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County

Clark County EMS (Washington)

Under review152 dose entries45 drugs1 documentVancouver, WAeffective 2026-03-01100% machine-parsed of 152

An undated version is under review. The figures below are from the current listed document.

Drugs and doses45

A–C Acetaminophen, Activated Charcoal, Adenosine, Albuterol, Albuterol-Ipratropium, Amiodarone, Aspirin, Atropine, Buprenorphine, Calcium Chloride, Calcium Gluconate11

Acetaminophen

IndicationPopulationDoseRouteRepeatStandingSource
Other peds 15 mg/kg PR not captured standing page 8
Mild to moderate pain adult 1000 mg PO/ODT not captured standing page 8
Mild to moderate pain adult 1000 mg IV not captured standing page 8
Mild to moderate pain peds 15 mg/kg PO/ODT not captured standing page 8
Mild to moderate pain peds 15 mg/kg IV/PO/PR not captured standing page 53

Activated Charcoal

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 50 g PO not captured standing page 8

Adenosine

IndicationPopulationDoseRouteRepeatStandingSource
Narrow-complex tachycardia adult 6 mg IV not captured standing page 8
Narrow-complex tachycardia peds 0.1 mg/kg IV not captured standing page 8

Albuterol

IndicationPopulationDoseRouteRepeatStandingSource
Asthma / bronchospasm adult 5 mg NEB not captured standing page 8
Asthma / bronchospasm peds 2.5–5 mg NEB not captured standing page 8
Hyperkalemia adult 5 mg NEB not captured standing page 8
Hyperkalemia peds 2.5–5 mg NEB not captured standing page 8

Albuterol-Ipratropium

IndicationPopulationDoseRouteRepeatStandingSource
Asthma / bronchospasm adult 3 mL NEB not captured standing page 10
Asthma / bronchospasm peds 1.5 mL NEB not captured standing page 10
Hyperkalemia adult 3 mL NEB not captured standing page 10
Hyperkalemia peds 1.5 mL NEB not captured standing page 10

Amiodarone

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 150 mg IV not captured standing page 8
Other peds 5 mg/kg IV not captured standing page 8
VF / pulseless VT adult 300 mg IV/IO not captured standing page 8
VF / pulseless VT peds 5 mg/kg IV/IO not captured standing page 8

Aspirin

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 324 mg PO not captured standing page 8

Atropine

IndicationPopulationDoseRouteRepeatStandingSource
Bradycardia adult 1 mg IV/IO not captured standing page 9
Bradycardia peds 0.02 mg/kg IV/IO not captured standing page 9
Organophosphate poisoning adult 2 mg IV/IM not captured standing page 9
Organophosphate poisoning peds 0.02 mg/kg IV/IM not captured standing page 9

Buprenorphine

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 16 mg SL not captured standing page 137

Calcium Chloride

IndicationPopulationDoseRouteRepeatStandingSource
Beta-blocker / calcium-channel-blocker overdose adult 1 g IV/IO not captured standing page 9
Beta-blocker / calcium-channel-blocker overdose peds 10 mg/kg IV/IO not captured standing page 9
Hyperkalemia adult 1 g IV/IO not captured standing page 9
Hyperkalemia peds 10 mg/kg IV/IO not captured standing page 9

Calcium Gluconate

IndicationPopulationDoseRouteRepeatStandingSource
Beta-blocker / calcium-channel-blocker overdose adult 3 g IV/IO not captured standing page 9
Beta-blocker / calcium-channel-blocker overdose peds 60 mg/kg IV/IO not captured standing page 9
Hyperkalemia adult 1 g IV/IO not captured standing page 9
Hyperkalemia peds 20 mg/kg IV/IO not captured standing page 9
Other adult 3 g IV/IO not captured standing page 9
Other adult 3 g IV/IO not captured standing page 9
Other peds 1 mL NEB not captured standing page 9
D–F Dexamethasone, Dextrose, Diltiazem, Diphenhydramine, Droperidol, Epinephrine, Etomidate, Fentanyl8

