Regional

Region 4 EMS (Alton Memorial Hospital, Anderson Hospital, HSHS St. Elizabeth's Hospital, OSF St. Anthony's Health Center)

May be outdated132 dose entries43 drugs1 documentAlton, ILeffective 2023-01-0199% machine-parsed of 132

Region 4 EMS (Alton Memorial Hospital, Anderson Hospital, HSHS St. Elizabeth's Hospital, OSF St. Anthony's Health Center) (Alton, IL) carries 43 drugs across 132 dose entries in its current published protocol, effective 2023-01-01.

The current listed document is more than 24 months old and may be outdated.

Drugs and doses43

Acetaminophen

Indication	Population	Dose	Route	Repeat	Standing	Source
Mild to moderate pain	adult	1000 mg	PO	not captured	standing	page 25
Mild to moderate pain	peds	15 mg/kg	PO	not captured	standing	page 25

Adenosine

Indication	Population	Dose	Route	Repeat	Standing	Source
Narrow-complex tachycardia	adult	6 mg	IV/IO	not captured	standing	pages 94, 259
Narrow-complex tachycardia	peds	0.1 mg/kg	IV/IO	not captured	standing	pages 94, 259
Wide-complex tachycardia	peds	0.1 mg/kg	IV/IO	not captured	standing	page 259

Albuterol

Indication	Population	Dose	Route	Repeat	Standing	Source
Hyperkalemia	adult	10 mg	NEB	not captured	standing	pages 50, 266
Respiratory distress	adult	5 mg	NEB	not captured	standing	pages 44, 48, 71, 260
Respiratory distress	peds	2.5 mg	NEB	not captured	standing	pages 44, 48, 71, 260

Amiodarone

Indication	Population	Dose	Route	Repeat	Standing	Source
Cardiac arrest	adult	300 mg	IV/IO	not captured	standing	pages 83, 262
Cardiac arrest	peds	5 mg/kg	IV/IO	not captured	standing	pages 83, 262
Narrow-complex tachycardia	adult	150 mg	IV/IO	not captured	standing	pages 96, 262
Narrow-complex tachycardia	peds	5 mg/kg	IV/IO	not captured	standing	pages 96, 262

Aspirin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	325 mg	PO	not captured	standing	pages 85, 263

Atropine

Indication	Population	Dose	Route	Repeat	Standing	Source
Bradycardia	adult	1 mg	IV/IO	not captured	standing	pages 74, 264, 265
Bradycardia	peds	0.02 mg/kg	IV/IO	not captured	standing	pages 74, 264, 265
Organophosphate poisoning	adult	2 mg	IV	not captured	standing	pages 151, 264, 265
Organophosphate poisoning	peds	0.05 mg/kg	IV	not captured	standing	pages 151, 264, 265

Calcium Chloride

Indication	Population	Dose	Route	Repeat	Standing	Source
Beta-blocker / calcium-channel-blocker overdose	adult	1 g	IV/IO	not captured	standing	page 177
Hyperkalemia	adult	1 g	IV/IO	not captured	standing	pages 50, 81

Calcium Gluconate

Indication	Population	Dose	Route	Repeat	Standing	Source
Beta-blocker / calcium-channel-blocker overdose	adult	3 g	IV/IO	not captured	standing	page 177
Hyperkalemia	adult	3 g	IV/IO	not captured	standing	pages 50, 81

Dexamethasone

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	10 mg	IV/IO	not captured	standing	pages 44, 268
Other	adult	8 mg	IV/IM/PO	not captured	standing	pages 153, 268
Respiratory distress	adult	10 mg	IV/IO	not captured	standing	pages 48, 268

Dextrose

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypoglycemia	adult	25 g	IV/IO	not captured	standing	pages 46, 52, 207, 234
Hypoglycemia	peds	5 mL/kg	IV/IO	not captured	standing	pages 46, 52, 207, 234

