured | standing | page 462 |
| VF / pulseless VT | peds | 5 mg/kg | IV | not captured | standing | page 462 |
Aspirin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 324 mg | PO | not captured | standing | page 464 |
| ACS / chest pain | adult | 324 mg | PO | not captured | standing | page 464 |
Atropine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Bradycardia | adult | 0.5–1 mg | IV | not captured | standing | page 466 |
| Bradycardia | peds | 0.02 mg/kg | IV | not captured | standing | page 466 |
| Organophosphate poisoning | adult | 1–2 mg | IV | not captured | standing | page 466 |
| Organophosphate poisoning | peds | 0.05 mg/kg | IV | not captured | standing | page 466 |
Bumetanide
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| CHF / pulmonary edema | adult | 1–2 mg | IV | not captured | standing | page 470 |
| CHF / pulmonary edema | adult | 1–2 mg | IV | not captured | standing | page 470 |
| Other | adult | 1–2 mg | IV | not captured | standing | page 470 |
Calcium Chloride
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Beta-blocker / calcium-channel-blocker overdose | peds | 20 mg/kg | IV | not captured | standing | page 472 |
| Hyperkalemia | peds | 20 mg/kg | IV | not captured | standing | page 472 |
| Other | peds | 20 mg/kg | IV | not captured | standing | page 472 |
Dexamethasone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 10 mg | IV/IM/PO | not captured | standing | page 141 |
| Asthma / bronchospasm | peds | 0.6 mg/kg | IV/IM/PO | not captured | standing | page 141 |
| Croup | adult | 10 mg | IV/IM/PO | not captured | standing | page 324 |
| Croup | peds | 0.6 mg/kg | IV/IM/PO | not captured | standing | page 324 |
Dextrose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 100 mL | IV/IO | not captured | standing | page 476 |
| Hypoglycemia | peds | 2 mL/kg | IV/IO | not captured | standing | page 476 |
Diazepam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 2.5–5 mg | IV | not captured | standing | page 66 |
| Agitation | adult | 2.5–5 mg | IV/IM | not captured | standing | page 115 |
| Seizure | adult | 2.5–5 mg | IV | not captured | standing | page 145 |
| Seizure | peds | 0.25 mg/kg | IV | not captured | standing | page 145 |
Diltiazem
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Atrial fibrillation with RVR | adult | 0.25 mg/kg | IV | not captured | standing | page 484 |
| Atrial fibrillation with RVR | peds | 1 mcg/kg | IV | not captured | standing | page 484 |
| SVT | adult | 0.25 mg/kg | IV | not captured | standing | page 484 |
| SVT | peds | 1 mcg/kg | IV | not captured | standing | page 484 |
Diphenhydramine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 25–50 mg | IV/IM | not captured | standing | page 110 |
| Allergic reaction | adult | 25–50 mg | IV/IM | not captured | standing | page 486 |
| Allergic reaction | peds | 1 mg/kg | IV/IM | not captured | standing | page 110 |
| Allergic reaction | peds | 1 mg/kg | IV/IM | not captured | standing | page 486 |
| Anaphylaxis | adult | 25–50 mg | IV/IM | not captured | standing | page 110 |
| Anaphylaxis | peds | 1 mg/kg | IV/IM | not captured | standing | page 110 |
| Dystonic reaction | adult | 25–50 mg | IV/IM | not captured | standing | page 125 |
| Dystonic reaction | peds | 1 mg/kg | IV/IM | not captured | standing | page 125 |
| Nausea / vomiting | adult | 25–50 mg | IV/IM | not captured | standing | page 486 |
| Nausea / vomiting | peds | 1 mg/kg | IV/IM | not captured | standing | page 486 |
| Other | adult | 25–50 mg | IV/IM | not captured | standing | page 486 |
| Other | adult | 25–50 mg | IV/IM | not captured | standing | page 486 |
| Other | peds | 1 mg/kg | IV/IM | not captured | standing | page 486 |
| Other | peds | 1 mg/kg | IV/IM | not captured | standing | page 486 |
| Procedural sedation | adult | 25–50 mg | IV/IM | not captured | standing | page 486 |
| Procedural sedation | peds | 1 mg/kg | IV/IM | not captured | standing | page 486 |
Dopamine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiogenic shock | adult | 2–20 mcg/kg | IV/IO | not captured | standing | page 489 |