Dexamethasone

IndicationPopulationDoseRouteRepeatStandingSource
Anaphylaxis adult 10 mg IV/IM/PO not captured standing page 9
Anaphylaxis peds 0.6 mg/kg IV/IM/PO not captured standing page 9
Asthma / bronchospasm adult 10 mg IV/IM/PO not captured standing page 9
Asthma / bronchospasm peds 0.6 mg/kg IV/IM/PO not captured standing page 9
Croup adult 10 mg IV/IM/PO not captured standing page 9
Croup peds 0.6 mg/kg IV/IM/PO not captured standing page 9

Dextrose

IndicationPopulationDoseRouteRepeatStandingSource
Hypoglycemia adult 10 g IV/IO not captured standing page 9
Hypoglycemia peds 2.5 mL/kg IV/IO not captured standing page 9

Diltiazem

IndicationPopulationDoseRouteRepeatStandingSource
Atrial fibrillation with RVR adult 0.25 mg/kg IV/IO not captured standing page 10
SVT adult 0.25 mg/kg IV/IO not captured standing page 10

Diphenhydramine

IndicationPopulationDoseRouteRepeatStandingSource
Anaphylaxis adult 1 mg/kg IV/IM/PO not captured standing page 10
Anaphylaxis peds 1 mg/kg IV/IM/PO not captured standing page 10
Dystonic reaction adult 1 mg/kg IV/IM not captured standing page 56
Dystonic reaction peds 1 mg/kg IV/IM not captured standing page 56
Other adult 1 mg/kg IV/IM/PO not captured standing page 10
Other peds 1 mg/kg IV/IM/PO not captured standing page 10

Droperidol

IndicationPopulationDoseRouteRepeatStandingSource
Agitation adult 2.5–5 mg IV/IM not captured standing page 10
Agitation peds 0.1 mg/kg IV/IM not captured standing page 10
Nausea / vomiting adult 1.25 mg IV/IO/IM not captured standing page 10

Epinephrine

IndicationPopulationDoseRouteRepeatStandingSource
Anaphylaxis adult 0.3–0.5 mg IM not captured standing page 10
Anaphylaxis peds 0.01 mg/kg IM not captured standing page 10
Bradycardia adult 2–40 mcg IV/IO not captured standing page 10
Cardiac arrest adult 1 mg IV/IO not captured standing page 10
Cardiac arrest peds 0.01 mg/kg IV/IO not captured standing page 10
Croup peds 0.5 mL/kg NEB not captured standing page 10
Hypotension / shock adult 10–20 mcg IV/IO not captured standing page 11

Etomidate

IndicationPopulationDoseRouteRepeatStandingSource
Procedural sedation adult 0.15 mg/kg IV/IO not captured standing page 11
RSI induction adult 0.3 mg/kg IV/IO not captured standing page 11

Fentanyl

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 1 mcg/kg IV/IO/IM/IN not captured standing page 11
ACS / chest pain peds 1 mcg/kg IV/IO/IM/IN not captured standing page 11
Mild to moderate pain adult 1 mcg/kg IV/IO/IM/IN not captured standing page 11
Mild to moderate pain peds 1 mcg/kg IV/IO/IM/IN not captured standing page 11
Post-intubation sedation adult 1 mcg/kg IV/IO/IM/IN not captured standing page 11
G–L Glucagon, Haloperidol, Ipratropium, Ketamine, Ketorolac, Labetalol, Levalbuterol, Lidocaine8

Glucagon

IndicationPopulationDoseRouteRepeatStandingSource
Hypoglycemia adult 1 mg IM not captured standing page 11

Haloperidol

IndicationPopulationDoseRouteRepeatStandingSource
Agitation adult 10 mg IM not captured standing page 11
Agitation adult 2.5–5 mg IV/IM not captured standing page 11
Agitation peds 0.1 mg/kg IV/IM not captured standing page 11
Agitation peds 0.1 mg/kg IM not captured standing page 11

