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County

Wilson County ESD #4

Current176 dose entries35 drugs1 documentTXeffective 2026-04-01100% machine-parsed of 176

Drugs and doses35

A–C Acetaminophen, Adenosine, Albuterol, Amiodarone, Aspirin, Atropine, Calcium Chloride, Cefepime, Ceftriaxone9

Acetaminophen

IndicationPopulationDoseRouteRepeatStandingSource
Fever adult 15 mg/kg IV/IO not captured standing page 156
Fever adult 325–1000 mg PO not captured standing page 156
Fever peds 15 mg/kg PO not captured standing page 156
Fever peds 15 mg/kg IV/IO not captured standing page 156
Other adult 15 mg/kg IV/IO not captured standing page 156
Other adult 325–1000 mg PO not captured standing page 156
Other peds 15 mg/kg PO not captured standing page 156
Other peds 15 mg/kg IV/IO not captured standing page 156

Adenosine

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 12 mg IV not captured standing page 157
Narrow-complex tachycardia adult 12 mg IV not captured standing page 157
Narrow-complex tachycardia peds 0.1 mg/kg (max 12 mg) IV not captured standing page 157

Albuterol

IndicationPopulationDoseRouteRepeatStandingSource
Anaphylaxis adult 5 mg NEB not captured standing pages 80, 124
Anaphylaxis peds 2.5 mg NEB not captured standing pages 80, 124
Asthma / bronchospasm adult 5 mg NEB not captured standing page 158
Asthma / bronchospasm peds 2.5 mg NEB not captured standing page 158

Amiodarone

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 150 mg IV/IO not captured standing page 159
Other adult 300 mg IV/IO not captured standing page 159
Other peds 5 mg/kg IV/IO not captured standing page 159
Other peds 5 mg/kg IV/IO not captured standing page 159

Aspirin

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 324 mg PO not captured standing page 160
Other adult 324 mg PO not captured standing page 160

Atropine

IndicationPopulationDoseRouteRepeatStandingSource
Bradycardia adult 0.5 mg IV/IO not captured standing page 161
Bradycardia peds 0.02 mg/kg IV/IO not captured standing page 161
Organophosphate poisoning adult 2–4 mg IV/IO/IM not captured standing page 161
Organophosphate poisoning peds 0.05 mg/kg IV/IO/IM not captured standing page 161
Other adult 2–4 drop PO not captured standing pages 152, 161

Calcium Chloride

IndicationPopulationDoseRouteRepeatStandingSource
Beta-blocker / calcium-channel-blocker overdose adult 1 g IV/IO not captured standing pages 93, 163
Beta-blocker / calcium-channel-blocker overdose adult 1 g IV/IO not captured standing pages 93, 163
Hyperkalemia adult 1 g IV/IO not captured standing page 163
Hyperkalemia peds 20 mg/kg IV/IO not captured standing page 163
Other adult 1 g IV/IO not captured standing page 139

Cefepime

IndicationPopulationDoseRouteRepeatStandingSource
Sepsis adult 2 g IV/IO not captured standing pages 97, 131, 164
Sepsis peds 50 mg/kg IV/IO not captured standing pages 97, 131, 164

Ceftriaxone

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 2000 mg IV/IO not captured standing pages 105, 134, 165
Other peds 50 mg/kg IV/IO not captured standing pages 105, 134, 165
Sepsis adult 2000 mg IV/IO not captured standing page 165
Sepsis peds 50 mg/kg IV/IO not captured standing page 165
Trauma / hemorrhage adult 2000 mg IV/IO not captured standing pages 105, 134, 165
Trauma / hemorrhage peds 50 mg/kg IV/IO not captured standing pages 105, 134, 165
D–F Dexamethasone, Dextrose, Diltiazem, Diphenhydramine, Droperidol, Epinephrine, Fentanyl7

Dexamethasone

IndicationPopulationDoseRouteRepeatStandingSource
Allergic reaction adult 12 mg IV/IO/IM/PO not captured standing pages 66, 80, 116, 124, 132, 166
Allergic reaction peds 0.6 mg/kg IV/IO/IM/PO not captured standing pages 66, 80, 116, 124, 132, 166
Anaphylaxis adult 12 mg IV/IO/IM/PO not captured standing pages 66, 80, 116, 124, 132, 166
Anaphylaxis peds 0.6 mg/kg IV/IO/IM/PO not captured standing pages 66, 80, 116, 124, 132, 166
Asthma / bronchospasm adult 12 mg IV/IO/IM/PO not captured standing pages 66, 116, 132, 166
Asthma / bronchospasm peds 0.6 mg/kg IV/IO/IM/PO not captured standing pages 66, 116, 132, 166
COPD adult 12 mg IV/IO/IM/PO not captured standing pages 66, 116, 132, 166
COPD peds 0.6 mg/kg IV/IO/IM/PO not captured standing pages 66, 116, 132, 166
Respiratory distress adult 12 mg IV/IO/IM/PO not captured standing pages 66, 116, 132, 166
Respiratory distress peds 0.6 mg/kg IV/IO/IM/PO not captured standing pages 66, 116, 132, 166