| Cardiogenic shock | peds | 2–20 mcg/kg | IV/IO | not captured | standing | page 489 |
| Hypotension / shock | adult | 2–20 mcg/kg | IV/IO | not captured | standing | page 489 |
| Hypotension / shock | peds | 2–20 mcg/kg | IV/IO | not captured | standing | page 489 |
| Sepsis | adult | 2–20 mcg/kg | IV/IO | not captured | standing | page 489 |
| Sepsis | peds | 2–20 mcg/kg | IV/IO | not captured | standing | page 489 |
| Trauma / hemorrhage | adult | 2–20 mcg/kg | IV/IO | not captured | standing | page 489 |
| Trauma / hemorrhage | peds | 2–20 mcg/kg | IV/IO | not captured | standing | page 489 |
Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 0.5 mg | IM | not captured | standing | page 493 |
| Anaphylaxis | peds | 0.01 mg/kg | IM | not captured | standing | page 493 |
| Asthma / bronchospasm | adult | 0.3 mg | IM | not captured | standing | page 493 |
| Bradycardia | adult | 2–10 mcg | not captured | not captured | standing | page 493 |
| Cardiac arrest | adult | 1 mg | IV/IO | not captured | standing | page 493 |
| Cardiac arrest | peds | 0.01 mg/kg | IV/IO | not captured | standing | page 493 |
Fentanyl
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 1 mcg/kg | IV/IM | not captured | standing | page 66 |
| Mild to moderate pain | adult | 2 mcg/kg | IN | not captured | standing | page 136 |
| Mild to moderate pain | peds | 1 mcg/kg | IV/IM | not captured | standing | page 66 |
| Mild to moderate pain | peds | 2 mcg/kg | IN | not captured | standing | page 136 |
Furosemide
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| CHF / pulmonary edema | adult | 20–80 mg | IV | not captured | standing | page 74 |
| CHF / pulmonary edema | peds | 0.5–1 mg/kg | IV | not captured | standing | page 74 |
Glucagon
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Beta-blocker / calcium-channel-blocker overdose | adult | 1 mg | IV/IO | not captured | standing | page 500 |
| Beta-blocker / calcium-channel-blocker overdose | adult | 1 mg | IV/IO | not captured | standing | page 500 |
| Beta-blocker / calcium-channel-blocker overdose | peds | 1 mg | IV/IO | not captured | standing | page 500 |
| Beta-blocker / calcium-channel-blocker overdose | peds | 1 mg | IV/IO | not captured | standing | page 500 |
| Hypoglycemia | adult | 1 mg | IM | not captured | standing | page 500 |
| Hypoglycemia | peds | 0.5 mg | IM | not captured | standing | page 500 |
Haloperidol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 5–10 mg | IM | not captured | standing | page 554 |
Hydrocortisone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 100 mg | IV/IM | not captured | standing | page 552 |
| Asthma / bronchospasm | adult | 100 mg | IV/IM | not captured | standing | page 552 |
Hydroxyzine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 25 mg | IM | not captured | standing | page 550 |
| Allergic reaction | adult | 25 mg | IM | not captured | standing | page 550 |
| Allergic reaction | peds | 0.5 mg/kg | IM | not captured | standing | page 550 |
| Allergic reaction | peds | 0.5 mg/kg | IM | not captured | standing | page 550 |
| Anaphylaxis | adult | 25 mg | IM | not captured | standing | page 550 |
| Anaphylaxis | peds | 0.5 mg/kg | IM | not captured | standing | page 550 |
| Nausea / vomiting | adult | 25 mg | IM | not captured | standing | page 550 |
| Nausea / vomiting | peds | 0.5 mg/kg | IM | not captured | standing | page 550 |
| Other | adult | 25 mg | IM | not captured | standing | page 550 |
| Other | adult | 25 mg | IM | not captured | standing | page 550 |
| Other | peds | 0.5 mg/kg | IM | not captured | standing | page 550 |
| Other | peds | 0.5 mg/kg | IM | not captured | standing | page 550 |
| Procedural sedation | adult | 25 mg | IM | not captured | standing | page 550 |
| Procedural sedation | peds | 0.5 mg/kg | IM | not captured | standing | page 550 |
Ipratropium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 0.5 mg | NEB | not captured | standing | page 502 |
| Anaphylaxis | peds | 0.25 mg | NEB | not captured | standing | page 502 |
| Asthma / bronchospasm | adult | 0.5 mg | NEB | not captured | standing | page 502 |
