County
Stanislaus County Emergency Medical Services Agency
Stanislaus County Emergency Medical Services Agency (Modesto, CA) carries 27 drugs across 107 dose entries in its current published protocol, effective 2016-04-15.
The current listed document is more than 24 months old and may be outdated.
Drugs and doses27
Acetaminophen
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | peds | 15 mg/kg | IV/PO | not captured | standing | page 27 |
| Mild to moderate pain | adult | 15 mg/kg | IV/PO | not captured | standing | page 9 |
| Mild to moderate pain | peds | 15 mg/kg | IV/PO | not captured | standing | page 9 |
| Sepsis | adult | 15 mg/kg | IV/PO | not captured | standing | page 43 |
| Sepsis | peds | 15 mg/kg | IV/PO | not captured | standing | page 43 |
Adenosine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 6 mg | IV/IO | not captured | standing | page 11 |
| Other | peds | 0.1 mg/kg | IV/IO | not captured | standing | page 11 |
Albuterol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 2.5–5 mg | NEB | not captured | standing | page 19 |
| Asthma / bronchospasm | peds | 2.5–5 mg | NEB | not captured | standing | page 19 |
| Other | adult | 5 mg | NEB | not captured | standing | page 19 |
| Other | adult | 5 mg | NEB | not captured | standing | page 30 |
| Other | peds | 5 mg | NEB | not captured | standing | page 30 |
Amiodarone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | adult | 300 mg | IV/IO | not captured | standing | page 8 |
| Cardiac arrest | peds | 5 mg/kg | IV/IO | not captured | standing | page 8 |
| Other | adult | 150 mg | IV/IO | not captured | standing | page 11 |
| Other | adult | 150 mg | IV/IO | not captured | standing | page 37 |
Aspirin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 324 mg | PO | not captured | standing | page 6 |
Atropine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Bradycardia | adult | 1 mg | IV/IO | not captured | standing | page 10 |
| Bradycardia | peds | 0.02 mg/kg | IV/IO | not captured | standing | page 10 |
| Organophosphate poisoning | adult | 2 mg | IV/IO/IM | not captured | standing | page 26 |
| Organophosphate poisoning | peds | 0.05 mg/kg | IV/IO/IM | not captured | standing | page 26 |
| Other | adult | 1 mg | IV/IO | not captured | standing | page 26 |
| Other | peds | 0.02 mg/kg | IV/IO | not captured | standing | page 26 |
Buprenorphine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 16 mg | SL | not captured | standing | pages 39, 41 |
Calcium Chloride
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | adult | 1 g | IV/IO | not captured | standing | page 8 |
| Other | adult | 1 g | IV/IO | not captured | standing | page 26 |
Dextrose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 25 g | IV/IO | not captured | standing | page 24 |
| Hypoglycemia | peds | 5 mL/kg | IV/IO | not captured | standing | page 24 |
Diazepam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nerve agent exposure | adult | 2.5–10 mg | IV/IO | not captured | standing | page 35 |
| Nerve agent exposure | peds | 0.1–0.3 mg/kg | IV/IO | not captured | standing | page 35 |
Diphenhydramine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 25–50 mg | PO | not captured | standing | page 29 |
| Allergic reaction | adult | 25–50 mg | IV/IM/PO | not captured | standing | page 29 |
| Allergic reaction | peds | 1 mg/kg | IV/IM/PO | not captured | standing | page 29 |
| Allergic reaction | peds | 12.5 mg | PO | not captured | standing | page 29 |
| Anaphylaxis | adult | 50 mg | IV/IO/IM | not captured | standing | page 29 |
| Anaphylaxis | peds | 1 mg/kg | IV/IO/IM | not captured | standing | page 29 |
Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 0.3 mg | IM | not captured | standing | page 29 |
| Anaphylaxis | peds | 0.15 mg | IM | not captured | standing | page 29 |
| Asthma / bronchospasm | adult | 0.3 mg | IM | not captured | standing | page 19 |
| Asthma / bronchospasm | peds | 0.01 mg/kg | IM | not captured | standing | page 19 |
| Bradycardia | peds | 0.01 mg/kg | IV/IO | not captured | standing | page 10 |
| Cardiac arrest | adult | 1 mg | IV/IO | not captured | standing | page 8 |
| Cardiac arrest | peds | 0.01 mg/kg | IV/IO | not captured | standing | page 8 |
| Stridor | peds | 0.5 mg/kg | NEB | not captured | standing | page 19 |
| Trauma / hemorrhage | adult | 20 mcg | IV/IO | not captured | standing | pages 36, 37, 43 |
| Trauma / hemorrhage | peds | 10 mcg | IV/IO | not captured | standing | pages 36, 37, 43 |
Fentanyl
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 50 mcg | IV/IM/IN | not captured | standing | page 9 |
| Mild to moderate pain | peds | 1 mcg/kg | IV/IM/IN | not captured | standing | page 9 |
Glucagon
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 1 mg | IM | not captured | standing | page 24 |
| Hypoglycemia | peds | 0.5 mg | IM | not captured | standing | page 24 |
| Other | adult | 1 mg | IV/IO/IM | not captured | standing | page 26 |