Dextrose

IndicationPopulationDoseRouteRepeatStandingSource
Hyperkalemia adult 25 g IV/IO not captured standing page 167
Hyperkalemia peds 0.5 g/kg IV/IO not captured standing page 167
Hypoglycemia adult 25 g IV/IO not captured standing pages 81, 125, 167
Hypoglycemia peds 0.5 g/kg IV/IO not captured standing pages 81, 125, 167

Diltiazem

IndicationPopulationDoseRouteRepeatStandingSource
Atrial fibrillation with RVR adult 0.25 mg/kg IV not captured standing pages 76, 77, 122, 168
Atrial fibrillation with RVR peds 0.25 mg/kg IV not captured standing pages 76, 77, 122, 168
Other adult 0.25 mg/kg IV not captured standing pages 77, 122, 168
Other adult 0.25 mg/kg (max 25 mg) IV not captured standing page 168
Other peds 0.25 mg/kg IV not captured standing pages 77, 122, 168

Diphenhydramine

IndicationPopulationDoseRouteRepeatStandingSource
Allergic reaction adult 25–50 mg PO not captured standing pages 80, 124, 169
Allergic reaction adult 50 mg IV/IO/IM not captured standing pages 80, 124, 169
Allergic reaction peds 1 mg/kg PO not captured standing pages 80, 124, 169
Allergic reaction peds 1 mg/kg IV/IO/IM not captured standing pages 80, 124, 169
Anaphylaxis adult 25–50 mg PO not captured standing pages 80, 124, 169
Anaphylaxis adult 50 mg IV/IO/IM not captured standing pages 80, 124, 169
Anaphylaxis peds 1 mg/kg PO not captured standing pages 80, 124, 169
Anaphylaxis peds 1 mg/kg IV/IO/IM not captured standing pages 80, 124, 169
Dystonic reaction adult 25–50 mg PO not captured standing pages 93, 169
Dystonic reaction adult 50 mg IV/IO/IM not captured standing pages 93, 169
Dystonic reaction peds 1 mg/kg PO not captured standing pages 93, 169
Dystonic reaction peds 1 mg/kg IV/IO/IM not captured standing pages 93, 169

Droperidol

IndicationPopulationDoseRouteRepeatStandingSource
Agitation adult 2.5 mg IV/IO not captured standing pages 82, 170
Agitation adult 2.5 mg IV/IO not captured standing page 170
Agitation adult 5 mg IM not captured standing pages 82, 170
Agitation adult 5 mg IM not captured standing page 170
Alcohol withdrawal adult 2.5 mg IV/IO not captured standing page 170
Alcohol withdrawal adult 5 mg IM not captured standing page 170
Hyperactive delirium adult 2.5 mg IV/IO not captured standing page 170
Hyperactive delirium adult 5 mg IM not captured standing page 170
Nausea / vomiting adult 1.25 mg IV/IO/IM not captured standing pages 92, 128, 170
Nausea / vomiting adult 1.25 mg IV/IO/IM not captured standing pages 92, 128, 170
Other adult 1.25 mg IV/IO/IM not captured standing page 170
Other adult 1.25 mg IV/IO/IM not captured standing page 170

Epinephrine

IndicationPopulationDoseRouteRepeatStandingSource
Anaphylaxis adult 0.5 mg IM not captured standing pages 80, 124
Anaphylaxis peds 0.01 mg/kg IM not captured standing pages 80, 124
Bradycardia peds 5–10 mcg IV/IO not captured standing pages 75, 121
Cardiac arrest adult 0.5 mg IV/IO not captured standing page 69
Cardiac arrest peds 0.01 mg/kg IV/IO not captured standing page 69
Hypotension / shock adult 5–20 mcg IV/IO not captured standing pages 72, 80, 90, 124, 127
Hypotension / shock peds 5–10 mcg IV/IO not captured standing pages 72, 80, 90, 124, 127
Other adult 0.5 mg IM not captured standing page 116
Other peds 0.01 mg/kg IM not captured standing page 116

