County

Santa Cruz County EMS Agency

Name: Santa Cruz County EMS Agency EMS protocol doses
Creator: ProtoQuiz
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May be outdated96 dose entries19 drugs1 documentSanta Cruz, CAeffective 2020-03-15100% machine-parsed of 96

The current listed document is more than 24 months old and may be outdated.

Drugs and doses19

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

Adenosine

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	6 mg	IV/IO	not captured	standing	pages 205, 245
Other	peds	0.1 mg/kg	IV/IO	not captured	standing	pages 205, 245

Albuterol

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	5 mg	NEB	not captured	standing	pages 215, 218, 252, 256, 268
Other	peds	2.5 mg	NEB	not captured	standing	pages 215, 218, 252, 256, 268

Amiodarone

Indication	Population	Dose	Route	Repeat	Standing	Source
Cardiac arrest	adult	300 mg	IV/IO	not captured	standing	pages 203, 244
Cardiac arrest	peds	5 mg/kg	IV/IO	not captured	standing	pages 203, 244
Other	adult	150 mg	IV	not captured	standing	page 205

Aspirin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	324 mg	PO	not captured	standing	page 209

Atropine

Indication	Population	Dose	Route	Repeat	Standing	Source
Bradycardia	adult	0.5 mg	IV/IO	not captured	standing	pages 211, 212, 247
Bradycardia	peds	0.02 mg/kg	IV/IO	not captured	standing	pages 211, 212, 247
Organophosphate poisoning	adult	2 mg	IV/IO	not captured	standing	pages 212, 249, 255
Organophosphate poisoning	peds	0.05 mg/kg	IV/IO	not captured	standing	pages 212, 249, 255

Calcium Chloride

Indication	Population	Dose	Route	Repeat	Standing	Source
Beta-blocker / calcium-channel-blocker overdose	adult	1 g	IV	not captured	standing	pages 217, 255
Cardiac arrest	adult	1 g	IV/IO	not captured	standing	pages 202, 243
Cardiac arrest	peds	20 mg/kg	IV/IO	not captured	standing	pages 202, 243
Crush injury	adult	1 g	IV	not captured	standing	page 239

D–F Dextrose, Diphenhydramine, Epinephrine, Fentanyl4

Dextrose

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypoglycemia	adult	25 g	IV/IO	not captured	standing	pages 224, 225, 248, 249, 261, 262, 264
Hypoglycemia	peds	5 mL/kg	IV/IO	not captured	standing	pages 224, 225, 248, 249, 261, 262, 264

Diphenhydramine

Indication	Population	Dose	Route	Repeat	Standing	Source
Allergic reaction	adult	1 mg/kg	IV/IM	not captured	standing	pages 212, 249
Allergic reaction	peds	1 mg/kg	IV/IM	not captured	standing	pages 212, 249
Dystonic reaction	adult	1 mg/kg	IV/IM	not captured	standing	pages 212, 249
Dystonic reaction	peds	1 mg/kg	IV/IM	not captured	standing	pages 212, 249

Epinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	0.3 mg	IM	not captured	standing	pages 218, 256
Anaphylaxis	peds	0.01 mg/kg	IM	not captured	standing	pages 218, 256
Asthma / bronchospasm	adult	0.3 mg	IM	not captured	standing	pages 218, 256
Asthma / bronchospasm	peds	0.01 mg/kg	IM	not captured	standing	pages 218, 256
Cardiac arrest	adult	1 mg	IV/IO	not captured	standing	pages 203, 244
Cardiac arrest	peds	0.01 mg/kg	IV/IO	not captured	standing	pages 203, 244
Hypotension / shock	adult	0.5 mL	IV/IO	not captured	standing	pages 203, 223, 227, 243, 256, 259, 263
Hypotension / shock	peds	0.1 mL/kg	IV/IO	not captured	standing	pages 203, 223, 227, 243, 256, 259, 263

Fentanyl

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	50–100 mcg	IV/IO/IM/IN	not captured	standing	pages 212, 249, 285
Other	adult	50–100 mcg	IV/IO/IM/IN	not captured	standing	pages 212, 249, 285
Other	adult	50–100 mcg	IV/IO/IM/IN	not captured	standing	pages 212, 249, 285
Other	adult	50–100 mcg	IV/IO/IM/IN	not captured	standing	pages 212, 249, 285
Other	peds	1 mcg/kg	IV/IO/IM/IN	not captured	standing	pages 212, 249, 285
Other	peds	1 mcg/kg	IV/IO/IM/IN	not captured	standing	pages 212, 249, 285
Other	peds	1 mcg/kg	IV/IO/IM/IN	not captured	standing	pages 212, 249, 285
Other	peds	1 mcg/kg	IV/IO/IM/IN	not captured	standing	pages 212, 249, 285

G–L Glucagon, Lidocaine2

Glucagon

Indication	Population	Dose	Route	Repeat	Standing	Source
Beta-blocker / calcium-channel-blocker overdose	adult	1 unit	IV/IO/IM	not captured	standing	pages 212, 249, 255
Beta-blocker / calcium-channel-blocker overdose	adult	1 unit	IM	not captured	standing	pages 217, 255
Beta-blocker / calcium-channel-blocker overdose	peds	0.5 unit	IV/IO/IM	not captured	standing	pages 212, 249, 255
Beta-blocker / calcium-channel-blocker overdose	peds	0.5 unit	IM	not captured	standing	pages 217, 255
Hypoglycemia	adult	1 unit	IM	not captured	standing	pages 212, 225, 249, 255, 262, 264
Hypoglycemia	peds	0.5 unit	IM	not captured	standing	pages 212, 225, 249, 255, 262, 264

