Regional
Peninsulas EMS Council, Inc.
Peninsulas EMS Council, Inc. (Gloucester, VA) carries 28 drugs across 117 dose entries in its current published protocol, effective 2024-05-01.
The current listed document is more than 24 months old and may be outdated.
Drugs and doses28
Adenosine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| SVT | adult | 6 mg | IV/IO | not captured | standing | page 135 |
| SVT | peds | 0.1 mg/kg | IV/IO | not captured | standing | page 135 |
| Wide-complex tachycardia | adult | 6 mg | IV/IO | not captured | standing | page 137 |
Albuterol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 3 mL | NEB | not captured | standing | page 99 |
| Allergic reaction | peds | 3 mL | NEB | not captured | standing | page 99 |
| Crush injury | adult | Continuous 0.083% solution | NEB | not captured | standing | page 91 |
| Crush injury | peds | Continuous 0.083% solution | NEB | not captured | standing | page 91 |
| Other | adult | 3 mL | NEB | not captured | standing | page 153 |
| Other | peds | 3 mL | NEB | not captured | standing | page 153 |
| Respiratory distress | adult | 3 mL | NEB | not captured | standing | page 123 |
| Respiratory distress | peds | 3 mL | NEB | not captured | standing | page 123 |
Amiodarone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | adult | 300 mg | IV/IO | not captured | standing | page 64 |
| Cardiac arrest | peds | 5 mg/kg | IV/IO | not captured | standing | page 64 |
| Wide-complex tachycardia | adult | 150 mg | IV/IO | not captured | standing | page 137 |
Aspirin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| STEMI | adult | 324 mg | PO | not captured | standing | page 107 |
Atropine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Bradycardia | adult | 1 mg | IV/IO | not captured | standing | page 103 |
| Bradycardia | peds | 0.02 mg/kg | IV/IO | not captured | standing | page 103 |
| Nerve agent exposure | adult | 2 mg | IV/IO/IM | not captured | standing | page 120 |
| Nerve agent exposure | peds | 1 mg | IV/IO/IM | not captured | standing | page 120 |
Calcium Chloride
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Beta-blocker / calcium-channel-blocker overdose | adult | 1 g | IV/IO | not captured | standing | page 120 |
| Beta-blocker / calcium-channel-blocker overdose | peds | 20 mg/kg | IV/IO | not captured | standing | page 120 |
| Cardiac arrest | adult | 1 g | IV/IO | not captured | standing | page 57 |
| Cardiac arrest | peds | 20 mg/kg | IV/IO | not captured | standing | page 57 |
Dextrose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 12.5 g | IV/IO | not captured | standing | page 111 |
| Hypoglycemia | peds | 5 mL/kg | IV/IO | not captured | standing | page 111 |
Diphenhydramine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 50 mg | IV/IO/IM | not captured | standing | page 71 |
| Agitation | peds | 1 mg/kg | IV/IO/IM | not captured | standing | page 71 |
| Allergic reaction | adult | 50 mg | IV/IO/IM | not captured | standing | page 99 |
| Allergic reaction | peds | 1 mg/kg | IV/IO/IM | not captured | standing | page 99 |
Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Bradycardia | peds | 0.01 mg/kg | IV/IO | not captured | standing | page 103 |
| Cardiac arrest | adult | 1 mg | IV/IO | not captured | standing | page 57 |
| Cardiac arrest | peds | 0.01 mg/kg | IV/IO | not captured | standing | page 57 |
| Stridor | adult | 3 mg | NEB | not captured | standing | page 124 |
| Stridor | peds | 3 mg | NEB | not captured | standing | page 124 |
| Traumatic arrest | adult | 1 mg | IV/IO | not captured | standing | page 61 |
| Traumatic arrest | peds | 0.01 mg/kg | IV/IO | not captured | standing | page 61 |
Fentanyl
