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REMSA

Current110 dose entries31 drugs1 documentSioux Falls, SDeffective 2026-07-30100% machine-parsed of 110

Drugs and doses31

A–C Acetaminophen, Albuterol, Amiodarone, Aspirin, Atropine, Calcium Chloride6

Acetaminophen

IndicationPopulationDoseRouteRepeatStandingSource
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

IndicationPopulationDoseRouteRepeatStandingSource
Respiratory distress adult 2.5–5 mg NEB not captured standing pages 70, 196, 317
Respiratory distress peds 2.5–5 mg NEB not captured standing pages 70, 196, 317

Amiodarone

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 150 mg IV not captured standing pages 45, 46
Other adult 150 mg IV not captured standing page 45
Other peds 5 mg/kg IV not captured standing pages 45, 46
VF / pulseless VT adult 300 mg IV not captured standing page 120
VF / pulseless VT peds 5 mg/kg IV not captured standing page 120

Aspirin

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 324 mg PO not captured standing page 32

Atropine

IndicationPopulationDoseRouteRepeatStandingSource
Bradycardia adult 1 mg IV not captured standing page 36
Bradycardia peds 0.01–0.02 mg/kg IV not captured standing page 36
Organophosphate poisoning adult 2–4 mg IV/IM not captured standing pages 267, 268, 270, 271
Organophosphate poisoning peds 0.05–0.1 mg/kg IV/IM not captured standing pages 267, 268, 270, 271

Calcium Chloride

IndicationPopulationDoseRouteRepeatStandingSource
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, 230
Hyperkalemia peds 20 mg/kg IV/IO not captured standing pages 86, 120, 230
Other adult 1 g IV/IO not captured standing page 176
D–F Dextrose, Diazepam, Diltiazem, Diphenhydramine, Epinephrine, Etomidate, Fentanyl7

Dextrose

IndicationPopulationDoseRouteRepeatStandingSource
Hypoglycemia adult 25 g IV not captured standing pages 90, 91
Hypoglycemia peds 0.5 g/kg IV not captured standing pages 90, 91

Diazepam

IndicationPopulationDoseRouteRepeatStandingSource
Agitation adult 10 mg IM not captured standing page 63
Agitation adult 5 mg IV not captured standing page 63
Seizure adult 0.2 mg/kg IV/IO not captured standing page 103
Seizure peds 0.2 mg/kg IV/IO not captured standing page 103

Diltiazem

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 10 mg IV not captured standing page 45
Other adult 10 mg IV not captured standing page 45

Diphenhydramine

IndicationPopulationDoseRouteRepeatStandingSource
Agitation adult 25–50 mg IV/IM not captured standing page 64
Agitation peds 1 mg/kg IV/IM not captured standing page 64
Allergic reaction adult 50 mg IV/IM not captured standing page 70
Allergic reaction peds 1 mg/kg IV/IM not captured standing page 70
Dystonic reaction adult 25–50 mg IV/IM/PO not captured standing page 94
Dystonic reaction peds 1 mg/kg IV/IM/PO not captured standing page 94

Epinephrine

IndicationPopulationDoseRouteRepeatStandingSource
Anaphylaxis adult 0.5 mg IM not captured standing page 70
Anaphylaxis peds 0.15 mg IM not captured standing page 70
Bradycardia peds 0.01 mg/kg IV not captured standing page 36
Croup peds 5 mg NEB not captured standing page 157
Neonatal resuscitation peds 0.01 mg/kg IV/IO not captured standing page 162

Etomidate

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 0.3 mg/kg IV/IO not captured standing page 185

Fentanyl

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 50 mcg IV/IO not captured standing page 185
Severe pain adult 1 mcg/kg IV/IO/IM/IN not captured standing page 98
Severe pain peds 1 mcg/kg IV/IO/IM/IN not captured standing page 98
G–L Haloperidol, Hydroxocobalamin, Ibuprofen, Ketamine, Lidocaine, Lorazepam6

Haloperidol

IndicationPopulationDoseRouteRepeatStandingSource
Agitation adult 5 mg IV not captured standing page 64
Agitation adult 5–10 mg IM not captured standing page 64

