County
San Diego County Emergency Medical Services Office
San Diego County Emergency Medical Services Office (San Diego, CA) carries 30 drugs across 98 dose entries in its current published protocol, effective 2025-07-01.
Drugs and doses30
Acetaminophen
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Severe pain | adult | 1000 mg | IV | not captured | standing | pages 25, 45, 99, 100, 101, 102, 103 |
| Severe pain | peds | 15 mg/kg | IV | not captured | standing | pages 25, 45, 99, 100, 101, 102, 103 |
Activated Charcoal
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 50 g | PO | not captured | standing | pages 26, 45, 99, 100, 101, 102, 103 |
| Other | peds | 1 g/kg | PO | not captured | standing | pages 26, 45, 99, 100, 101, 102, 103 |
Adenosine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| SVT | adult | 6 mg | IV/IO | not captured | standing | pages 26, 45, 99, 100, 101, 102, 103 |
| SVT | peds | 0.1 mg/kg | IV/IO | not captured | standing | pages 26, 45, 99, 100, 101, 102, 103 |
Albuterol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hyperkalemia | adult | 6 mL | NEB | not captured | standing | pages 27, 54, 58, 84 |
| Hyperkalemia | peds | per drug chart | NEB | not captured | standing | pages 27, 54, 58, 84 |
| Other | adult | 6 mL | NEB | not captured | standing | pages 27, 67, 92 |
| Other | peds | per drug chart | NEB | not captured | standing | pages 27, 67, 92 |
| Respiratory distress | adult | 6 mL | NEB | not captured | standing | pages 27, 45, 99, 100, 101, 102, 103 |
| Respiratory distress | peds | per drug chart | NEB | not captured | standing | pages 27, 45, 99, 100, 101, 102, 103 |
Amiodarone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 150 mg | IV/IO | not captured | standing | pages 28, 56, 85 |
| Other | peds | per drug chart | IV/IO | not captured | standing | pages 28, 56, 85 |
| Wide-complex tachycardia | adult | 150 mg | IV/IO | not captured | standing | pages 28, 45, 54, 56, 83, 99, 100, 101, 102, 103 |
| Wide-complex tachycardia | peds | per drug chart | IV/IO | not captured | standing | pages 28, 45, 54, 56, 83, 99, 100, 101, 102, 103 |
| VF / pulseless VT | adult | 300 mg | IV/IO | not captured | standing | pages 28, 45, 54, 83, 99, 100, 101, 102, 103 |
| VF / pulseless VT | peds | per drug chart | IV/IO | not captured | standing | pages 28, 45, 54, 83, 99, 100, 101, 102, 103 |
Amyl Nitrite
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cyanide poisoning | adult | 1 ampule | NEB | not captured | standing | page 63 |
Aspirin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 324 mg | PO | not captured | standing | pages 29, 50, 51 |
Atropine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Bradycardia | adult | 1 mg | IV/IO | not captured | standing | pages 29, 30, 52, 82 |
| Bradycardia | peds | 0.02 mg/kg | IV/IO | not captured | standing | pages 29, 30, 52, 82 |
| Organophosphate poisoning | adult | 2 mg | IV/IO | not captured | standing | pages 29, 30, 63, 86 |
| Organophosphate poisoning | peds | 0.02 mg/kg | IV/IO | not captured | standing | pages 29, 30, 63, 86 |
Buprenorphine-Naloxone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 16 mg | SL | not captured | standing | pages 30, 73 |
Calcium Chloride
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asystole / PEA | adult | 1 g | IV/IO | not captured | standing | pages 31, 84 |
| Asystole / PEA | peds | 20 mg/kg | IV/IO | not captured | standing | pages 31, 84 |
| Hyperkalemia | adult | 1 g | IV/IO | not captured | standing | pages 31, 58 |
| Other | adult | 1 g | IV/IO | not captured | standing | pages 31, 63 |
| Other | adult | 1 g | IV/IO | not captured | standing | pages 31, 67, 92 |