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 25–50 mcg | IV/IO | not captured | standing | page 55 |
| Other | adult | 25–50 mcg | IM/IN | not captured | standing | page 55 |
| Other | peds | 0.5–1 mcg/kg | IV/IO | not captured | standing | page 55 |
| Other | peds | 0.5–1 mcg/kg | IM/IN | not captured | standing | page 55 |
| Severe pain | adult | 25–50 mcg | IV/IO | not captured | standing | page 77 |
| Severe pain | adult | 25–50 mcg | IM/IN | not captured | standing | page 77 |
| Severe pain | peds | 0.5 mcg/kg | IV/IO | not captured | standing | page 77 |
| Severe pain | peds | 1 mcg/kg | IM/IN | not captured | standing | page 77 |
Furosemide
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| CHF / pulmonary edema | adult | 40 mg | IV/IO | not captured | standing | page 124 |
Glucagon
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Beta-blocker / calcium-channel-blocker overdose | adult | 1 mg | IV/IO | not captured | standing | page 120 |
| Beta-blocker / calcium-channel-blocker overdose | adult | 1 mg | IV/IO | not captured | standing | page 120 |
| Beta-blocker / calcium-channel-blocker overdose | peds | 0.5 mg | IV/IO | not captured | standing | page 120 |
| Beta-blocker / calcium-channel-blocker overdose | peds | 0.5 mg | IV/IO | not captured | standing | page 120 |
| Hypoglycemia | adult | 1 mg | IM | not captured | standing | page 111 |
| Hypoglycemia | peds | 0.2 mg/kg | IM | not captured | standing | page 111 |
Haloperidol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 5 mg | IV/IO/IM | not captured | standing | page 71 |
| Agitation | peds | 0.02 mg/kg | IV/IO/IM | not captured | standing | page 71 |
Hydroxocobalamin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cyanide poisoning | adult | 5 g | IV/IO | not captured | standing | page 88 |
| Cyanide poisoning | peds | 70 mg/kg | IV/IO | not captured | standing | page 88 |
Ipratropium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 3 mL | NEB | not captured | standing | page 99 |
| Allergic reaction | peds | 3 mL | NEB | not captured | standing | page 99 |
| Other | adult | 3 mL | NEB | not captured | standing | page 153 |
| Other | peds | 3 mL | NEB | not captured | standing | page 153 |
| Respiratory distress | adult | 3 mL | NEB | not captured | standing | page 123 |
| Respiratory distress | peds | 3 mL | NEB | not captured | standing | page 123 |
Ketamine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 4 mg/kg | IM | not captured | standing | page 72 |
Ketorolac
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 15 mg | IV/IO | not captured | standing | page 77 |
| Mild to moderate pain | adult | 30 mg | IM | not captured | standing | page 77 |
Lidocaine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | adult | 1 mg/kg | IV/IO | not captured | standing | page 64 |
| Cardiac arrest | peds | 1 mg/kg | IV/IO | not captured | standing | page 64 |
| Mild to moderate pain | adult | 1 mg/kg | IO | not captured | standing | page 249 |
| Mild to moderate pain | peds | 0.5 mg/kg | IO | not captured | standing | page 249 |
Magnesium Sulfate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 2 g | IV/IO | not captured | standing | page 124 |
| Asthma / bronchospasm | peds | 40 mg/kg | IV/IO | not captured | standing | page 124 |
| Eclampsia / pre-eclampsia | adult | 4 g | IV/IO | not captured | standing | page 147 |
| VF / pulseless VT | adult | 2 g | IV/IO | not captured | standing | page 64 |
| VF / pulseless VT | peds | 40 mg/kg | IV/IO | not captured | standing | page 64 |
Methylprednisolone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 125 mg | IV | not captured | standing | page 99 |
| Allergic reaction | peds | 2 mg/kg | IV | not captured | standing | page 99 |
| Other | adult | 125 mg | IV/IO | not captured | standing | page 153 |