Lidocaine

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	1 mg/kg	IV	not captured	standing	page 245
Other	adult	40 mg	IO	not captured	standing	pages 212, 249, 285, 294
Other	peds	0.5 mg/kg	IO	not captured	standing	pages 212, 249, 285, 294
Other	peds	1 mg/kg	IV	not captured	standing	page 245

M–O Midazolam, Morphine, Naloxone, Nitroglycerin, Ondansetron5

Midazolam

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	2.5 mg	IV/IO	not captured	standing	pages 177, 221
Agitation	adult	5–10 mg	IM	not captured	standing	pages 177, 221
Agitation	peds	0.05 mg/kg	IV/IO	not captured	standing	pages 177, 221
Agitation	peds	0.1 mg/kg	IM	not captured	standing	pages 177, 221
Procedural sedation	adult	2–2.5 mg	IV/IO/IM/IN	not captured	standing	page 111
Procedural sedation	adult	2.5 mg	IV/IO	not captured	standing	pages 205, 249
Procedural sedation	adult	5 mg	IM/IN	not captured	standing	pages 205, 249
Procedural sedation	peds	0.05 mg/kg	IV/IO	not captured	standing	pages 205, 249
Procedural sedation	peds	0.1 mg/kg	IM/IN	not captured	standing	pages 205, 249
RSI induction	adult	2.5 mg	IV/IO	not captured	standing	pages 286, 288
RSI induction	adult	5–10 mg	IM	not captured	standing	pages 286, 288
RSI induction	peds	0.05 mg/kg	IV/IO	not captured	standing	pages 286, 288
RSI induction	peds	0.1 mg/kg	IM	not captured	standing	pages 286, 288
Seizure	adult	2.5 mg	IV/IO	not captured	standing	pages 230, 266
Seizure	adult	5–10 mg	IM/IN	not captured	standing	pages 230, 266
Seizure	peds	0.1 mg/kg	IM/IN	not captured	standing	pages 230, 266

Morphine

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	2–5 mg	IV/IO	not captured	standing	pages 209, 285
Other	adult	2–5 mg	IV/IO	not captured	standing	pages 212, 285
Other	adult	2–5 mg	IV/IO	not captured	standing	pages 212, 285
Other	adult	2–5 mg	IV/IO	not captured	standing	pages 212, 285
Other	adult	2–5 mg	IV/IO	not captured	standing	page 285
Other	adult	2–5 mg	IV/IO	not captured	standing	page 285
Other	adult	2–5 mg	IO	not captured	standing	pages 212, 285
Other	peds	0.1 mg/kg	IV/IO	not captured	standing	pages 212, 285
Other	peds	0.1 mg/kg	IM	not captured	standing	pages 212, 285
Other	peds	0.1 mg/kg	IV/IO	not captured	standing	pages 212, 285
Other	peds	0.1 mg/kg	IM	not captured	standing	pages 212, 285
Other	peds	0.1 mg/kg	IV/IO	not captured	standing	pages 212, 285
Other	peds	0.1 mg/kg	IM	not captured	standing	pages 212, 285
Other	peds	0.1 mg/kg	IV/IO	not captured	standing	page 285
Other	peds	0.1 mg/kg	IM	not captured	standing	page 285
Other	peds	0.1 mg/kg	IV/IO	not captured	standing	page 285
Other	peds	0.1 mg/kg	IM	not captured	standing	page 285
Other	peds	0.1 mg/kg	IO	not captured	standing	pages 212, 285

Naloxone

Indication	Population	Dose	Route	Repeat	Standing	Source
Opioid overdose	adult	2 mg	IV/IO/IM	not captured	standing	pages 212, 255
Opioid overdose	adult	2–4 mg	IN	not captured	standing	pages 212, 255
Opioid overdose	peds	0.1 mg/kg	IV/IO/IM	not captured	standing	pages 212, 255

Nitroglycerin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	0.4 mg	SL	not captured	standing	pages 209, 234
CHF / pulmonary edema	adult	0.4 mg	SL	not captured	standing	pages 212, 234

Ondansetron

Indication	Population	Dose	Route	Repeat	Standing	Source
Nausea / vomiting	adult	4 mg	IV/IO/IM/ODT	not captured	standing	pages 212, 220, 249, 258
Nausea / vomiting	peds	0.1 mg/kg	IV/IO/IM/ODT	not captured	standing	pages 212, 220, 249, 258

S–Z Sodium Bicarbonate, Tranexamic Acid2

Sodium Bicarbonate

Indication	Population	Dose	Route	Repeat	Standing	Source
Cardiac arrest	adult	1 mEq/kg	IV/IO	not captured	standing	pages 202, 243
Cardiac arrest	peds	1 mEq/kg	IV/IO	not captured	standing	pages 202, 243
Crush injury	adult	1 mEq/kg	IV/IO	not captured	standing	page 239
Other	adult	1 mEq/kg	IV	not captured	standing	pages 217, 255
Other	peds	1 mEq/kg	IV	not captured	standing	pages 217, 255

Tranexamic Acid

Indication	Population	Dose	Route	Repeat	Standing	Source
Trauma / hemorrhage	adult	1 g	IV/IO	not captured	standing	pages 212, 236, 241
Trauma / hemorrhage	adult	1 g	IV/IO	not captured	standing	pages 212, 240, 241

Cite this

Santa Cruz County EMS Agency, United States EMS Protocol Census. 96 dose entries, effective 2020-03-15.

https://protoquiz.com/census/agencies/santa-cruz-county-ems-agency/

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