County
Riverside County Emergency Medical Services Agency (REMSA)
Riverside County Emergency Medical Services Agency (REMSA) (CA) carries 29 drugs across 149 dose entries in its current published protocol, effective 2025-07-01.
Drugs and doses29
Acetaminophen
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Fever | adult | 1 g | IV | not captured | standing | page 186 |
| Fever | peds | 15 mg/kg | IV | not captured | standing | page 186 |
| Mild to moderate pain | adult | 1 g | IV | not captured | standing | page 186 |
| Mild to moderate pain | peds | 15 mg/kg | IV | not captured | standing | page 186 |
Adenosine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| SVT | adult | 12 mg | IV | not captured | standing | page 187 |
| SVT | peds | 0.2 mg/kg | IV | not captured | standing | page 187 |
Albuterol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 2.5 mg | NEB | not captured | standing | page 189 |
| Asthma / bronchospasm | peds | 2.5 mg | NEB | not captured | standing | page 189 |
| Hyperkalemia | adult | 2.5 mg | NEB | not captured | standing | page 189 |
| Hyperkalemia | peds | 2.5 mg | NEB | not captured | standing | page 189 |
| Other | adult | 5 mg | NEB | not captured | standing | page 189 |
Amiodarone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | adult | 300 mg | IV | not captured | standing | page 190 |
| Cardiac arrest | peds | 5 mg/kg | IV | not captured | standing | page 190 |
| Narrow-complex tachycardia | adult | 150 mg | IV | not captured | standing | page 190 |
| Narrow-complex tachycardia | peds | 5 mg/kg | IV | not captured | standing | page 190 |
Aspirin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 324 mg | PO | not captured | standing | page 191 |
Atropine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Bradycardia | adult | 1 mg | IV | not captured | standing | page 192 |
| Bradycardia | peds | 0.02 mg/kg | IV | not captured | standing | page 192 |
| Cardiac arrest | adult | 1 mg | IV | not captured | standing | page 192 |
| Nerve agent exposure | adult | 1 mg | IV | not captured | standing | page 192 |
| Nerve agent exposure | adult | 2 mg | IM | not captured | standing | page 192 |
| Nerve agent exposure | peds | 0.02 mg/kg | IV | not captured | standing | page 192 |
| Nerve agent exposure | peds | 0.05 mg/kg | IM | not captured | standing | page 192 |
Calcium Chloride
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Beta-blocker / calcium-channel-blocker overdose | adult | 1 g | IV | not captured | standing | page 193 |
| Beta-blocker / calcium-channel-blocker overdose | peds | 20 mg/kg | IV | not captured | standing | page 193 |
| Cardiac arrest | adult | 1 g | IV | not captured | standing | page 193 |
| Cardiac arrest | peds | 20 mg/kg | IV | not captured | standing | page 193 |
| Hyperkalemia | adult | 1 g | IV | not captured | standing | page 193 |
| Hyperkalemia | adult | 1 g | IV | not captured | standing | page 193 |
| Hyperkalemia | adult | 1 g | IV | not captured | standing | page 193 |
| Hyperkalemia | peds | 20 mg/kg | IV | not captured | standing | page 193 |
| Hyperkalemia | peds | 20 mg/kg | IV | not captured | standing | page 193 |
| Hyperkalemia | peds | 20 mg/kg | IV | not captured | standing | page 193 |
| Other | adult | 1 g | IV | not captured | standing | page 193 |
| Other | adult | 1 g | IV | not captured | standing | page 193 |
| Other | peds | 20 mg/kg | IV | not captured | standing | page 193 |
Dextrose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 25 g | IV/IO | not captured | standing | page 195 |
| Hypoglycemia | peds | 5 mL/kg | IV/IO | not captured | standing | page 195 |
| Neonatal resuscitation | peds | 5 mL/kg | IV/IO | not captured | standing | page 195 |
Diazepam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nerve agent exposure | adult | 10 mg | IM | not captured | standing | page 156 |
| Nerve agent exposure | adult | 2.5 mg | IV | not captured | standing | page 156 |
| Nerve agent exposure | peds | 0.1 mg/kg | IM | not captured | standing | page 156 |
Diphenhydramine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 50 mg | IV/IM | not captured | standing | page 196 |
| Anaphylaxis | peds | 1 mg/kg | IV/IM | not captured | standing | page 196 |
| Dystonic reaction | adult | 50 mg | IV/IM | not captured | standing | page 196 |
| Dystonic reaction | peds | 1 mg/kg | IV/IM | not captured | standing | page 196 |
| Nausea / vomiting | adult | 25–50 mg | IV/IM | not captured | standing | page 196 |
| Nausea / vomiting | peds | 1 mg/kg | IV/IM | not captured | standing | page 196 |
Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 0.3 mg | IM | not captured | standing | page 198 |
| Anaphylaxis | peds | 0.01 mg/kg | IM | not captured | standing | page 198 |
| Cardiac arrest | adult | 1 mg | IV | not captured | standing | page 197 |
| Cardiac arrest | peds | 0.01 mg/kg | IV | not captured | standing | page 197 |
| Croup | peds | 0.5 mg/kg | NEB | not captured | standing | page 197 |
| Hypotension / shock | adult | 0.01 mg | IV | not captured | standing | page 197 |
| Respiratory distress | adult | 0.3 mg | IM | not captured | standing | page 198 |
| Respiratory distress | peds | 0.01 mg/kg | IM | not captured | standing | page 198 |
Fentanyl
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 50 mcg | IV/IM/IN | not captured | standing | page 200 |
| Mild to moderate pain | peds | 1 mcg/kg | IV/IM/IN | not captured | standing | page 200 |
| Post-ROSC care | adult | Dosing dependent on pain | IV/IM/IN | not captured | standing | page 200 |
| Procedural sedation | adult | 50 mcg | IV/IM/IN | not captured | standing | page 200 |
| Procedural sedation | peds | 1 mcg/kg | IV/IM/IN | not captured | standing | page 200 |
Glucagon
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Beta-blocker / calcium-channel-blocker overdose | adult | 1 mg | IV/IM | not captured | standing | page 202 |
| Beta-blocker / calcium-channel-blocker overdose | peds | 50 mcg/kg | IV/IM | not captured | standing | page 202 |
| Hypoglycemia | adult | 1 mg | IM | not captured | standing | page 202 |
| Hypoglycemia | peds | 0.5 mg | IM | not captured | standing | page 202 |
| Neonatal resuscitation | peds | 0.5 mg | IM | not captured | standing | page 202 |
| Other | adult | 1 mg | IV/IM | not captured | standing | page 202 |
| Other | peds | 0.5 mg | IV/IM | not captured | standing | page 202 |
Ipratropium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 0.5 mg | NEB | not captured | standing | page 205 |
| Asthma / bronchospasm | peds | 0.5 mg | NEB | not captured | standing | page 205 |
Ketamine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 0.3 mg/kg | IV | not captured | standing | page 157 |
| Mild to moderate pain | adult | 0.5 mg/kg | IN | not captured | standing | page 157 |
| Procedural sedation | adult | 0.5 mg/kg | IN | not captured | standing | page 157 |
Ketorolac
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 15 mg | IV | not captured | standing | page 167 |
| Mild to moderate pain | adult | 15 mg | IV | not captured | standing | page 167 |
| Mild to moderate pain | adult | 30 mg | IM | not captured | standing | page 167 |
| Mild to moderate pain | adult | 30 mg | IM | not captured | standing | page 167 |
| Mild to moderate pain | peds | 0.5 mg/kg | IV | not captured | standing | page 167 |
| Mild to moderate pain | peds | 0.5 mg/kg | IM | not captured | standing | page 167 |
| Mild to moderate pain | peds | 0.5 mg/kg | IV | not captured | standing | page 167 |
| Mild to moderate pain | peds | 0.5 mg/kg | IM | not captured | standing | page 167 |
| Severe pain | adult | 15 mg | IV | not captured | standing | page 167 |
| Severe pain | adult | 30 mg | IM | not captured | standing | page 167 |
| Severe pain | peds | 0.5 mg/kg | IV | not captured | standing | page 167 |
| Severe pain | peds | 0.5 mg/kg | IM | not captured | standing | page 167 |
Lidocaine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 50 mg | not captured | not captured | standing | page 166 |
| Mild to moderate pain | peds | 0.5 mg/kg | not captured | not captured | standing | page 166 |
| Narrow-complex tachycardia | adult | 1 mg/kg | IV | not captured | standing | page 208 |
| Narrow-complex tachycardia | peds | 1 mg/kg | IV | not captured | standing | page 208 |
| VF / pulseless VT | adult | 1 mg/kg | IV | not captured | standing | page 208 |
| VF / pulseless VT | peds | 1 mg/kg | IV | not captured | standing | page 208 |
Lorazepam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 2.6 mg | IV/IN | not captured | standing | page 158 |
| Agitation | peds | 0.1 mg/kg | IM | not captured | standing | page 158 |
| Mild to moderate pain | adult | 1.2 mg | IV/IO | not captured | standing | page 157 |
| Mild to moderate pain | adult | 1.2 mg | IM/IN | not captured | standing | page 157 |
Magnesium Sulfate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 2 g | IV | not captured | standing | page 209 |
| Asthma / bronchospasm | peds | 50 mg/kg | IV | not captured | standing | page 209 |
| Eclampsia / pre-eclampsia | adult | 5 g | IV/IM | not captured | standing | page 209 |
| Other | adult | 2 g | IV | not captured | standing | page 209 |