Diazepam

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	0.1 mg/kg	IV/IO	not captured	standing	pages 95, 270
Hyperthermia	adult	0.1 mg/kg	IV/IO	not captured	standing	pages 166, 270
Hyperthermia	peds	0.05 mg/kg	IV/IO	not captured	standing	pages 166, 270
Seizure	adult	0.1 mg/kg	IV/IO	not captured	standing	pages 58, 270, 286
Seizure	peds	0.1 mg/kg	IV/IO	not captured	standing	pages 58, 270, 286
Seizure	peds	0.5 mg/kg	PR	not captured	standing	page 270

Diltiazem

Indication	Population	Dose	Route	Repeat	Standing	Source
Narrow-complex tachycardia	adult	0.25 mg/kg	IV/IO	not captured	standing	pages 94, 95, 271

Diphenhydramine

Indication	Population	Dose	Route	Repeat	Standing	Source
Allergic reaction	adult	50 mg	IV/IO/IM/PO	not captured	standing	pages 44, 272
Allergic reaction	peds	1 mg/kg	IV/IO/IM/PO	not captured	standing	pages 44, 272

Dopamine

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypotension / shock	adult	5–20 mcg/kg	IV/IO	not captured	standing	pages 61, 64
Sepsis	adult	5–20 mcg/kg	IV/IO	not captured	standing	page 61

Epinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	0.3–0.5 mg	IM	not captured	standing	pages 44, 45, 204, 205, 275, 276
Anaphylaxis	peds	0.01 mg/kg	IM	not captured	standing	pages 44, 45, 204, 205, 275, 276
Bradycardia	adult	1 mL	IV/IO	not captured	standing	pages 74, 90
Cardiac arrest	adult	1 mg	IV/IO	not captured	standing	pages 81, 83, 223, 224, 275, 276
Cardiac arrest	peds	0.01 mg/kg	IV/IO	not captured	standing	pages 81, 83, 223, 224, 275, 276
Hypotension / shock	adult	1 mL	IV/IO	not captured	standing	pages 61, 64, 90
Respiratory distress	adult	0.3–0.5 mg	IM	not captured	standing	pages 48, 276
Respiratory distress	peds	0.01 mg/kg	IM	not captured	standing	pages 48, 276

Etomidate

Indication	Population	Dose	Route	Repeat	Standing	Source
Procedural sedation	adult	0.1 mg/kg	IV/IO	not captured	standing	pages 94, 95, 96
RSI induction	adult	0.3 mg/kg	IV/IO	not captured	standing	page 19

Fentanyl

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	1 mcg/kg	IV/IO	not captured	standing	pages 85, 86
Severe pain	adult	1 mcg/kg	IV/IO/IM/IN	not captured	standing	page 25
Severe pain	peds	1 mcg/kg	IV/IO/IM/IN	not captured	standing	page 25
Post-intubation sedation	adult	1 mcg/kg	IV/IO	not captured	standing	page 19

Glucagon

Indication	Population	Dose	Route	Repeat	Standing	Source
Beta-blocker / calcium-channel-blocker overdose	adult	2 mg	IV/IM	not captured	standing	pages 177, 280
Beta-blocker / calcium-channel-blocker overdose	adult	2 mg	IV/IM	not captured	standing	pages 177, 280
Beta-blocker / calcium-channel-blocker overdose	peds	0.1 mg/kg	IV/IM	not captured	standing	pages 177, 280
Beta-blocker / calcium-channel-blocker overdose	peds	0.1 mg/kg	IV/IM	not captured	standing	pages 177, 280
Hypoglycemia	adult	1 mg	IM/IN	not captured	standing	pages 46, 52, 280
Hypoglycemia	peds	0.5 mg	IM/IN	not captured	standing	pages 46, 52, 280

Haloperidol

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	10 mg	IM	not captured	standing	pages 41, 281
Agitation	adult	5 mg	IV	not captured	standing	pages 41, 281

Hydralazine

Indication	Population	Dose	Route	Repeat	Standing	Source
Eclampsia / pre-eclampsia	adult	5 mg	IV	not captured	standing	pages 106, 278

Hydroxocobalamin

Indication	Population	Dose	Route	Repeat	Standing	Source
Cyanide poisoning	adult	5 g	IV	not captured	standing	page 159

Ibuprofen

Indication	Population	Dose	Route	Repeat	Standing	Source
Mild to moderate pain	adult	800 mg	PO	not captured	standing	page 25
Mild to moderate pain	peds	10 mg/kg	PO	not captured	standing	page 25