Fentanyl

IndicationPopulationDoseRouteRepeatStandingSource
Severe pain adult 1 mcg/kg IV/IO/IM/IN not captured standing page 174
Severe pain peds 1 mcg/kg IV/IO/IM/IN not captured standing page 174
Post-intubation sedation adult 1 mcg/kg IV/IO not captured standing page 174
RSI induction adult 1 mcg/kg IV/IO not captured standing pages 67, 174
G–L Glucagon, Hydroxocobalamin, Ipratropium, Ketamine, Ketorolac, Lidocaine6

Glucagon

IndicationPopulationDoseRouteRepeatStandingSource
Beta-blocker / calcium-channel-blocker overdose adult 5 mg IV/IO not captured standing page 175
Beta-blocker / calcium-channel-blocker overdose adult 5 mg IV/IO not captured standing page 175
Beta-blocker / calcium-channel-blocker overdose peds 50 mcg/kg IV/IO not captured standing page 175
Beta-blocker / calcium-channel-blocker overdose peds 50 mcg/kg IV/IO not captured standing page 175
Hypoglycemia adult 1 mg IV/IO/IM not captured standing page 175
Hypoglycemia peds 0.5 mg IV/IO/IM not captured standing page 175

Hydroxocobalamin

IndicationPopulationDoseRouteRepeatStandingSource
Cyanide poisoning adult 5 g IV not captured standing pages 138, 177
Cyanide poisoning peds 70 mg/kg IV not captured standing pages 138, 177
Other adult 5 g IV not captured standing pages 138, 177
Other adult 5 g IV not captured standing pages 138, 177
Other peds 70 mg/kg IV not captured standing pages 138, 177
Other peds 70 mg/kg IV not captured standing pages 138, 177

Ipratropium

IndicationPopulationDoseRouteRepeatStandingSource
Anaphylaxis adult 0.5 mg NEB not captured standing page 179
Anaphylaxis peds 0.25 mg NEB not captured standing page 179
Asthma / bronchospasm adult 0.5 mg NEB not captured standing page 179
Asthma / bronchospasm peds 0.25 mg NEB not captured standing page 179

Ketamine

IndicationPopulationDoseRouteRepeatStandingSource
Cardiac arrest adult 0.5 mg/kg IV/IO not captured standing page 73
Hyperactive delirium adult 2 mg/kg IV/IO not captured standing page 82
Hyperactive delirium adult 4 mg/kg IM not captured standing page 82
Other adult 1 mg/kg IV/IO not captured standing page 181
Other adult 1 mg/kg IV/IO not captured standing page 73
Other adult 1–2 mg/kg IV/IO not captured standing page 67
Other adult 1–2 mg/kg IV/IO not captured standing page 95
Other peds 1 mg/kg IV/IO not captured standing page 181
Mild to moderate pain adult 0.25 mg/kg IV/IO not captured standing pages 94, 129
Mild to moderate pain peds 0.25 mg/kg IV/IO not captured standing pages 94, 129
Mild to moderate pain peds 0.5 mg/kg IN not captured standing pages 94, 129
Seizure adult 1–2 mg/kg IV/IO not captured standing pages 96, 130
Seizure peds 1–2 mg/kg IV/IO not captured standing pages 96, 130

Ketorolac

IndicationPopulationDoseRouteRepeatStandingSource
Fever adult 15 mg IV/IO/IM not captured standing pages 182, 183

Lidocaine

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 40 mg IO not captured standing pages 57, 185
Other peds 0.5 mg/kg IO not captured standing pages 57, 185
Wide-complex tachycardia adult 1 mg/kg IV/IO not captured standing page 185
Wide-complex tachycardia peds 1 mg/kg IV/IO not captured standing page 185
M–O Magnesium Sulfate, Midazolam, Naloxone, Nitroglycerin, Norepinephrine, Ondansetron, Oral Glucose, Oxytocin8

Magnesium Sulfate

IndicationPopulationDoseRouteRepeatStandingSource
Asthma / bronchospasm adult 2 g IV/IO not captured standing pages 66, 116, 186
Asthma / bronchospasm peds 50 mg/kg IV/IO not captured standing pages 66, 116, 186
Eclampsia / pre-eclampsia adult 4 g IV/IO not captured standing pages 111, 186
Other adult 2 g IV/IO not captured standing pages 71, 78, 119, 123, 186
Other peds 2 g IV/IO not captured standing page 139
Other peds 50 mg/kg IV/IO not captured standing pages 71, 78, 119, 123, 186

