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Region 4 EMS

May be outdated218 dose entries47 drugs3 documentsILeffective 2023-01-0199% machine-parsed of 218

The current listed document is more than 24 months old and may be outdated.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

IndicationPopulationDoseRouteRepeatStandingSource
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

IndicationPopulationDoseRouteRepeatStandingSource
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

IndicationPopulationDoseRouteRepeatStandingSource
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

IndicationPopulationDoseRouteRepeatStandingSource
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

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 325 mg PO not captured standing pages 85, 263

Atropine

IndicationPopulationDoseRouteRepeatStandingSource
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

IndicationPopulationDoseRouteRepeatStandingSource
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

IndicationPopulationDoseRouteRepeatStandingSource
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

IndicationPopulationDoseRouteRepeatStandingSource
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

IndicationPopulationDoseRouteRepeatStandingSource
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

IndicationPopulationDoseRouteRepeatStandingSource
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

IndicationPopulationDoseRouteRepeatStandingSource
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

IndicationPopulationDoseRouteRepeatStandingSource
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

IndicationPopulationDoseRouteRepeatStandingSource
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

IndicationPopulationDoseRouteRepeatStandingSource
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

IndicationPopulationDoseRouteRepeatStandingSource
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

IndicationPopulationDoseRouteRepeatStandingSource
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

IndicationPopulationDoseRouteRepeatStandingSource
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

IndicationPopulationDoseRouteRepeatStandingSource
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

IndicationPopulationDoseRouteRepeatStandingSource
Agitation adult 10 mg IM not captured standing pages 41, 281
Agitation adult 5 mg IV not captured standing pages 41, 281

Hydralazine

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 5 mg IV not captured standing pages 106, 278

Hydroxocobalamin

IndicationPopulationDoseRouteRepeatStandingSource
Cyanide poisoning adult 5 g IV not captured standing page 159
Cyanide poisoning adult 5 g IV not captured standing page 159

Hypertonic Saline

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 250 mL not captured not captured standing page 140
Other adult 250 mL IV not captured standing page 140

Ibuprofen

IndicationPopulationDoseRouteRepeatStandingSource
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

IndicationPopulationDoseRouteRepeatStandingSource
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

IndicationPopulationDoseRouteRepeatStandingSource
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

IndicationPopulationDoseRouteRepeatStandingSource
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

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 20 mg IV not captured standing pages 106, 285

Levalbuterol

IndicationPopulationDoseRouteRepeatStandingSource
Respiratory distress peds 0.31 mg NEB not captured standing pages 204, 205, 228

Lidocaine

IndicationPopulationDoseRouteRepeatStandingSource
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

IndicationPopulationDoseRouteRepeatStandingSource
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

IndicationPopulationDoseRouteRepeatStandingSource
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

IndicationPopulationDoseRouteRepeatStandingSource
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

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 5 mg IV not captured standing pages 94, 95, 293

Midazolam

IndicationPopulationDoseRouteRepeatStandingSource
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

IndicationPopulationDoseRouteRepeatStandingSource
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

IndicationPopulationDoseRouteRepeatStandingSource
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

IndicationPopulationDoseRouteRepeatStandingSource
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

IndicationPopulationDoseRouteRepeatStandingSource
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

IndicationPopulationDoseRouteRepeatStandingSource
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

IndicationPopulationDoseRouteRepeatStandingSource
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

IndicationPopulationDoseRouteRepeatStandingSource
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

IndicationPopulationDoseRouteRepeatStandingSource
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

IndicationPopulationDoseRouteRepeatStandingSource
Other peds 0.5 mL NEB not captured standing page 277
S–Z Sodium Bicarbonate, Thiamine, Tranexamic Acid3

Sodium Bicarbonate

IndicationPopulationDoseRouteRepeatStandingSource
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

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 100 mg IV/IM not captured standing pages 46, 52

Tranexamic Acid

IndicationPopulationDoseRouteRepeatStandingSource
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.

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Training reference compiled from published protocols. Not a clinical order. Verify with your agency and medical director.