| Asthma / bronchospasm | peds | 0.25 mg | NEB | not captured | standing | page 502 |
| Burns | adult | 0.5 mg | NEB | not captured | standing | page 502 |
| Burns | peds | 0.25 mg | NEB | not captured | standing | page 502 |
| CHF / pulmonary edema | adult | 0.5 mg | NEB | not captured | standing | page 502 |
| CHF / pulmonary edema | peds | 0.25 mg | NEB | not captured | standing | page 502 |
| COPD | adult | 0.5 mg | NEB | not captured | standing | page 502 |
| COPD | peds | 0.25 mg | NEB | not captured | standing | page 502 |
| Other | adult | 0.5 mg | NEB | not captured | standing | page 502 |
| Other | peds | 0.25 mg | NEB | not captured | standing | page 502 |
Ketorolac
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 15 mg | IV | not captured | standing | page 136 |
| Mild to moderate pain | adult | 30 mg | IM | not captured | standing | page 136 |
| Mild to moderate pain | peds | 0.5 mg/kg | IV | not captured | standing | page 136 |
| Mild to moderate pain | peds | 0.5 mg/kg | IM | not captured | standing | page 136 |
Lidocaine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| RSI induction | adult | 1–2 mg/kg | IV | not captured | standing | page 542 |
| RSI induction | peds | 1–2 mg/kg | IV | not captured | standing | page 542 |
Lorazepam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 1–2 mg | IV/IM | not captured | standing | page 505 |
| Other | adult | 0.05 mg/kg | IV | not captured | standing | page 505 |
| Procedural sedation | adult | 1–2 mg | IV | not captured | standing | page 505 |
| Procedural sedation | peds | 0.05–0.1 mg/kg | IV | not captured | standing | page 505 |
| Status epilepticus | adult | 2–4 mg | IV/IM | not captured | standing | page 505 |
| Status epilepticus | peds | 0.1 mg/kg | IV/IM | not captured | standing | page 505 |
Magnesium Sulfate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 1–2 g | IV | not captured | standing | page 508 |
| Asthma / bronchospasm | peds | 25–50 mg/kg | IV | not captured | standing | page 508 |
| Eclampsia / pre-eclampsia | adult | 2 g | IV | not captured | standing | page 508 |
| VF / pulseless VT | adult | 1–2 g | IV | not captured | standing | page 508 |
| VF / pulseless VT | peds | 25–50 mg/kg | IV | not captured | standing | page 508 |
Metoprolol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| STEMI | adult | 5 mg | IV | not captured | standing | page 510 |
Midazolam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 5 mg | IV | not captured | standing | page 66 |
| Agitation | adult | 0.1 mg/kg | IV/IM | not captured | standing | page 115 |
| Procedural sedation | adult | 0.1 mg/kg | IV | not captured | standing | page 513 |
| Procedural sedation | adult | 2.5 mg | IV | not captured | standing | page 512 |
| Procedural sedation | peds | 0.05–0.1 mg/kg | IV | not captured | standing | page 513 |
| Procedural sedation | peds | 0.1 mg/kg | IV | not captured | standing | page 512 |
| Procedural sedation | peds | 0.2 mg/kg | IN | not captured | standing | page 513 |
Morphine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1–3 mg | IV | not captured | standing | page 515 |
| STEMI | adult | 2.5–5 mg | IV | not captured | standing | page 515 |
| STEMI | adult | 5–10 mg | IM | not captured | standing | page 515 |
| STEMI | peds | 0.1–0.2 mg/kg | IV | not captured | standing | page 515 |
| STEMI | peds | 0.1–0.2 mg/kg | IM | not captured | standing | page 515 |
Naloxone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Opioid overdose | adult | 0.5 mg | IV | not captured | standing | page 518 |
| Opioid overdose | adult | 2 mg | IN | not captured | standing | page 518 |
| Opioid overdose | peds | 0.1 mg/kg | IV | not captured | standing | page 518 |
| Opioid overdose | peds | 0.2 mg/kg | IN | not captured | standing | page 518 |
| Other | adult | 0.5 mg | IV | not captured | standing | page 518 |
| Other | peds | 0.1 mg/kg | IV | not captured | standing | page 518 |
| Other | peds | 0.2 mg/kg | IN | not captured | standing | page 518 |
Nitroglycerin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 0.4 mg | SL | not captured | standing | page 66 |