Ipratropium

Indication	Population	Dose	Route	Repeat	Standing	Source
Respiratory distress	adult	0.5 mg	NEB	not captured	standing	pages 44, 48, 71, 261
Respiratory distress	peds	0.5 mg	NEB	not captured	standing	pages 44, 48, 71, 261

Ketamine

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	4 mg/kg	IM	not captured	standing	page 41
Severe pain	adult	0.2 mg/kg	IV/IO/IM	not captured	standing	page 25
Severe pain	adult	0.5 mg/kg	IN	not captured	standing	page 25
RSI induction	adult	2 mg/kg	IV/IO	not captured	standing	page 19

Ketorolac

Indication	Population	Dose	Route	Repeat	Standing	Source
Severe pain	adult	15 mg	IV	not captured	standing	page 25
Severe pain	adult	30 mg	IM	not captured	standing	page 25

Lidocaine

Indication	Population	Dose	Route	Repeat	Standing	Source
Cardiac arrest	adult	1–1.5 mg/kg	IV/IO	not captured	standing	pages 83, 286
Cardiac arrest	peds	1 mg/kg	IV/IO	not captured	standing	pages 83, 286
Mild to moderate pain	adult	40 mg	IO	not captured	standing	pages 286, 330
Mild to moderate pain	peds	0.5 mg/kg	IO	not captured	standing	pages 286, 330
Narrow-complex tachycardia	adult	1–1.5 mg/kg	IV/IO	not captured	standing	pages 96, 286
Narrow-complex tachycardia	peds	1 mg/kg	IV/IO	not captured	standing	pages 96, 286

Lorazepam

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	2 mg	IV/IM	not captured	standing	pages 41, 290
Seizure	adult	0.1 mg/kg	IV/IO	not captured	standing	pages 58, 290
Seizure	adult	0.1 mg/kg	IM	not captured	standing	pages 58, 290

Magnesium Sulfate

Indication	Population	Dose	Route	Repeat	Standing	Source
Respiratory distress	adult	2 g	IV	not captured	standing	pages 48, 291
Respiratory distress	peds	50 mg/kg	IV	not captured	standing	pages 48, 291
Seizure	adult	4 g	IV	not captured	standing	pages 107, 291
VF / pulseless VT	adult	2 g	IV/IO	not captured	standing	pages 83, 291
VF / pulseless VT	peds	25–50 mg/kg	IV/IO	not captured	standing	pages 83, 291

Methylprednisolone

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	125 mg	IV/IO/IM	not captured	standing	pages 44, 292
Anaphylaxis	peds	2 mg/kg	IV/IO/IM	not captured	standing	pages 44, 292
Respiratory distress	adult	125 mg	IV/IO/IM	not captured	standing	pages 48, 292
Respiratory distress	peds	2 mg/kg	IV/IO/IM	not captured	standing	pages 48, 292

Metoprolol

Indication	Population	Dose	Route	Repeat	Standing	Source
Narrow-complex tachycardia	adult	5 mg	IV	not captured	standing	pages 94, 95, 293

Midazolam

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	5 mg	IV/IM	not captured	standing	pages 41, 294, 295
Agitation	peds	0.1 mg/kg	IV/IM	not captured	standing	pages 41, 294, 295
Post-intubation sedation	adult	0.05 mg/kg	IV/IO	not captured	standing	page 19
Procedural sedation	adult	2–2.5 mg	IV/IO/IN	not captured	standing	page 74
Procedural sedation	adult	2 mg	IV/IO/IN	not captured	standing	pages 94, 95, 96
Seizure	adult	0.1 mg/kg	IV/IO	not captured	standing	pages 58, 234
Seizure	adult	0.2 mg/kg	IM	not captured	standing	pages 58, 234
Seizure	adult	0.2 mg/kg	IN	not captured	standing	pages 58, 234
Seizure	peds	0.1 mg/kg	IV/IO	not captured	standing	pages 58, 234
Seizure	peds	0.2 mg/kg	IM	not captured	standing	pages 58, 234
Seizure	peds	0.2 mg/kg	IN	not captured	standing	pages 58, 234