Hydroxocobalamin

IndicationPopulationDoseRouteRepeatStandingSource
Cyanide poisoning adult 5 g IV not captured standing page 289
Cyanide poisoning peds 70 mg/kg IV not captured standing page 289

Ibuprofen

IndicationPopulationDoseRouteRepeatStandingSource
Mild to moderate pain adult 400 mg PO not captured standing page 97

Ketamine

IndicationPopulationDoseRouteRepeatStandingSource
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

Lidocaine

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 0.5 mg/kg IO not captured standing page 10
Other adult 1–1.5 mg/kg IV not captured standing page 45
Other peds 0.5 mg/kg IO not captured standing page 10

Lorazepam

IndicationPopulationDoseRouteRepeatStandingSource
Agitation 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, Ondansetron, Oral Glucose8

Magnesium Sulfate

IndicationPopulationDoseRouteRepeatStandingSource
Eclampsia / pre-eclampsia adult 4 g IV not captured standing page 175
Other adult 40 mg/kg IV not captured standing page 196
Other peds 40 mg/kg IV not captured standing page 196
Respiratory distress adult 40 mg/kg IV not captured standing page 196
Respiratory distress peds 40 mg/kg IV not captured standing page 196
Seizure adult 4 g IV not captured standing page 175
Narrow-complex tachycardia adult 1–2 g IV not captured standing page 45

Methylprednisolone

IndicationPopulationDoseRouteRepeatStandingSource
Adrenal crisis adult 2 mg/kg IV not captured standing page 110
Adrenal crisis peds 2 mg/kg IV not captured standing page 110
Anaphylaxis adult 2 mg/kg IV/IM not captured standing page 70
Anaphylaxis peds 2 mg/kg IV/IM not captured standing page 70
Respiratory distress adult 2 mg/kg IV/IM not captured standing page 196
Respiratory distress peds 2 mg/kg IV/IM not captured standing page 196

Midazolam

IndicationPopulationDoseRouteRepeatStandingSource
Agitation adult 2–5 mg IV/IN not captured standing page 63
Agitation adult 5–10 mg IM not captured standing page 63
Organophosphate poisoning adult 0.1 mg/kg IV not captured standing page 262
Organophosphate poisoning peds 0.1 mg/kg IV not captured standing page 262
Other adult 1–2 mg IV not captured standing page 83
Other adult 2–5 mg IV/IN not captured standing page 83
Other peds 0.1 mg/kg IV not captured standing page 83
Other peds 0.2 mg/kg IV/IN not captured standing page 83
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

IndicationPopulationDoseRouteRepeatStandingSource
Opioid overdose adult 0.4–2 mg IV/IM/IN/ET not captured standing page 308
Opioid overdose peds 0.1 mg/kg IV/IM/IN/ET not captured standing page 308

Nerve Agent Antidote Kit

IndicationPopulationDoseRouteRepeatStandingSource
Organophosphate poisoning adult 2.1 mg IM not captured standing pages 268, 271
Organophosphate poisoning peds 0.1 mg/kg IM not captured standing pages 268, 271

Nitroglycerin

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 0.4 mg SL not captured standing page 32
CHF / pulmonary edema adult 0.4 mg SL not captured standing page 196

Ondansetron

IndicationPopulationDoseRouteRepeatStandingSource
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

IndicationPopulationDoseRouteRepeatStandingSource
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

IndicationPopulationDoseRouteRepeatStandingSource
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

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 1 mg/kg IV not captured standing page 185
Other peds 1 mg/kg IV not captured standing page 185
S–Z Sodium Bicarbonate, Tranexamic Acid2

Sodium Bicarbonate

IndicationPopulationDoseRouteRepeatStandingSource
Crush injury adult 1 mEq/kg IV not captured standing page 229
Hyperkalemia adult 1 mEq/kg IV/IO not captured standing pages 86, 120, 230
Hyperkalemia peds 1 mEq/kg IV/IO not captured standing pages 86, 120, 230
Tricyclic overdose adult 1–2 mEq/kg IV not captured standing pages 262, 293

Tranexamic Acid

IndicationPopulationDoseRouteRepeatStandingSource
Obstetric hemorrhage adult 2 g IV not captured standing page 170
Other adult 2 g IV not captured standing pages 215, 233
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REMSA, United States EMS Protocol Census. 110 dose entries, effective 2026-07-30.

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