| CHF / pulmonary edema | adult | 0.4 mg | SL | not captured | standing | page 74 |
| STEMI | adult | 0.4 mg | SL | not captured | standing | page 70 |
Norepinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiogenic shock | adult | 0.1–0.5 mcg/kg | IV | not captured | standing | page 525 |
| Cardiogenic shock | peds | 0.05–0.1 mcg/kg | IV | not captured | standing | page 525 |
| Hypotension / shock | adult | 0.1–0.5 mcg/kg | IV | not captured | standing | page 525 |
| Hypotension / shock | peds | 0.05–0.1 mcg/kg | IV | not captured | standing | page 525 |
| Sepsis | adult | 0.1–0.5 mcg/kg | IV | not captured | standing | page 525 |
| Sepsis | peds | 0.05–0.1 mcg/kg | IV | not captured | standing | page 525 |
| Trauma / hemorrhage | adult | 0.1–0.5 mcg/kg | IV | not captured | standing | page 525 |
| Trauma / hemorrhage | peds | 0.05–0.1 mcg/kg | IV | not captured | standing | page 525 |
Ondansetron
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | adult | 4 mg | IV/IM | not captured | standing | page 134 |
| Nausea / vomiting | adult | 4 mg | PO | not captured | standing | page 134 |
| Nausea / vomiting | peds | 0.1 mg/kg | IV/IM | not captured | standing | page 134 |
| Nausea / vomiting | peds | 4 mg | PO | not captured | standing | page 134 |
Oral Glucose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 15 g | PO | not captured | standing | page 129 |
| Hypoglycemia | peds | 15 g | PO | not captured | standing | page 129 |
Pralidoxime
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Organophosphate poisoning | adult | 0.6 g | IM | not captured | standing | page 263 |
| Organophosphate poisoning | adult | 1–2 g | IV | not captured | standing | page 263 |
Prednisone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 60 mg | PO | not captured | standing | page 532 |
| Allergic reaction | peds | 1–2 mg/kg | PO | not captured | standing | page 532 |
| Anaphylaxis | adult | 60 mg | PO | not captured | standing | page 532 |
| Anaphylaxis | peds | 1–2 mg/kg | PO | not captured | standing | page 532 |
| Asthma / bronchospasm | adult | 60 mg | PO | not captured | standing | page 532 |
| Asthma / bronchospasm | peds | 1–2 mg/kg | PO | not captured | standing | page 532 |
Racemic Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Croup | peds | 0.5 mL | NEB | not captured | standing | page 493 |
| Other | adult | 5 mg | NEB | not captured | standing | page 493 |
| Other | peds | 0.5 mL | NEB | not captured | standing | page 493 |
| Other | peds | 0.5 mL | NEB | not captured | standing | page 493 |
Sodium Bicarbonate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Crush injury | adult | 1 mEq/kg | IV | not captured | standing | page 177 |
| Hyperkalemia | adult | 1 mEq/kg | IV | not captured | standing | page 534 |
| Hyperkalemia | peds | 1 mEq/kg | IV | not captured | standing | page 534 |
| Other | adult | 1 mEq/kg | IV | not captured | standing | page 534 |
| Other | adult | 1 mEq/kg | IV | not captured | standing | page 534 |
| Other | peds | 1 mEq/kg | IV | not captured | standing | page 534 |
| Other | peds | 1 mEq/kg | IV | not captured | standing | page 534 |
| Tricyclic overdose | adult | 50 mEq | IV | not captured | standing | page 260 |
Succinylcholine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| RSI induction | adult | 1.5 mg/kg | IV | not captured | standing | page 544 |
| RSI induction | peds | 2 mg/kg | IV | not captured | standing | page 544 |
Vasopressin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | adult | 40 unit | IV | not captured | standing | page 538 |
Vecuronium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| RSI induction | adult | 0.04–0.06 mg/kg | IV | not captured | standing | page 548 |
Ziprasidone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 10–20 mg | IM | not captured | standing | page 540 |
| Agitation | adult | 10–20 mg | IM | not captured | standing | page 540 |
| Other | adult | 10–20 mg | IM | not captured | standing | page 540 |
| Other | adult | 10–20 mg | IM | not captured | standing | page 540 |