| Other | peds | 20 mg/kg | IV/IO | not captured | standing | pages 31, 67, 92 |
Dextrose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 25 g | IV | not captured | standing | pages 32, 49, 79 |
| Hypoglycemia | peds | 0.5 g/kg | IV | not captured | standing | pages 32, 49, 79 |
Diphenhydramine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 50 mg | IV/IM | not captured | standing | pages 33, 47, 80 |
| Allergic reaction | peds | 1 mg/kg | IV/IM | not captured | standing | pages 33, 47, 80 |
| Dystonic reaction | adult | 50 mg | IV/IM | not captured | standing | pages 33, 63, 86 |
| Dystonic reaction | peds | 1 mg/kg | IV/IM | not captured | standing | pages 33, 63, 86 |
Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 0.5 mg | IM | not captured | standing | pages 33, 47, 80 |
| Anaphylaxis | peds | 0.01 mg/kg | IM | not captured | standing | pages 33, 47, 80 |
| Bradycardia | peds | 0.01 mg/kg | IV/IO | not captured | standing | pages 35, 82 |
| Cardiac arrest | adult | 1 mg | IV/IO | not captured | standing | pages 34, 54, 55, 61, 84 |
| Cardiac arrest | peds | 0.01 mg/kg | IV/IO | not captured | standing | pages 34, 54, 55, 61, 84 |
Fentanyl
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Severe pain | adult | 100 mcg | IV | not captured | standing | pages 36, 69, 96 |
| Severe pain | adult | 50 mcg | IN | not captured | standing | pages 36, 69, 96 |
| Severe pain | peds | 1 mcg/kg | IV | not captured | standing | pages 36, 69, 96 |
| Severe pain | peds | 1.5 mcg/kg | IN | not captured | standing | pages 36, 69, 96 |
Glucagon
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Beta-blocker / calcium-channel-blocker overdose | adult | 1–5 mg | IV | not captured | standing | page 37 |
| Hypoglycemia | adult | 1 mL | IM | not captured | standing | page 37 |
| Hypoglycemia | peds | per drug chart | IM | not captured | standing | page 37 |
Hydroxocobalamin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cyanide poisoning | adult | 5 g | IV | not captured | standing | page 63 |
Ipratropium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Respiratory distress | adult | 2.5 mL | NEB | not captured | standing | pages 38, 47, 65, 80, 91, 95 |
| Respiratory distress | peds | per drug chart | NEB | not captured | standing | pages 38, 47, 65, 80, 91, 95 |
Ketamine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Severe pain | adult | 0.3 mg/kg | IV | not captured | standing | pages 38, 69 |
| Severe pain | adult | 0.5 mg/kg | IN | not captured | standing | pages 38, 69 |
Levalbuterol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hyperkalemia | adult | 6 mL | NEB | not captured | standing | pages 27, 54, 58, 84 |
| Hyperkalemia | peds | per drug chart | NEB | not captured | standing | pages 27, 54, 58, 84 |
| Other | adult | 6 mL | NEB | not captured | standing | pages 27, 67, 92 |
| Other | peds | per drug chart | NEB | not captured | standing | pages 27, 67, 92 |
| Respiratory distress | adult | 6 mL | NEB | not captured | standing | pages 27, 45, 99, 100, 101, 102, 103 |
| Respiratory distress | peds | per drug chart | NEB | not captured | standing | pages 27, 45, 99, 100, 101, 102, 103 |
Lidocaine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 40 mg | IO | not captured | standing | pages 23, 39 |
| Wide-complex tachycardia | adult | 1.5 mg/kg | IV/IO | not captured | standing | pages 39, 54, 83 |
| Wide-complex tachycardia | peds | per drug chart | IV/IO | not captured | standing | pages 39, 54, 83 |
| VF / pulseless VT | adult | 1.5 mg/kg | IV/IO | not captured | standing | pages 39, 54, 83 |
