Statewide
South Carolina Department of Public Health (DPH) Division of EMS
South Carolina Department of Public Health (DPH) Division of EMS (SC) carries 28 drugs across 72 dose entries in its current published protocol, effective 2025-01-01.
Drugs and doses28
Activated Charcoal
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1 g/kg | PO | not captured | standing | pages 195, 196 |
| Other | peds | 1 g/kg | PO | not captured | standing | pages 195, 196 |
Adenosine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| SVT | adult | null | IV/IO | not captured | standing | pages 107, 108, 182, 183 |
| SVT | peds | null | IV/IO | not captured | standing | pages 107, 108, 182, 183 |
Albuterol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hyperkalemia | adult | High dose | NEB | not captured | standing | pages 110, 185 |
| Hyperkalemia | peds | High dose | NEB | not captured | standing | pages 110, 185 |
| Respiratory distress | adult | 2.5–5 mg | NEB | not captured | standing | pages 59, 60, 168, 205 |
| Respiratory distress | peds | 2.5–5 mg | NEB | not captured | standing | pages 59, 60, 168, 205 |
Amiodarone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Wide-complex tachycardia | adult | null | IV/IO | not captured | standing | pages 105, 106, 176, 177 |
| Wide-complex tachycardia | peds | null | IV/IO | not captured | standing | pages 105, 106, 176, 177 |
Aspirin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 324 mg | PO | not captured | standing | pages 87, 88 |
| STEMI | adult | 324 mg | PO | not captured | standing | pages 87, 88 |
Atropine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Bradycardia | adult | null | IV/IO | not captured | standing | pages 109, 110, 184, 185 |
| Bradycardia | peds | null | IV/IO | not captured | standing | pages 109, 110, 184, 185 |
| Nerve agent exposure | adult | 2 mg | IV/IO/IM | not captured | standing | pages 197, 198 |
| Nerve agent exposure | peds | 0.5 mg | IV/IO/IM | not captured | standing | pages 197, 198 |
Calcium Chloride
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Beta-blocker / calcium-channel-blocker overdose | adult | 1 g | IV/IO | not captured | standing | page 195 |
| Beta-blocker / calcium-channel-blocker overdose | peds | 20 mg/kg | IV/IO | not captured | standing | page 195 |
Calcium Gluconate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Beta-blocker / calcium-channel-blocker overdose | adult | 2 g | IV/IO | not captured | standing | page 195 |
| Beta-blocker / calcium-channel-blocker overdose | peds | 20 mg/kg | IV/IO | not captured | standing | page 195 |
Dextrose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 25 g | IV/IO | not captured | standing | pages 32, 33 |
| Hypoglycemia | peds | 0.5 g/kg | IV/IO | not captured | standing | pages 32, 33 |
Diazepam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Seizure | peds | 0.2 mg/kg | IV/IO | not captured | standing | page 165 |
Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 0.3 mg | IM | not captured | standing | pages 57, 58 |
| Anaphylaxis | peds | 0.15 mg | IM | not captured | standing | pages 57, 58 |
| Bradycardia | peds | 0.01 mg/kg | IV/IO | not captured | standing | pages 109, 154, 184 |
| Cardiac arrest | adult | 1 mg | IV/IO | not captured | standing | pages 98, 176, 178 |
| Cardiac arrest | peds | 0.01 mg/kg | IV/IO | not captured | standing | pages 98, 176, 178 |
Fentanyl
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 2 mcg/kg | IV/IO | not captured | standing | pages 47, 48, 160, 161 |
| Mild to moderate pain | peds | 2 mcg/kg | IV/IO | not captured | standing | pages 47, 48, 160, 161 |
Glucagon
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Beta-blocker / calcium-channel-blocker overdose | adult | 2–4 mg | IV/IO/IM | not captured | standing | page 195 |
| Beta-blocker / calcium-channel-blocker overdose | adult | 2–4 mg | IV/IO/IM | not captured | standing | page 195 |
| Beta-blocker / calcium-channel-blocker overdose | peds | 0.1 mg/kg | IV/IO/IM | not captured | standing | page 195 |
| Beta-blocker / calcium-channel-blocker overdose | peds | 0.1 mg/kg | IV/IO/IM | not captured | standing | page 195 |