| Other | peds | 1 mg | IV/IO/IM | not captured | standing | page 26 |
Ipratropium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 0.5 mg | NEB | not captured | standing | page 19 |
| Asthma / bronchospasm | peds | 0.5 mg | NEB | not captured | standing | page 19 |
| Other | adult | 0.5 mg | NEB | not captured | standing | page 30 |
| Other | peds | 0.5 mg | NEB | not captured | standing | page 30 |
Ketamine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 0.3 mg/kg | IV | not captured | standing | page 9 |
| Mild to moderate pain | peds | 0.3 mg/kg | IV | not captured | standing | page 9 |
Ketorolac
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 15 mg | IV | not captured | standing | page 9 |
| Mild to moderate pain | adult | 30 mg | IM | not captured | standing | page 9 |
| Mild to moderate pain | peds | 0.5 mg/kg | IV | not captured | standing | page 9 |
| Mild to moderate pain | peds | 0.5 mg/kg | IM | not captured | standing | page 9 |
Lidocaine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | adult | 1.5 mg/kg | IV/IO | not captured | standing | page 8 |
Midazolam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hyperthermia | adult | 10 mg | IN | not captured | standing | page 33 |
| Hyperthermia | adult | 2 mg | IV | not captured | standing | page 33 |
| Hyperthermia | adult | 5 mg | IM | not captured | standing | page 33 |
| Hyperthermia | peds | 0.1 mg/kg | IV | not captured | standing | page 33 |
| Hyperthermia | peds | 0.1 mg/kg | IM | not captured | standing | page 33 |
| Hyperthermia | peds | 0.2 mg/kg | IN | not captured | standing | page 33 |
| Other | adult | 2 mg | IV/IO/IN | not captured | standing | page 11 |
| Other | adult | 2 mg | IV | not captured | standing | page 16 |
| Other | adult | 5 mg | IM | not captured | standing | page 16 |
| Other | peds | 0.1 mg/kg | IV/IO/IN | not captured | standing | page 11 |
| Other | peds | 0.1 mg/kg | IV | not captured | standing | page 16 |
| Other | peds | 0.1 mg/kg | IM | not captured | standing | page 16 |
| Other | peds | 0.2 mg/kg | IN | not captured | standing | page 16 |
| Procedural sedation | adult | 2 mg | IV/IO/IN | not captured | standing | page 10 |
| Seizure | adult | 10 mg | IN | not captured | standing | page 27 |
| Seizure | adult | 2 mg | IV | not captured | standing | page 27 |
| Seizure | adult | 5 mg | IM | not captured | standing | page 27 |
| Seizure | peds | 0.1 mg/kg | IV | not captured | standing | page 27 |
| Seizure | peds | 0.1 mg/kg | IM | not captured | standing | page 27 |
| Seizure | peds | 0.2 mg/kg | IN | not captured | standing | page 27 |
Morphine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 5 mg | IV/IM | not captured | standing | page 9 |
| Mild to moderate pain | peds | 0.1 mg/kg | IV/IM | not captured | standing | page 9 |
Naloxone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Opioid overdose | adult | 2 mg | IM/IN | not captured | standing | page 25 |
| Opioid overdose | adult | 2 mg | IV/IO | not captured | standing | page 25 |
| Opioid overdose | peds | 0.1 mg/kg | IV/IO | not captured | standing | page 25 |
| Opioid overdose | peds | 2 mg | IM/IN | not captured | standing | page 25 |
| Other | peds | 0.1 mg/kg | IV/IO/IM | not captured | standing | page 104 |
Nitroglycerin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| CHF / pulmonary edema | adult | 0.4 mg | SL | not captured | standing | page 19 |
| Other | adult | 0.4 mg | SL | not captured | standing | page 6 |
Ondansetron
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 4 mg | PO | not captured | standing | page 18 |
| Other | adult | 4 mg | IV/IO/IM/PO | not captured | standing | page 18 |
| Other | peds | 2 mg | IV/IO/IM/PO | not captured | standing | page 18 |
Oral Glucose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 1 tube (37.5 grams) | PO | not captured | standing | page 24 |
| Hypoglycemia | peds | 1 tube (37.5 grams) | PO | not captured | standing | page 24 |
Pralidoxime
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nerve agent exposure | adult | 600 mg | IM | not captured | standing | page 35 |
| Nerve agent exposure | peds | 20–40 mg/kg | IV/IO/IM | not captured | standing | page 35 |
Sodium Bicarbonate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Tricyclic overdose | adult | 1 mEq/kg | IV/IO | not captured | standing | page 26 |
| Tricyclic overdose | peds | 1 mEq/kg | IV/IO | not captured | standing | page 26 |
Tranexamic Acid
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Obstetric hemorrhage | adult | 1 g | IV/IO | not captured | standing | pages 32, 34 |
| Other | adult | 500 mg | NEB | not captured | standing | page 34 |
| Other | adult | 500 mg | TOP | not captured | standing | page 34 |
| Other | peds | 250 mg | NEB | not captured | standing | page 34 |
| Other | peds | 500 mg | TOP | not captured | standing | page 34 |
| Trauma / hemorrhage | adult | 2 g | IV | not captured | standing | page 34 |