| Other | peds | 2 mg/kg | IV/IO | not captured | standing | page 153 |
| Respiratory distress | adult | 125 mg | IV/IO | not captured | standing | page 123 |
| Respiratory distress | peds | 2 mg/kg | IV/IO | not captured | standing | page 123 |
Midazolam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 10 mg | IM | not captured | standing | page 72 |
| Agitation | adult | 5 mg | IV/IO | not captured | standing | page 72 |
| Agitation | peds | 0.05 mg/kg | IV/IO | not captured | standing | page 72 |
| Agitation | peds | 0.1 mg/kg | IM | not captured | standing | page 72 |
| Eclampsia / pre-eclampsia | adult | 10 mg | IM | not captured | standing | page 147 |
| Eclampsia / pre-eclampsia | adult | 5 mg | IV/IO | not captured | standing | page 147 |
| Other | adult | 2.5 mg | IV/IO | not captured | standing | page 55 |
| Other | adult | 5 mg | IM/IN | not captured | standing | page 55 |
| Other | peds | 0.1 mg/kg | IV/IO | not captured | standing | page 55 |
| Other | peds | 0.2 mg/kg | IM/IN | not captured | standing | page 55 |
| Seizure | adult | 10 mg | IM | not captured | standing | page 127 |
| Seizure | adult | 5 mg | IV/IO | not captured | standing | page 127 |
| Seizure | peds | 2.5 mg | IV/IO | not captured | standing | page 127 |
| Seizure | peds | 5 mg | IM | not captured | standing | page 127 |
Morphine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Severe pain | adult | 2.5–5 mg | IV/IO | not captured | standing | page 77 |
| Severe pain | adult | 2.5–5 mg | IM | not captured | standing | page 77 |
| Severe pain | peds | 0.1 mg/kg | IV/IO | not captured | standing | page 77 |
| Severe pain | peds | 0.1 mg/kg | IM | not captured | standing | page 77 |
Nerve Agent Antidote Kit
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nerve agent exposure | adult | 1 autoinjector | IM | not captured | standing | page 159 |
| Nerve agent exposure | peds | 1 autoinjector | IM | not captured | standing | page 159 |
| Organophosphate poisoning | adult | 1 autoinjector | IM | not captured | standing | page 159 |
| Organophosphate poisoning | peds | 1 autoinjector | IM | not captured | standing | page 159 |
Nitroglycerin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 0.4 mg | SL | not captured | standing | page 107 |
| CHF / pulmonary edema | adult | 0.4 mg | SL | not captured | standing | page 124 |
Norepinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypotension / shock | adult | 5–20 mcg | IV/IO | not captured | standing | page 59 |
Ondansetron
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | adult | 4 mg | ODT | not captured | standing | page 117 |
| Nausea / vomiting | adult | 4 mg | IV/IO/IM/PO | not captured | standing | page 117 |
| Nausea / vomiting | peds | 0.15 mg/kg | IV/IO/IM/PO | not captured | standing | page 117 |
| Mild to moderate pain | adult | 4 mg | IV/IO/IM/PO | not captured | standing | page 77 |
| Mild to moderate pain | peds | 0.15 mg/kg | IV/IO/IM/PO | not captured | standing | page 77 |
Oral Glucose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 1 tube | PO | not captured | standing | page 111 |
| Hypoglycemia | peds | 1 tube | PO | not captured | standing | page 111 |
Sodium Bicarbonate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | adult | 50 mEq | IV/IO | not captured | standing | page 57 |
| Cardiac arrest | peds | 1 mEq/kg | IV/IO | not captured | standing | page 57 |
| Other | adult | 2 mL | NEB | not captured | standing | page 153 |
| Other | peds | 2 mL | NEB | not captured | standing | page 153 |
| Tricyclic overdose | adult | 50 mEq | IV/IO | not captured | standing | page 120 |
| Tricyclic overdose | peds | 1 mEq/kg | IV/IO | not captured | standing | page 120 |