Midazolam

IndicationPopulationDoseRouteRepeatStandingSource
Hyperactive delirium adult 2.5–5 mg IV/IO/IM not captured standing pages 82, 170
Other adult 2.5–5 mg IV/IO not captured standing pages 65, 66, 116
Other adult 5–10 mg IM/IN/SQ not captured standing page 152
Post-intubation sedation adult 2–5 mg IV/IO not captured standing pages 67, 174
Seizure adult 5–10 mg IV/IO/IM not captured standing pages 96, 130
Seizure peds 0.2 mg/kg IV/IO/IM not captured standing pages 96, 130

Naloxone

IndicationPopulationDoseRouteRepeatStandingSource
Opioid overdose adult 0.4–4 mg IV/IO/IM/IN not captured standing page 188
Opioid overdose peds 0.1 mg/kg IV/IO/IM/IN not captured standing page 188

Nitroglycerin

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 0.4 mg SL not captured standing page 189
CHF / pulmonary edema adult 0.4 mg SL not captured standing page 189
CHF / pulmonary edema adult 0.4 mg SL not captured standing page 65
CHF / pulmonary edema adult 1000 mcg IV not captured standing page 190

Norepinephrine

IndicationPopulationDoseRouteRepeatStandingSource
Hypotension / shock adult 4 mcg IV/IO not captured standing page 191
Hypotension / shock peds 0.1 mcg/kg IV/IO not captured standing page 191

Ondansetron

IndicationPopulationDoseRouteRepeatStandingSource
Nausea / vomiting adult 4 mg IV/IO/ODT not captured standing page 193
Nausea / vomiting adult 4 mg IV/IO/ODT not captured standing page 193
Nausea / vomiting peds 0.15 mg/kg IV/IO/ODT not captured standing page 193
Nausea / vomiting peds 0.15 mg/kg IV/IO/ODT not captured standing page 193

Oral Glucose

IndicationPopulationDoseRouteRepeatStandingSource
Hypoglycemia adult 15 g PO not captured standing page 176
Hypoglycemia peds 15 g PO not captured standing page 176

Oxytocin

IndicationPopulationDoseRouteRepeatStandingSource
Obstetric hemorrhage adult 10 unit IV/IO/IM not captured standing page 195
P–R Rocuronium1

Rocuronium

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 1 mg/kg IV/IO not captured standing page 196
Other peds 1 mg/kg IV/IO not captured standing page 196
S–Z Sodium Bicarbonate, Sodium Chloride, Tetracaine, Tranexamic Acid4

Sodium Bicarbonate

IndicationPopulationDoseRouteRepeatStandingSource
Cardiac arrest adult 1 mEq/kg IV/IO not captured standing page 197
Cardiac arrest peds 1 mEq/kg IV/IO not captured standing page 197
Crush injury adult 1 mEq/kg IV/IO not captured standing page 197
Crush injury peds 1 mEq/kg IV/IO not captured standing page 197
Hyperkalemia adult 1 mEq/kg IV/IO not captured standing page 197
Hyperkalemia peds 1 mEq/kg IV/IO not captured standing page 197
Other adult 1 mEq/kg IV/IO not captured standing page 197
Other adult 1 mEq/kg IV/IO not captured standing page 197
Other peds 1 mEq/kg IV/IO not captured standing page 197
Other peds 1 mEq/kg IV/IO not captured standing page 197
Tricyclic overdose adult 1 mEq/kg IV/IO not captured standing page 197
Tricyclic overdose peds 1 mEq/kg IV/IO not captured standing page 197

Sodium Chloride

IndicationPopulationDoseRouteRepeatStandingSource
Head injury / TBI adult 250 mL IV/IO not captured standing page 178
Other adult 250 mL IV/IO not captured standing page 178

Tetracaine

IndicationPopulationDoseRouteRepeatStandingSource
Mild to moderate pain adult 2 drop OPH not captured standing page 198
Mild to moderate pain peds 1 drop OPH not captured standing page 198

Tranexamic Acid

IndicationPopulationDoseRouteRepeatStandingSource
Trauma / hemorrhage adult 2 g IV not captured standing page 199
Trauma / hemorrhage peds 10 mg/kg IV not captured standing page 199
Cite this

Wilson County ESD #4, United States EMS Protocol Census. 176 dose entries, effective 2026-04-01.

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