Ipratropium

IndicationPopulationDoseRouteRepeatStandingSource
Asthma / bronchospasm adult 0.5 mg NEB not captured standing page 11

Ketamine

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 1 mg/kg IV/IO not captured standing page 11
Mild to moderate pain adult 0.3 mg/kg IV/IO not captured standing page 11
Mild to moderate pain peds 0.3 mg/kg IV/IO not captured standing page 11

Ketorolac

IndicationPopulationDoseRouteRepeatStandingSource
Mild to moderate pain adult 15 mg IV not captured standing page 53
Mild to moderate pain adult 30 mg IM not captured standing page 12
Mild to moderate pain peds 0.5 mg/kg IM not captured standing page 12
Mild to moderate pain peds 0.5 mg/kg IV not captured standing page 53

Labetalol

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 20 mg IV not captured standing page 12

Levalbuterol

IndicationPopulationDoseRouteRepeatStandingSource
Asthma / bronchospasm adult 2.5 mg NEB not captured standing page 12
Asthma / bronchospasm peds 1.25 mg NEB not captured standing page 12
Hyperkalemia adult 2.5 mg NEB not captured standing page 12
Hyperkalemia peds 1.25 mg NEB not captured standing page 12

Lidocaine

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 1.5 mg/kg IV/IO not captured standing page 12
Other peds 1 mg/kg IV/IO not captured standing page 12
Mild to moderate pain adult 40 mg IO not captured standing page 12
Mild to moderate pain peds 0.5 mg/kg IO not captured standing page 12
M–O Magnesium Sulfate, Methylprednisolone, Midazolam, Naloxone, Nitroglycerin, Norepinephrine, Olanzapine, Ondansetron, Oral Glucose, Oxymetazoline10

Magnesium Sulfate

IndicationPopulationDoseRouteRepeatStandingSource
Eclampsia / pre-eclampsia adult 4 g IV/IO not captured standing page 12
Respiratory distress adult 2 g IV not captured standing page 12
Respiratory distress peds 50 mg/kg IV not captured standing page 12
Tricyclic overdose adult 2 g IV not captured standing page 12
Tricyclic overdose peds 50 mg/kg IV not captured standing page 12
VF / pulseless VT adult 2 g IV/IO not captured standing page 12
VF / pulseless VT peds 50 mg/kg IV/IO not captured standing page 12

Methylprednisolone

IndicationPopulationDoseRouteRepeatStandingSource
Anaphylaxis adult 125 mg IV not captured standing page 12
Anaphylaxis peds 2 mg/kg IV not captured standing page 12
Asthma / bronchospasm adult 125 mg IV not captured standing page 12
Asthma / bronchospasm peds 2 mg/kg IV not captured standing page 12
Other adult 125 mg IV not captured standing page 12

Midazolam

IndicationPopulationDoseRouteRepeatStandingSource
Agitation adult 2.5–5 mg IV/IM not captured standing page 13
Agitation peds 0.2 mg/kg IV/IM not captured standing page 13
Other adult 2.25 mg IV/IM not captured standing page 13
Other adult 2.5 mg IV not captured standing page 13
Other peds 0.2 mg/kg IV/IM not captured standing page 13
Other peds 0.2 mg/kg IM/IN not captured standing page 13
Post-intubation sedation adult 5 mg IV/IO not captured standing page 13
Procedural sedation adult 2.5–5 mg IV/IM not captured standing page 13
Procedural sedation adult 2.5–5 mg IV/IO/IM not captured standing page 38
Procedural sedation peds 0.2 mg/kg IV/IM not captured standing page 13
Procedural sedation peds 0.2 mg/kg IV/IO/IM not captured standing page 38
Seizure adult 10 mg IM not captured standing page 13
Seizure adult 2.5–5 mg IV/IM not captured standing page 13
Seizure adult 5 mg IV/IO not captured standing page 13
Seizure peds 0.2 mg/kg IV/IO not captured standing page 13
Seizure peds 0.2 mg/kg IM not captured standing page 13
Seizure peds 0.2 mg/kg IN not captured standing page 13
Seizure peds 0.2 mg/kg IV/IM not captured standing page 13

