Regional
Region 4 EMS
The current listed document is more than 24 months old and may be outdated.
Drugs and doses47
A–C Acetaminophen, Adenosine, Albuterol, Amiodarone, Aspirin, Atropine, Autoinjector Atropine-Pralidoxime, Calcium Chloride, Calcium Gluconate9
Acetaminophen
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1000 mg | PO | not captured | standing | pages 153, 258 |
| Other | peds | 15 mg/kg | PO | not captured | standing | pages 153, 258 |
| Mild to moderate pain | adult | 1000 mg | PO | not captured | standing | pages 25, 258 |
| Mild to moderate pain | adult | 15 mg/kg | PO | not captured | standing | pages 25, 153 |
| Mild to moderate pain | peds | 15 mg/kg | PO | not captured | standing | pages 25, 258 |
Adenosine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 6 mg | IV/IO | not captured | standing | pages 94, 259 |
| Other | peds | 0.1 mg/kg | IV/IO | not captured | standing | pages 239, 259 |
| Narrow-complex tachycardia | adult | 6 mg | IV/IO | not captured | standing | pages 94, 259 |
| Narrow-complex tachycardia | peds | 0.1 mg/kg (max 6 mg) | IV/IO | not captured | standing | pages 94, 259 |
Albuterol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hyperkalemia | adult | 10 mg | NEB | not captured | standing | pages 50, 260 |
| Other | peds | 5 mg | NEB | not captured | standing | page 260 |
| 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 |
| Other | peds | 5 mg/kg | IV | not captured | standing | pages 224, 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, 209, 264, 265 |
| Bradycardia | peds | 0.02 mg/kg | IV/IO | not captured | standing | pages 74, 209, 264, 265 |
| Nerve agent exposure | adult | 2 mg | IV/IM | not captured | standing | pages 151, 220, 221, 264, 265 |
| Nerve agent exposure | peds | 0.05 mg/kg | IV/IM | not captured | standing | pages 151, 220, 221, 264, 265 |
| Organophosphate poisoning | adult | 2 mg | IV/IM | not captured | standing | pages 151, 220, 221, 264, 265 |
| Organophosphate poisoning | peds | 0.05 mg/kg | IV/IM | not captured | standing | pages 151, 220, 221, 264, 265 |
| Other | adult | 2 mg | IV/IM | not captured | standing | pages 151, 264 |
| Other | peds | 0.02 mg/kg | IV/IO | not captured | standing | pages 209, 265 |
| Other | peds | 0.25 mg | IM | not captured | standing | pages 220, 221, 265 |
| Other | peds | 0.5 mg | IM | not captured | standing | pages 220, 221, 265 |
| Other | peds | 1 mg | IM | not captured | standing | pages 220, 221, 265 |
| Other | peds | 2 mg | IM | not captured | standing | pages 220, 221, 265 |
Autoinjector Atropine-Pralidoxime
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nerve agent exposure | peds | 0.5 mg/kg | IM | not captured | standing | pages 220, 221 |
| Organophosphate poisoning | peds | 0.25 mg/kg | IM | not captured | standing | pages 220, 221 |
| Organophosphate poisoning | peds | 1 mg | IM | not captured | standing | pages 220, 221 |
Calcium Chloride
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hyperkalemia | adult | 1 g | IV/IO | not captured | standing | pages 50, 81, 133, 177, 266 |
| Other | adult | 1 g | IV/IO | not captured | standing | pages 50, 266 |
Calcium Gluconate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hyperkalemia | adult | 3 g | IV/IO | not captured | standing | pages 50, 133, 177, 267 |
| Other | adult | 3 g | IV/IO | not captured | standing | pages 50, 267 |
D–F Dexamethasone, Dextrose, Diazepam, Diltiazem, Diphenhydramine, Dopamine, Epinephrine, Etomidate, Fentanyl9
Dexamethasone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 10 mg | IV/IO | not captured | standing | pages 44, 48 |