| VF / pulseless VT | peds | per drug chart | IV/IO | not captured | standing | pages 39, 54, 83 |
Midazolam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 5 mg | IV/IM/IN | not captured | standing | pages 40, 70, 96 |
| Agitation | peds | per drug chart | IV/IM/IN | not captured | standing | pages 40, 70, 96 |
| Eclampsia / pre-eclampsia | adult | 5 mg | IV/IO/IM/IN | not captured | standing | pages 40, 60, 87 |
| Other | adult | 1–5 mg | IV/IO | not captured | standing | pages 40, 52, 53, 54, 82, 83 |
| Other | peds | per drug chart | IV/IO | not captured | standing | pages 40, 52, 53, 54, 82, 83 |
| Post-intubation sedation | adult | 2–5 mg | IV/IO/IM/IN | not captured | standing | pages 40, 64, 65 |
| Seizure | adult | 0.2 mg/kg | IV/IO | not captured | standing | pages 40, 49, 79 |
| Seizure | adult | 10 mg | IM | not captured | standing | pages 40, 49, 79 |
| Seizure | peds | per drug chart | IM | not captured | standing | pages 40, 49, 79 |
| Seizure | peds | per drug chart | IV/IO | not captured | standing | pages 40, 49, 79 |
Morphine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Severe pain | adult | 0.1 mg/kg | IV | not captured | standing | pages 41, 69, 96 |
| Severe pain | adult | 0.1 mg/kg | IM | not captured | standing | pages 41, 69, 96 |
| Severe pain | peds | per drug chart | IV | not captured | standing | pages 41, 69, 96 |
| Severe pain | peds | per drug chart | IM | not captured | standing | pages 41, 69, 96 |
Naloxone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Opioid overdose | adult | 2 mg | IV/IM/IN | not captured | standing | pages 42, 48, 49, 62, 63, 79, 86 |
| Opioid overdose | peds | per drug chart | IV/IM/IN | not captured | standing | pages 42, 48, 49, 62, 63, 79, 86 |
Nerve Agent Antidote Kit
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nerve agent exposure | adult | 1 autoinjector | IM | not captured | standing | pages 76, 77 |
| Nerve agent exposure | peds | per drug chart | IM | not captured | standing | pages 76, 77 |
Nitroglycerin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 0.4 mg | SL | not captured | standing | pages 50, 51 |
| CHF / pulmonary edema | adult | 0.4 mg | SL | not captured | standing | page 43 |
Ondansetron
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | adult | 4 mg | IV/IM/ODT | not captured | standing | pages 44, 46, 67, 96 |
| Nausea / vomiting | peds | per drug chart | IV/IM/ODT | not captured | standing | pages 44, 46, 67, 96 |
Oral Glucose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 15 g | PO | not captured | standing | pages 48, 79, 95 |
| Hypoglycemia | peds | 15 g | PO | not captured | standing | pages 48, 79, 95 |
Sodium Bicarbonate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hyperkalemia | adult | 1 mEq/kg | IV/IO | not captured | standing | pages 44, 54, 84 |
| Hyperkalemia | peds | per drug chart | IV/IO | not captured | standing | pages 44, 54, 84 |
| Other | adult | 1 mEq/kg | IV/IO | not captured | standing | pages 44, 67, 92 |
| Other | peds | per drug chart | IV/IO | not captured | standing | pages 44, 67, 92 |
| Tricyclic overdose | adult | 1 mEq/kg | IV/IO | not captured | standing | pages 44, 63, 86 |
| Tricyclic overdose | peds | per drug chart | IV/IO | not captured | standing | pages 44, 63, 86 |
Sodium Thiosulfate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cyanide poisoning | adult | 12.5 g | IV | not captured | standing | page 63 |
Tranexamic Acid
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Obstetric hemorrhage | adult | 1 g | IV/IO | not captured | standing | pages 45, 61, 88 |
| Trauma / hemorrhage | adult | 1 g | IV/IO | not captured | standing | pages 45, 67 |