Morphine

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	2–4 mg	IV/IO	not captured	standing	pages 85, 86
Severe pain	adult	0.1 mg/kg	IV/IO	not captured	standing	page 25
Severe pain	adult	0.1 mg/kg	IM/SQ	not captured	standing	page 25

Naloxone

Indication	Population	Dose	Route	Repeat	Standing	Source
Opioid overdose	adult	0.4–2 mg	IN	not captured	standing	pages 176, 241, 243
Opioid overdose	adult	0.4–2 mg	IV/IM	not captured	standing	pages 177, 243
Opioid overdose	peds	0.1 mg/kg	IN	not captured	standing	pages 176, 241, 243
Opioid overdose	peds	0.1 mg/kg	IV/IM	not captured	standing	pages 177, 243
Opioid overdose	peds	2 mg	IM/IN	not captured	standing	pages 241, 243

Nerve Agent Antidote Kit

Indication	Population	Dose	Route	Repeat	Standing	Source
Organophosphate poisoning	adult	1 kit	IM	not captured	standing	pages 151, 220, 221
Organophosphate poisoning	peds	0.25 mg/kg	IM	not captured	standing	pages 151, 220, 221

Nitroglycerin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	0.4 mg	SL	not captured	standing	pages 85, 88, 298
ACS / chest pain	adult	1 inch	TOP	not captured	standing	pages 85, 88, 298

Norepinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypotension / shock	adult	2–30 mcg	IV	not captured	standing	pages 61, 64
Sepsis	adult	2–30 mcg	IV	not captured	standing	page 61

Ondansetron

Indication	Population	Dose	Route	Repeat	Standing	Source
Nausea / vomiting	adult	4 mg	IV	not captured	standing	pages 56, 300
Nausea / vomiting	adult	8 mg	PO	not captured	standing	pages 56, 300
Nausea / vomiting	peds	0.15 mg/kg	IV	not captured	standing	pages 56, 300
Nausea / vomiting	peds	4 mg	PO	not captured	standing	pages 56, 300

Oral Glucose

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypoglycemia	adult	15 g	PO	not captured	standing	pages 52, 301
Hypoglycemia	peds	15 g	PO	not captured	standing	pages 52, 301

Pralidoxime

Indication	Population	Dose	Route	Repeat	Standing	Source
Organophosphate poisoning	adult	600 mg	IM	not captured	standing	pages 220, 221
Organophosphate poisoning	peds	15 mg/kg	IM	not captured	standing	pages 220, 221

Racemic Epinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Respiratory distress	peds	0.5 mL	NEB	not captured	standing	page 277

Sodium Bicarbonate

Indication	Population	Dose	Route	Repeat	Standing	Source
Hyperkalemia	adult	1 mEq/kg	IV/IO	not captured	standing	pages 50, 81
Hyperkalemia	peds	1 mEq/kg	IV/IO	not captured	standing	pages 50, 81
Other	adult	1 mEq/kg	IV/IO	not captured	standing	page 133
Other	peds	1 mEq/kg	IV/IO	not captured	standing	page 133
Tricyclic overdose	adult	1 mEq/kg	IV	not captured	standing	page 177
Tricyclic overdose	peds	1 mEq/kg	IV	not captured	standing	page 177

Thiamine

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	100 mg	IV/IM	not captured	standing	page 46

Tranexamic Acid

Indication	Population	Dose	Route	Repeat	Standing	Source
Trauma / hemorrhage	adult	1 g	IV/IO	not captured	standing	pages 147, 303

Cite this

Region 4 EMS (Alton Memorial Hospital, Anderson Hospital, HSHS St. Elizabeth's Hospital, OSF St. Anthony's Health Center), United States EMS Protocol Census. 132 dose entries, effective 2023-01-01.

https://protoquiz.com/census/agencies/region-4-ems-alton-memorial-hospital-anderson-hospital-hshs-st-elizabeths-hospital-osf-st-anthonys-health-center/

Outdated or wrong?

Send the current document's public URL and the listing is rebuilt from it. To have this agency removed from the census entirely, say so and it comes down the same day.