| Other | adult | 10 mg | IV/IO | not captured | standing | pages 44, 48 |
| Other | adult | 10 mg | PO | not captured | standing | page 48 |
| Other | adult | 8 mg | IV/IM/PO | not captured | standing | pages 153, 268 |
Dextrose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 25 g | IV | not captured | standing | pages 46, 52, 269 |
| Hypoglycemia | peds | 5 mL/kg | IV | not captured | standing | pages 46, 52, 269 |
| Other | adult | 25 g | IV | not captured | standing | pages 46, 52, 269 |
| Other | peds | 1–2 mL/kg | IV/IO | not captured | standing | pages 207, 234, 269 |
| Other | peds | 2–4 mL/kg | IV/IO | not captured | standing | pages 207, 234, 269 |
| Other | peds | 5 mL/kg | IV/IO | not captured | standing | pages 207, 234, 269 |
Diazepam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| 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, 234 |
| Seizure | peds | 0.1 mg/kg | IV/IO | not captured | standing | pages 58, 270, 234 |
| Seizure | peds | 0.5 mg/kg | PR | not captured | standing | pages 234, 270 |
Diltiazem
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 0.25 mg/kg | IV/IO | not captured | standing | pages 94, 95, 271 |
| Other | adult | 0.25 mg/kg | IV | not captured | standing | page 95 |
| Narrow-complex tachycardia | adult | 0.25 mg/kg | IV/IO | not captured | standing | page 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 |
| Other | adult | 50 mg | PO | not captured | standing | page 44 |
Dopamine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypotension / shock | adult | 5–20 mcg/kg | IV/IO | not captured | standing | pages 64, 88, 90, 273, 274 |
| 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, 276 |
| Anaphylaxis | peds | 0.01 mg/kg | IM | not captured | standing | pages 44, 276 |
| Cardiac arrest | adult | 1 mg | IV/IO | not captured | standing | pages 81, 83, 202, 223, 224, 276 |
| Cardiac arrest | peds | 0.01 mg/kg | IV/IO | not captured | standing | pages 81, 83, 202, 223, 224, 276 |
| Hypotension / shock | adult | 10 mcg | IV/IO | not captured | standing | pages 61, 64, 90 |
| Other | adult | 0.3 mg | IM | not captured | standing | page 44 |
| Other | adult | 1 mL | IV/IO | not captured | standing | pages 61, 64, 74, 90, 275 |
| Other | peds | 0.1 mL/kg | IV/IO | not captured | standing | pages 223, 224, 276 |
| Other | peds | 0.1 mL/kg | ET | not captured | standing | pages 223, 224, 276 |
| Other | peds | 0.15 mg | IM | not captured | standing | page 276 |
| Other | peds | 0.3 mg | IM | not captured | standing | page 276 |
| Other | peds | 0.5 mL | NEB | not captured | standing | page 277 |
| 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 |
|---|---|---|---|---|---|---|
| Other | adult | 0.3 mg/kg | IV/IO | not captured | standing | page 19 |
| 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, 279 |
| Other | adult | 0.5 mcg/kg | IV/IO/IM/IN | not captured | standing | pages 25, 279 |
| Other | adult | 0.5 mcg/kg | IV/IO | not captured | standing | pages 85, 279 |
| Other | adult | 0.5–1 mcg/kg | IV/IO | not captured | standing | page 86 |
| Other | adult | 50 mcg | IV/IO/IM/IN | not captured | standing | page 279 |
| Severe pain | adult | 1 mcg/kg | IV/IO/IM/IN | not captured | standing | pages 25, 279 |
| Severe pain | peds | 1 mcg/kg | IV/IO/IM/IN | not captured | standing | pages 25, 279 |
| Post-intubation sedation | adult | 1 mcg/kg | IV/IO | not captured | standing | pages 19, 279 |
G–L Glucagon, Haloperidol, Hydralazine, Hydroxocobalamin, Hypertonic Saline, Ibuprofen, Ipratropium, Ketamine, Ketorolac, Labetalol, Levalbuterol, Lidocaine, Lorazepam13
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 | peds | 0.1 mg/kg (max 1 mg) | 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 |