Naloxone

IndicationPopulationDoseRouteRepeatStandingSource
Opioid overdose adult 0.5–2 mg IV not captured standing page 14
Opioid overdose adult 2 mg IM/IN not captured standing page 14
Opioid overdose peds 0.1 mg/kg IM/IN not captured standing page 14
Opioid overdose peds 0.1 mg/kg IV not captured standing page 14
Other adult 0.5–2 mg IV not captured standing page 58
Other peds 0.1 mg/kg IV/IO/IM not captured standing page 59

Nitroglycerin

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 0.4 mg SL not captured standing page 14
CHF / pulmonary edema adult 0.4 mg SL not captured standing page 14

Norepinephrine

IndicationPopulationDoseRouteRepeatStandingSource
Hypotension / shock adult 4 mcg IV/IO not captured standing page 14
Hypotension / shock peds 0.1 mcg/kg IV/IO not captured standing page 14

Olanzapine

IndicationPopulationDoseRouteRepeatStandingSource
Agitation adult 10 mg ODT not captured standing page 14

Ondansetron

IndicationPopulationDoseRouteRepeatStandingSource
Nausea / vomiting adult 8 mg IV/IM/PO not captured standing page 14
Nausea / vomiting peds 0.1 mg/kg IV/IM/PO not captured standing page 14

Oral Glucose

IndicationPopulationDoseRouteRepeatStandingSource
Hypoglycemia adult 15 g PO not captured standing page 20
Hypoglycemia peds 15 g PO not captured standing page 20

Oxymetazoline

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 2 spray IN not captured standing page 14
P–R Racemic Epinephrine, Rocuronium2

Racemic Epinephrine

IndicationPopulationDoseRouteRepeatStandingSource
Croup peds 0.05 mL/kg NEB not captured standing page 14

Rocuronium

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 0.5 mg/kg IV not captured standing page 14
RSI induction adult 1.5 mg/kg IV not captured standing page 14
S–Z Sodium Bicarbonate, Sodium Thiosulfate, Succinylcholine, Tranexamic Acid, Vecuronium, Verapamil6

Sodium Bicarbonate

IndicationPopulationDoseRouteRepeatStandingSource
Head injury / TBI adult 1 mEq/kg IV not captured standing page 14
Tricyclic overdose adult 1 mEq/kg IV not captured standing page 14
Tricyclic overdose peds 1 mEq/kg IV not captured standing page 14

Sodium Thiosulfate

IndicationPopulationDoseRouteRepeatStandingSource
Cyanide poisoning adult 50 mL IV/IO not captured standing page 14
Cyanide poisoning peds 1.6 mL/kg IV/IO not captured standing page 14

Succinylcholine

IndicationPopulationDoseRouteRepeatStandingSource
RSI induction adult 1.5 mg/kg IV not captured standing page 15

Tranexamic Acid

IndicationPopulationDoseRouteRepeatStandingSource
Obstetric hemorrhage adult 1 g IV not captured standing page 15
Other adult 0.5 g IN not captured standing page 15
Trauma / hemorrhage adult 2 g IV not captured standing page 15

Vecuronium

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 0.1 mg/kg IV not captured standing page 15

Verapamil

IndicationPopulationDoseRouteRepeatStandingSource
Atrial fibrillation with RVR adult 5 mg IV not captured standing page 15
Cite this

Clark County EMS (Washington), United States EMS Protocol Census. 152 dose entries, effective 2026-03-01.

https://protoquiz.com/census/agencies/clark-county-ems-washington/

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Training reference compiled from published protocols. Not a clinical order. Verify with your agency and medical director.