| Other | peds | 50 mg/kg | IV | not captured | standing | page 209 |
| VF / pulseless VT | adult | 2 g | IV | not captured | standing | page 209 |
| VF / pulseless VT | peds | 50 mg/kg | IV | not captured | standing | page 209 |
Midazolam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Head injury / TBI | adult | 2.5 mg | IV | not captured | standing | page 212 |
| Head injury / TBI | adult | 5 mg | IM/IN | not captured | standing | page 212 |
| Head injury / TBI | peds | 0.1 mg/kg | IV | not captured | standing | page 212 |
| Head injury / TBI | peds | 0.2 mg/kg | IM/IN | not captured | standing | page 212 |
| Other | adult | 1 mg | IV/IM/IN | not captured | standing | page 210 |
| Post-ROSC care | adult | 1 mg | IV/IM/IN | not captured | standing | page 210 |
| Seizure | adult | 2.5 mg | IV | not captured | standing | page 211 |
| Seizure | adult | 5 mg | IM/IN | not captured | standing | page 211 |
| Seizure | peds | 0.1 mg/kg | IV | not captured | standing | page 211 |
| Seizure | peds | 0.2 mg/kg | IM/IN | not captured | standing | page 211 |
Morphine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 5 mg | IV/IM | not captured | standing | page 158 |
| Mild to moderate pain | adult | 5 mg | IV | not captured | standing | page 159 |
| Mild to moderate pain | peds | 0.1 mg/kg | IV/IM | not captured | standing | page 158 |
| Mild to moderate pain | peds | 0.1 mg/kg | IV | not captured | standing | page 159 |
Naloxone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Neonatal resuscitation | peds | 0.1 mg/kg | IV/IM/IN | not captured | standing | page 213 |
| Opioid overdose | adult | 1 mg | IN | not captured | standing | page 213 |
| Opioid overdose | adult | 1 mg | IV | not captured | standing | page 213 |
| Opioid overdose | adult | 1 mg | IM | not captured | standing | page 213 |
| Opioid overdose | peds | 0.1 mg/kg | IN | not captured | standing | page 213 |
| Opioid overdose | peds | 0.1 mg/kg | IV | not captured | standing | page 213 |
| Opioid overdose | peds | 0.1 mg/kg | IM | not captured | standing | page 213 |
Nerve Agent Antidote Kit
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nerve agent exposure | adult | 1 injection (both syringes) | IM | not captured | standing | page 156 |
| Nerve agent exposure | adult | 1 injection (both syringes) | IM | not captured | standing | page 156 |
Nitroglycerin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 0.4 mg | SL | not captured | standing | page 214 |
| CHF / pulmonary edema | adult | 0.4 mg | SL | not captured | standing | page 214 |
Ondansetron
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | adult | 4 mg | PO | not captured | standing | page 217 |
| Nausea / vomiting | adult | 4 mg | IV | not captured | standing | page 217 |
| Nausea / vomiting | adult | 4 mg | IM | not captured | standing | page 217 |
| Nausea / vomiting | peds | 0.1 mg/kg | IV | not captured | standing | page 217 |
| Nausea / vomiting | peds | 0.1 mg/kg | IM | not captured | standing | page 217 |
| Nausea / vomiting | peds | 4 mg | PO | not captured | standing | page 217 |
Oral Glucose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 15 g | PO | not captured | standing | page 204 |
| Hypoglycemia | peds | As tolerated | PO | not captured | standing | page 204 |
Pralidoxime
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nerve agent exposure | adult | 600 mg | IM | not captured | standing | page 157 |
| Nerve agent exposure | adult | 600 mg | IV | not captured | standing | page 157 |
| Nerve agent exposure | peds | 20 mg/kg | IM | not captured | standing | page 157 |
| Nerve agent exposure | peds | 20 mg/kg | IV | not captured | standing | page 157 |
Sodium Bicarbonate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | adult | 50 mEq | IV | not captured | standing | page 218 |
| Cardiac arrest | peds | 1 mEq/kg | IV | not captured | standing | page 218 |
| Hyperkalemia | adult | 50 mEq | IV | not captured | standing | page 218 |
| Hyperkalemia | peds | 1 mEq/kg | IV | not captured | standing | page 218 |
| Neonatal resuscitation | peds | 1 mEq/kg | IV | not captured | standing | page 218 |
| Other | adult | 50 mEq | IV | not captured | standing | page 218 |
| Other | adult | 50 mEq | IV | not captured | standing | page 218 |
| Other | peds | 1 mEq/kg | IV | not captured | standing | page 218 |
Tranexamic Acid
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Obstetric hemorrhage | adult | 1 g | IV/IO | not captured | standing | page 219 |
| Trauma / hemorrhage | adult | 1 g | IV/IO | not captured | standing | page 219 |