| Other | peds | 0.1 mg/kg | not captured | not captured | standing | page 280 |
| Other | peds | 1 mg | IM/IN | not captured | standing | pages 207, 234, 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 |
|---|---|---|---|---|---|---|
| Other | 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 |
| Cyanide poisoning | adult | 5 g | IV | not captured | standing | page 159 |
Hypertonic Saline
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 250 mL | not captured | not captured | standing | page 140 |
| Other | adult | 250 mL | IV | not captured | standing | page 140 |
Ibuprofen
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | peds | 10 mg/kg | PO | not captured | standing | pages 153, 282 |
| Mild to moderate pain | adult | 10 mg/kg | PO | not captured | standing | pages 25, 282 |
| Mild to moderate pain | peds | 10 mg/kg | PO | not captured | standing | pages 25, 282 |
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 |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 0.2 mg/kg | IV/IO/IM | not captured | standing | pages 85, 283 |
| ACS / chest pain | adult | 0.5 mg/kg | IN | not captured | standing | pages 85, 283 |
| Severe pain | adult | 0.2 mg/kg | IV/IO/IM | not captured | standing | pages 25, 283 |
| Severe pain | adult | 0.5 mg/kg | IN | not captured | standing | pages 25, 283 |
| Post-intubation sedation | adult | 1 mg/kg | IV/IO | not captured | standing | pages 19, 283 |
| Procedural sedation | adult | 0.5 mg/kg | IN | not captured | standing | pages 74, 283 |
| RSI induction | adult | 2 mg/kg | IV/IO | not captured | standing | pages 19, 283 |
Ketorolac
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Severe pain | adult | 15 mg | IV | not captured | standing | pages 25, 284 |
| Severe pain | adult | 30 mg | IM | not captured | standing | pages 25, 284 |
Labetalol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 20 mg | IV | not captured | standing | pages 106, 285 |
Levalbuterol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Respiratory distress | peds | 0.31 mg | NEB | not captured | standing | pages 204, 205, 228 |
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 |
| Other | adult | 0.1 mg/kg | IM | not captured | standing | pages 58, 290 |
| Other | adult | 0.1 mg/kg | IV/IO | not captured | standing | pages 58, 290 |
M–O Magnesium Sulfate, Methylprednisolone, Metoprolol, Midazolam, Morphine, Naloxone, Nerve Agent Antidote Kit, Nitroglycerin, Norepinephrine, Ondansetron, Oral Glucose11
Magnesium Sulfate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 2 g | IV | not captured | standing | pages 48, 291 |
| Other | adult | 2 g | IV/IO | not captured | standing | pages 83, 291 |
| Other | adult | 2 g | IV | not captured | standing | pages 48, 291 |
| Other | adult | 2 g | IV/IO | not captured | standing | pages 83, 291 |
| Other | adult | 4 g | IV/IM | not captured | standing | pages 107, 291 |
| Other | peds | 25–50 mg/kg | IV/IO | not captured | standing | pages 83, 291 |
| Other | peds | 50 mg/kg | IV | not captured | standing | pages 48, 291 |
| Wide-complex tachycardia | adult | 2 g | IV/IO | not captured | standing | pages 96, 291 |
| Wide-complex tachycardia | peds | 25–50 mg/kg | IV/IO | not captured | standing | pages 96, 291 |
Methylprednisolone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 125 mg | IV/IO/IM | not captured | standing | pages 44, 48, 292 |
| Allergic reaction | peds | 2 mg/kg | IV/IO/IM | not captured | standing | pages 44, 48, 292 |
| Other | adult | 125 mg | IV/IO/IM | not captured | standing | pages 44, 48, 292 |
