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REMSA Sioux Falls

Name: REMSA Sioux Falls EMS protocol doses
Creator: ProtoQuiz
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Current94 dose entries29 drugs1 documentSioux Falls, SDeffective 2025-04-28100% machine-parsed of 94

Drugs and doses29

A–C Acetaminophen, Albuterol, Aspirin, Atropine, Calcium Chloride5

Acetaminophen

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	peds	15 mg/kg	IV/IO	not captured	standing	page 103
Mild to moderate pain	adult	1000 mg	IV	not captured	standing	page 97
Mild to moderate pain	adult	500–1000 mg	PO	not captured	standing	page 97
Mild to moderate pain	peds	15 mg/kg	IV	not captured	standing	page 97

Albuterol

Indication	Population	Dose	Route	Repeat	Standing	Source
Respiratory distress	adult	2.5–5 mg	NEB	not captured	standing	pages 70, 196, 197
Respiratory distress	peds	2.5–5 mg	NEB	not captured	standing	pages 70, 196, 197

Aspirin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	324 mg	PO	not captured	standing	page 32

Atropine

Indication	Population	Dose	Route	Repeat	Standing	Source
Beta-blocker / calcium-channel-blocker overdose	adult	1 mg	IV	not captured	standing	page 300
Beta-blocker / calcium-channel-blocker overdose	peds	0.02 mg/kg	IV	not captured	standing	page 300
Bradycardia	adult	1 mg	IV	not captured	standing	page 36
Bradycardia	peds	0.02 mg/kg	IV	not captured	standing	page 36
Other	adult	2 mg	IM	not captured	standing	page 269
Other	peds	0.05 mg/kg	IM	not captured	standing	page 269

Calcium Chloride

Indication	Population	Dose	Route	Repeat	Standing	Source
Beta-blocker / calcium-channel-blocker overdose	adult	0.5–1 g	IV	not captured	standing	page 300
Beta-blocker / calcium-channel-blocker overdose	peds	20 mg/kg	IV	not captured	standing	page 300
Hyperkalemia	adult	1 g	IV/IO	not captured	standing	pages 86, 120
Hyperkalemia	peds	20 mg/kg	IV/IO	not captured	standing	pages 86, 120
Other	adult	1 g	IV/IO	not captured	standing	page 176

D–F Dextrose, Diazepam, Diphenhydramine, Epinephrine, Etomidate, Fentanyl6

Dextrose

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypoglycemia	adult	25 g	IV	not captured	standing	page 90

Diazepam

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	10 mg	IM	not captured	standing	page 63
Agitation	adult	5 mg	IV	not captured	standing	page 63
Seizure	peds	0.2 mg/kg	IV/IO	not captured	standing	page 103

Diphenhydramine

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	50 mg	IV/IM	not captured	standing	page 70
Anaphylaxis	peds	1 mg/kg	IV/IM	not captured	standing	page 70
Dystonic reaction	adult	25–50 mg	IV/IM	not captured	standing	pages 64, 94
Dystonic reaction	peds	1 mg/kg	IV/IM	not captured	standing	pages 64, 94

Epinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	0.5 mg	IM	not captured	standing	page 70
Anaphylaxis	peds	0.15 mg	IM	not captured	standing	page 70
Cardiac arrest	adult	1 mg	IV/IO	not captured	standing	pages 120, 122
Neonatal resuscitation	peds	0.01 mg/kg	IV/IO	not captured	standing	page 162

Etomidate

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	0.3 mg/kg	IV/IO	not captured	standing	page 185

Fentanyl

Indication	Population	Dose	Route	Repeat	Standing	Source
Mild to moderate pain	adult	1 mcg/kg	IV/IO/IM/IN	not captured	standing	page 98
Mild to moderate pain	peds	1 mcg/kg	IV/IO/IM/IN	not captured	standing	page 98

G–L Hydroxocobalamin, Ibuprofen, Ketamine, Lidocaine, Lorazepam5

Hydroxocobalamin

Indication	Population	Dose	Route	Repeat	Standing	Source
Cyanide poisoning	adult	5 g	IV	not captured	standing	page 289
Cyanide poisoning	peds	70 mg/kg	IV	not captured	standing	page 289

Ibuprofen

Indication	Population	Dose	Route	Repeat	Standing	Source
Mild to moderate pain	adult	400 mg	PO	not captured	standing	page 97

Ketamine

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	2 mg/kg	IV	not captured	standing	page 63
Agitation	adult	4 mg/kg	IM	not captured	standing	page 63
Mild to moderate pain	adult	0.25 mg/kg	IV/IO/IM	not captured	standing	page 98
Mild to moderate pain	peds	0.25 mg/kg	IV/IO/IM	not captured	standing	page 98

Lidocaine

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	0.5 mg/kg	IO	not captured	standing	page 10
Wide-complex tachycardia	adult	1–1.5 mg/kg	IV	not captured	standing	page 45
VF / pulseless VT	adult	1 mg/kg	IV	not captured	standing	page 120

Lorazepam

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	0.5–1 mg	IV	not captured	standing	page 98
Other	adult	1–2 mg	IV	not captured	standing	page 83
Other	peds	0.1 mg/kg	IV	not captured	standing	page 83
Seizure	adult	1–4 mg	IV/IO	not captured	standing	page 103
Seizure	peds	0.1 mg/kg	IV/IO	not captured	standing	page 103