| Hypoglycemia | adult | 1 mg | IM | not captured | standing | page 32 |
| Hypoglycemia | peds | 0.5 mg | IM | not captured | standing | page 32 |
Hydroxocobalamin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cyanide poisoning | adult | 5 g | IV | not captured | standing | page 201 |
| Cyanide poisoning | peds | 70 mg/kg | IV | not captured | standing | page 201 |
Ketamine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 4 mg/kg | IM | not captured | standing | pages 199, 200, 239, 241 |
| Other | adult | 2 mg/kg | IV/IO | not captured | standing | pages 65, 66 |
| Mild to moderate pain | adult | Subdissociative dose | IV/IO | not captured | standing | pages 47, 48, 160, 161 |
| Mild to moderate pain | peds | Subdissociative dose | IV/IO | not captured | standing | pages 47, 48, 160, 161 |
Lidocaine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Wide-complex tachycardia | adult | null | IV/IO | not captured | standing | pages 105, 106, 176, 177 |
| Wide-complex tachycardia | peds | null | IV/IO | not captured | standing | pages 105, 106, 176, 177 |
Lorazepam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Eclampsia / pre-eclampsia | adult | 4 mg | IV | not captured | standing | page 157 |
| Seizure | peds | 0.1 mg/kg | IV/IO | not captured | standing | page 165 |
Magnesium Sulfate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Eclampsia / pre-eclampsia | adult | 4–6 g | IV | not captured | standing | page 157 |
Midazolam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 5–10 mg | IM | not captured | standing | page 150 |
| Seizure | adult | 10 mg | IM/IN | not captured | standing | pages 36, 37, 165 |
| Seizure | peds | 0.1 mg/kg | IV/IO | not captured | standing | page 165 |
| Seizure | peds | 0.2 mg/kg | IM/IN | not captured | standing | pages 36, 37, 165 |
Morphine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 0.1 mg/kg | IV/IO | not captured | standing | pages 47, 160 |
| Mild to moderate pain | peds | 0.1 mg/kg | IV/IO | not captured | standing | pages 47, 160 |
Nitroglycerin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 0.4 mg | SL | not captured | standing | pages 87, 88 |
| CHF / pulmonary edema | adult | 1 mg | SL | not captured | standing | pages 111, 112 |
| CHF / pulmonary edema | adult | 1 mg | SL | not captured | standing | pages 111, 112 |
| Other | adult | Paste | TOP | not captured | standing | page 85 |
| STEMI | adult | 0.4 mg | SL | not captured | standing | pages 87, 88 |
Ondansetron
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | peds | 0.15 mg/kg | IV/PO | not captured | standing | page 167 |
Oxytocin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Obstetric hemorrhage | adult | 10 unit | IM | not captured | standing | pages 150, 151 |
Pralidoxime
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nerve agent exposure | adult | 600 mg | IM | not captured | standing | pages 197, 198 |
| Nerve agent exposure | peds | 600 mg | IM | not captured | standing | pages 197, 198 |
Prochlorperazine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | peds | 0.1 mg/kg | IV/IM | not captured | standing | page 167 |
Sodium Bicarbonate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | adult | 1 mEq/kg | IV/IO | not captured | standing | pages 55, 100 |
| Cardiac arrest | peds | 1 mEq/kg | IV/IO | not captured | standing | pages 55, 100 |
| Hyperkalemia | adult | 50 mEq | IV | not captured | standing | pages 55, 100, 195 |
| Hyperkalemia | peds | 1 mEq/kg | IV | not captured | standing | pages 55, 100, 195 |
| Tricyclic overdose | adult | 50 mEq | IV/IO | not captured | standing | pages 194, 195 |
| Tricyclic overdose | peds | 1 mEq/kg | IV/IO | not captured | standing | pages 194, 195 |
Sodium Thiosulfate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cyanide poisoning | adult | 12.5 g | IV | not captured | standing | page 201 |
| Cyanide poisoning | peds | 0.5 g/kg | IV | not captured | standing | page 201 |
Tranexamic Acid
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1 g | IV/IO | not captured | standing | page 143 |