| Other | peds | 2 mg/kg | IV/IO/IM | not captured | standing | pages 44, 48, 292 |
| Other | peds | 2 mg/kg | IV/IM | not captured | standing | page 292 |
Metoprolol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | 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/IN | not captured | standing | pages 41, 294, 295 |
| Agitation | peds | 0.1 mg/kg | IV/IM/IN | not captured | standing | pages 41, 294, 295 |
| Other | adult | 0.05 mg/kg | IV/IO | not captured | standing | pages 19, 294 |
| Other | adult | 0.1 mg/kg | IV/IO | not captured | standing | pages 58, 234, 294 |
| Other | adult | 0.2 mg/kg | IM/IN | not captured | standing | pages 58, 294 |
| Other | adult | 2 mg | IV/IN | not captured | standing | pages 166, 294, 295 |
| Other | adult | 5 mg | IM/IN | not captured | standing | pages 41, 58, 294, 295 |
| Other | adult | 5 mg | IV/IM | not captured | standing | pages 41, 294 |
| Other | peds | 0.1 mg/kg | IV/IO | not captured | standing | pages 58, 234, 294 |
| Other | peds | 0.1 mg/kg | IV/IO | not captured | standing | page 295 |
| Other | peds | 0.2 mg/kg | IM/IN | not captured | standing | pages 41, 58, 294, 295 |
| Other | peds | 0.2 mg/kg | IV/IN | not captured | standing | pages 166, 294, 295 |
| Other | peds | 0.2 mg/kg | IV/IO/IM/IN | not captured | standing | page 295 |
| Procedural sedation | adult | 2 mg | IV/IO/IN | not captured | standing | pages 74, 294 |
Morphine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 2–4 mg | IV/IO | not captured | standing | pages 85, 296 |
| Severe pain | adult | 0.1 mg/kg | IV/IO | not captured | standing | pages 25, 296 |
| Severe pain | adult | 0.1 mg/kg | IM/SQ | not captured | standing | pages 25, 296 |
| Severe pain | adult | 0.1 mg/kg | IV/IO/IM/SQ | not captured | standing | pages 25, 296 |
| Severe pain | peds | 0.1 mg/kg | IV/IO | not captured | standing | pages 25, 296 |
| Severe pain | peds | 0.1 mg/kg | IM/SQ | not captured | standing | pages 25, 296 |
| Severe pain | peds | 0.1 mg/kg | IV/IO/IM/SQ | not captured | standing | pages 25, 296 |
Naloxone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Opioid overdose | adult | 0.4–2 mg | IN | not captured | standing | pages 176, 241, 243, 297 |
| Opioid overdose | adult | 0.4–2 mg | IM | not captured | standing | pages 176, 241, 243, 297 |
| Opioid overdose | adult | 0.4–2 mg | IV/IO | not captured | standing | page 297 |
| Opioid overdose | peds | 0.1 mg/kg | IN | not captured | standing | pages 176, 241, 243, 297 |
| Opioid overdose | peds | 0.1 mg/kg | IM | not captured | standing | pages 176, 241, 243, 297 |
| Opioid overdose | peds | 0.1 mg/kg | IV/IO | not captured | standing | page 297 |
| Opioid overdose | peds | 0.1 mg/kg | IM/IN | not captured | standing | pages 241, 243, 297 |
| Other | adult | 1 mg (max 2 mg) | IN | not captured | standing | page 176 |
| Other | peds | 0.1 mg/kg | IV/IO/IM/IN | not captured | standing | pages 207, 297 |
| Other | peds | 0.2 mg/kg | ET | not captured | standing | page 207 |
| Other | peds | 2 mg | IM/IN | not captured | standing | pages 207, 241, 243, 297 |
| Other | peds | 2 mg | IN | not captured | standing | page 206 |
Nerve Agent Antidote Kit
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Organophosphate poisoning | peds | 0.25 mg/kg | IM | not captured | standing | pages 151, 220, 221 |
| Organophosphate poisoning | peds | 1 mg | IM | not captured | standing | pages 151, 220, 221 |
| Organophosphate poisoning | peds | 2 mg | 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, 298 |
| ACS / chest pain | adult | 1 inch | TOP | not captured | standing | pages 85, 298 |
| CHF / pulmonary edema | adult | 0.4 mg | SL | not captured | standing | pages 88, 298 |
