County
Richland County Emergency Medical Services
Richland County Emergency Medical Services (SC) carries 21 drugs across 66 dose entries in its current published protocol, effective 2025-03-01.
Drugs and doses21
Adenosine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| SVT | adult | 6–12 mg | IV | not captured | standing | page 64 |
| SVT | peds | 0.1 mg/kg | IV | not captured | standing | page 64 |
Albuterol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 5 mg | NEB | not captured | standing | page 116 |
| Allergic reaction | peds | 2.5–5 mg | NEB | not captured | standing | page 116 |
| Respiratory distress | adult | 5 mg | NEB | not captured | standing | page 42 |
| Respiratory distress | peds | 2.5–5 mg | NEB | not captured | standing | page 42 |
Aspirin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| STEMI | adult | 324 mg | PO | not captured | standing | page 58 |
Atropine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Bradycardia | adult | 1 mg | IV/IO | not captured | standing | page 54 |
| Bradycardia | peds | 0.02 mg/kg | IV/IO | not captured | standing | page 54 |
| Organophosphate poisoning | adult | 2 mg | IV/IO | not captured | standing | page 187 |
| Organophosphate poisoning | peds | 0.02 mg/kg | IV/IO | not captured | standing | page 187 |
Calcium Gluconate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Beta-blocker / calcium-channel-blocker overdose | adult | 1 g | IV | not captured | standing | page 53 |
| Beta-blocker / calcium-channel-blocker overdose | peds | 20 mg/kg | IV | not captured | standing | page 53 |
| Hyperkalemia | adult | 1 g | IV | not captured | standing | page 53 |
| Hyperkalemia | peds | 20 mg/kg | IV | not captured | standing | page 53 |
| Other | adult | 1 g | IV | not captured | standing | page 53 |
| Other | peds | 20 mg/kg | IV | not captured | standing | page 53 |
Ceftriaxone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Sepsis | adult | 2 g | IV | not captured | standing | page 46 |
Dextrose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 25 g | IV/IO | not captured | standing | page 22 |
| Hypoglycemia | peds | 2–4 mL/kg | IV/IO | not captured | standing | page 22 |
Diphenhydramine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 50 mg | IV/IM | not captured | standing | page 116 |
| Allergic reaction | peds | 1 mg/kg | IV/IM | not captured | standing | page 116 |
Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 0.3 mg | IM | not captured | standing | page 116 |
| Anaphylaxis | peds | 0.15 mg | IM | not captured | standing | page 116 |
| Cardiac arrest | adult | 1 mg | IV/IO | not captured | standing | page 52 |
| Cardiac arrest | peds | 0.01 mg/kg | IV/IO | not captured | standing | page 52 |
| Respiratory distress | adult | 0.3 mg | IM | not captured | standing | page 42 |
Fentanyl
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 25–50 mcg | IV/IO/IM | not captured | standing | page 40 |
| Mild to moderate pain | peds | 0.5–1 mcg/kg | IV/IO/IM | not captured | standing | page 40 |
Glucagon
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Beta-blocker / calcium-channel-blocker overdose | adult | 1 mg | IV/IO | not captured | standing | page 53 |
| Beta-blocker / calcium-channel-blocker overdose | peds | 0.1 mg/kg | IV/IO | not captured | standing | page 53 |
| Hypoglycemia | adult | 1 mg | IM | not captured | standing | page 22 |
| Hypoglycemia | peds | 0.1 mg/kg | IM | not captured | standing | page 22 |
Ketorolac
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 15 mg | IV/IM | not captured | standing | page 40 |
| Mild to moderate pain | peds | 0.5 mg/kg | IV/IM | not captured | standing | page 40 |
Lidocaine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Wide-complex tachycardia | adult | 1.5 mg/kg | IV/IO | not captured | standing | page 68 |
| Wide-complex tachycardia | peds | 1 mg/kg | IV/IO | not captured | standing | page 68 |
| VF / pulseless VT | adult | 1.5 mg/kg | IV/IO | not captured | standing | page 68 |
| VF / pulseless VT | adult | 1.5 mg/kg | IV/IO | not captured | standing | page 68 |
| VF / pulseless VT | peds | 1 mg/kg | IV/IO | not captured | standing | page 68 |
| VF / pulseless VT | peds | 1 mg/kg | IV/IO | not captured | standing | page 68 |
Midazolam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 5 mg | IM | not captured | standing | page 32 |
| Agitation | peds | 0.1 mg/kg | IM | not captured | standing | page 32 |
| CHF / pulmonary edema | adult | 2.5 mg | IV | not captured | standing | page 60 |
| Seizure | adult | 2.5 mg | IV/IO | not captured | standing | page 44 |
| Seizure | adult | 5 mg | IM | not captured | standing | page 44 |
| Seizure | peds | 0.1 mg/kg | IM | not captured | standing | page 44 |
| Seizure | peds | 0.1 mg/kg | IV/IO | not captured | standing | page 44 |
| SVT | adult | 2.5 mg | IV/IO | not captured | standing | page 64 |
| SVT | peds | 0.1 mg/kg | IV/IO | not captured | standing | page 64 |
Naloxone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Opioid overdose | adult | 0.4–2 mg | IV/IO/IM | not captured | standing | page 28 |
| Opioid overdose | peds | 0.1 mg/kg | IV/IO/IM | not captured | standing | page 28 |
Nitroglycerin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 0.4 mg | SL | not captured | standing | page 58 |
| CHF / pulmonary edema | adult | 0.4 mg | SL | not captured | standing | page 60 |
| CHF / pulmonary edema | adult | 1 inch | not captured | not captured | standing | page 60 |
Norepinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypotension / shock | adult | 4–16 mcg | IV/IO | not captured | standing | page 37 |
| Hypotension / shock | peds | 0.1–0.4 mcg/kg | IV/IO | not captured | standing | page 37 |
Ondansetron
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | adult | 4 mg | IV/IM | not captured | standing | page 24 |
| Nausea / vomiting | peds | 0.15 mg/kg | IV/IM | not captured | standing | page 24 |
Oral Glucose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 1 packet/tube | PO | not captured | standing | page 22 |
| Hypoglycemia | peds | 1 packet/tube | PO | not captured | standing | page 22 |
Racemic Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Croup | peds | 0.5 mL | NEB | not captured | standing | page 96 |
Sodium Bicarbonate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | adult | 50 mEq | IV/IO | not captured | standing | page 53 |
| Cardiac arrest | peds | 1 mEq/kg | IV/IO | not captured | standing | page 53 |
| Hyperkalemia | adult | 50 mEq | IV/IO | not captured | standing | page 53 |
| Hyperkalemia | peds | 1 mEq/kg | IV/IO | not captured | standing | page 53 |