M–O Magnesium Sulfate, Methylprednisolone, Midazolam, Naloxone, Nerve Agent Antidote Kit, Nitroglycerin, Norepinephrine, Ondansetron, Oral Glucose9

Magnesium Sulfate

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	2 g	IV	not captured	standing	page 196
Other	adult	4 g	IV	not captured	standing	page 175
Other	peds	40 mg/kg	IV	not captured	standing	page 196
VF / pulseless VT	adult	1–2 g	IV	not captured	standing	page 45

Methylprednisolone

Indication	Population	Dose	Route	Repeat	Standing	Source
Adrenal crisis	adult	125 mg	IV	not captured	standing	page 110
Adrenal crisis	peds	2 mg/kg	IV	not captured	standing	page 110
Anaphylaxis	adult	125 mg	IV/IM	not captured	standing	page 70
Anaphylaxis	peds	2 mg/kg	IV/IM	not captured	standing	page 70
Asthma / bronchospasm	adult	125 mg	IV/IM	not captured	standing	page 196
Asthma / bronchospasm	peds	2 mg/kg	IV/IM	not captured	standing	page 196

Midazolam

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	2–5 mg	IV/IN	not captured	standing	page 63
Agitation	adult	5–10 mg	IM	not captured	standing	page 63
Other	adult	0.1 mg/kg	IV	not captured	standing	page 262
Other	peds	0.1 mg/kg	IV	not captured	standing	page 262
Mild to moderate pain	adult	2–5 mg	IV/IN	not captured	standing	page 98
Mild to moderate pain	peds	0.1 mg/kg	IV/IN	not captured	standing	page 98
Procedural sedation	adult	2–5 mg	IV/IO	not captured	standing	page 98
Procedural sedation	peds	0.1 mg/kg	IV/IO	not captured	standing	page 98
Seizure	adult	2–5 mg	IM/IN	not captured	standing	page 103
Seizure	adult	2–5 mg	IV/IO	not captured	standing	page 103
Seizure	peds	0.1 mg/kg	IV/IO	not captured	standing	page 103
Seizure	peds	0.2 mg/kg	IM/IN	not captured	standing	page 103

Naloxone

Indication	Population	Dose	Route	Repeat	Standing	Source
Opioid overdose	adult	0.4–2 mg	IV/IM	not captured	standing	page 308
Opioid overdose	peds	0.1 mg/kg	IV/IM	not captured	standing	page 308
Opioid overdose	peds	0.1 mg/kg	IN	not captured	standing	page 308
Opioid overdose	peds	0.1 mg/kg	ET	not captured	standing	page 308

Nerve Agent Antidote Kit

Indication	Population	Dose	Route	Repeat	Standing	Source
Organophosphate poisoning	adult	2.1 mg	IM	not captured	standing	page 268

Nitroglycerin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	0.4 mg	SL	not captured	standing	pages 32, 196
CHF / pulmonary edema	adult	0.4 mg	SL	not captured	standing	page 196

Norepinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
CHF / pulmonary edema	adult	1 mcg	IV	not captured	standing	page 196

Ondansetron

Indication	Population	Dose	Route	Repeat	Standing	Source
Nausea / vomiting	adult	4 mg	IV	not captured	standing	page 94
Nausea / vomiting	peds	0.15 mg/kg	IV	not captured	standing	page 94
Nausea / vomiting	peds	2 mg	SL	not captured	standing	page 94

Oral Glucose

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypoglycemia	adult	15 g	PO	not captured	standing	page 90
Hypoglycemia	peds	15 g	PO	not captured	standing	page 90

P–R Pralidoxime, Rocuronium2

Pralidoxime

Indication	Population	Dose	Route	Repeat	Standing	Source
Organophosphate poisoning	adult	600 mg	IM	not captured	standing	pages 270, 271
Organophosphate poisoning	peds	15 mg/kg	IM	not captured	standing	pages 270, 271

Rocuronium

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	1 mg/kg	IV/IO	not captured	standing	page 185

S–Z Sodium Bicarbonate, Tranexamic Acid2

Sodium Bicarbonate

Indication	Population	Dose	Route	Repeat	Standing	Source
Crush injury	adult	1 mEq/kg	IV	not captured	standing	pages 229, 230
Crush injury	peds	1 mEq/kg	IV	not captured	standing	pages 229, 230
Hyperkalemia	adult	1 mEq/kg	IV	not captured	standing	pages 86, 120
Hyperkalemia	peds	1 mEq/kg	IV	not captured	standing	pages 86, 120
Tricyclic overdose	adult	1–2 mEq/kg	IV	not captured	standing	pages 262, 293
Tricyclic overdose	peds	1–2 mEq/kg	IV	not captured	standing	pages 262, 293

Tranexamic Acid

Indication	Population	Dose	Route	Repeat	Standing	Source
Obstetric hemorrhage	adult	2 g	IV	not captured	standing	page 170
Trauma / hemorrhage	adult	2 g	IV	not captured	standing	pages 215, 233

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REMSA Sioux Falls, United States EMS Protocol Census. 94 dose entries, effective 2025-04-28.

https://protoquiz.com/census/agencies/remsa-sioux-falls/

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