| CHF / pulmonary edema | adult | 1 inch | TOP | not captured | standing | pages 88, 298 |
Norepinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypotension / shock | adult | 2–30 mcg | IV | not captured | standing | pages 61, 64, 88, 90 |
| Other | adult | 2–30 mcg | IV | not captured | standing | pages 61, 64, 88, 90, 299 |
| Sepsis | adult | 2–30 mcg | IV | not captured | standing | page 61 |
Ondansetron
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Beta-blocker / calcium-channel-blocker overdose | adult | 4 mg | IV/IM | not captured | standing | page 177 |
| 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 | 0.15 mg/kg | IV/IM | not captured | standing | page 300 |
| Nausea / vomiting | peds | 4 mg | PO | not captured | standing | pages 56, 300 |
| Other | adult | 4 mg | IV/IM/PO | not captured | standing | page 153 |
| Other | adult | 4 mg | IV/IM/PO | not captured | standing | page 153 |
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 |
| Other | adult | 15 g | PO | not captured | standing | pages 52, 301 |
| Other | peds | 15 g | PO | not captured | standing | pages 52, 301 |
P–R Pralidoxime, Racemic Epinephrine2
Pralidoxime
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nerve agent exposure | adult | 600 mg | IM | not captured | standing | pages 151, 220, 221 |
| Nerve agent exposure | peds | 15 mg/kg | IM | not captured | standing | pages 151, 220, 221 |
| Other | adult | 1200 mg | IM | not captured | standing | pages 220, 221 |
| Other | adult | 600 mg | IM | not captured | standing | pages 220, 221 |
| Other | peds | 1200 mg | IM | not captured | standing | pages 220, 221 |
| Other | peds | 25 mg/kg | IM | not captured | standing | pages 220, 221 |
| Other | peds | 300 mg | IM | not captured | standing | pages 220, 221 |
| Other | peds | 600 mg | IM | not captured | standing | pages 220, 221 |
| Other | peds | 600 mg | IM | not captured | standing | pages 220, 221 |
Racemic Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | peds | 0.5 mL | NEB | not captured | standing | page 277 |
S–Z Sodium Bicarbonate, Thiamine, Tranexamic Acid3
Sodium Bicarbonate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hyperkalemia | adult | 1 mEq/kg | IV/IO | not captured | standing | pages 50, 81, 133, 177, 302 |
| Hyperkalemia | peds | 1 mEq/kg | IV/IO | not captured | standing | pages 50, 81, 133, 177, 302 |
| Other | adult | 1 mEq/kg | IV/IO | not captured | standing | pages 133, 302 |
| Other | adult | 1 mEq/kg | IV | not captured | standing | pages 177, 302 |
| Other | peds | 1 mEq/kg | IV/IO | not captured | standing | pages 133, 302 |
| Other | peds | 1 mEq/kg | IV | not captured | standing | pages 177, 302 |
| Tricyclic overdose | adult | 1 mEq/kg | IV/IO | not captured | standing | pages 81, 177, 302 |
| Tricyclic overdose | peds | 1 mEq/kg | IV/IO | not captured | standing | pages 81, 177, 302 |
Thiamine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 100 mg | IV/IM | not captured | standing | pages 46, 52 |
Tranexamic Acid
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1 g | IV/IO | not captured | standing | pages 147, 303 |
| Other | adult | 1 g | IV | not captured | standing | page 303 |
| Other | adult | 1 g | IM | not captured | standing | pages 147, 303 |
| Other | adult | 500 mg | IN | not captured | standing | page 138 |
| Other | adult | 500 mg | not captured | not captured | standing | page 138 |
Cite this
Region 4 EMS, United States EMS Protocol Census. 218 dose entries, effective 2023-01-01.
https://protoquiz.com/census/agencies/region-4-ems/
The census is free and not for sale. Only public agencies are named.