County
County of San Diego Emergency Medical Services
Drugs and doses31
A–C Acetaminophen, Activated Charcoal, Adenosine, Albuterol, Amiodarone, Aspirin, Atropine, Buprenorphine, Calcium Chloride9
Acetaminophen
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | peds | 15 mg/kg | IV | not captured | standing | pages 40, 67 |
| Severe pain | adult | 1000 mg | IV | not captured | standing | pages 40, 67, 68, 69, 70, 71, 72 |
| Severe pain | peds | 15 mg/kg | IV | not captured | standing | pages 40, 67, 68, 69, 70, 71, 72 |
| Severe pain | peds | 210 mg | IV | not captured | standing | page 69 |
| Severe pain | peds | 220 mg | IV | not captured | standing | page 70 |
| Severe pain | peds | 300 mg | IV | not captured | standing | page 71 |
| Severe pain | peds | 370 mg | IV | not captured | standing | page 72 |
| Severe pain | peds | 520 mg | IV | not captured | standing | page 73 |
Activated Charcoal
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 50 g | PO | not captured | standing | pages 41, 67, 68, 69, 70, 71, 72, 100, 133 |
| Other | adult | 50 g | PO | not captured | standing | page 41 |
| Other | peds | 1 g/kg | PO | not captured | standing | pages 41, 67, 68, 69, 70, 71, 72, 100, 133 |
| Other | peds | 10 g | PO | not captured | standing | page 69 |
| Other | peds | 15 g | PO | not captured | standing | page 70 |
| Other | peds | 20 g | PO | not captured | standing | page 71 |
| Other | peds | 25 g | PO | not captured | standing | page 72 |
| Other | peds | 35 g | PO | not captured | standing | page 73 |
| Other | peds | 5 g | PO | not captured | standing | page 68 |
Adenosine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 6 mg | IV/IO | not captured | standing | page 42 |
| Other | peds | 0.1 mg/kg | IV | not captured | standing | page 67 |
| Other | peds | 0.2 mg/kg | IV | not captured | standing | page 67 |
| Other | peds | 0.5 mg | IV | not captured | standing | page 68 |
| Other | peds | 1 mg | IV | not captured | standing | page 69 |
| Other | peds | 1 mg | IV | not captured | standing | page 68 |
| Other | peds | 1.5 mg | IV | not captured | standing | page 70 |
| Other | peds | 2 mg | IV | not captured | standing | page 69 |
| Other | peds | 2.5 mg | IV | not captured | standing | page 72 |
| Other | peds | 3 mg | IV | not captured | standing | page 70 |
| Other | peds | 3.5 mg | IV | not captured | standing | page 73 |
| Other | peds | 4 mg | IV | not captured | standing | page 71 |
| Other | peds | 5 mg | IV | not captured | standing | page 72 |
| Other | peds | 6 mg | IV | not captured | standing | page 74 |
| Other | peds | 7 mg | IV | not captured | standing | page 73 |
| SVT | adult | 6 mg | IV/IO | not captured | standing | pages 42, 67, 68, 69, 70, 71, 72, 74, 83, 126 |
| SVT | peds | 0.1 mg/kg | IV/IO | not captured | standing | pages 42, 67, 68, 69, 70, 71, 72, 74, 83, 126 |
Albuterol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hyperkalemia | adult | 6 mL | NEB | not captured | standing | pages 43, 67, 68, 69, 70, 71, 72, 73, 74, 87, 95, 129 |
| Hyperkalemia | peds | 5 mg | NEB | not captured | standing | pages 43, 67, 68, 69, 70, 71, 72, 73, 74, 87, 95, 129 |
| Other | adult | 6 mL | NEB | not captured | standing | pages 43, 105, 143 |
| Other | adult | 6 mL | NEB | not captured | standing | page 43 |
| Other | peds | 5 mg | NEB | not captured | standing | pages 43, 105, 143 |
| Respiratory distress | adult | 6 mL | NEB | not captured | standing | pages 43, 67, 68, 69, 70, 71, 72, 73, 74, 77, 79, 103, 141 |
| Respiratory distress | peds | 5 mg | NEB | not captured | standing | pages 43, 67, 68, 69, 70, 71, 72, 73, 74, 77, 79, 103, 141 |
Amiodarone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 150 mg | IV/IO | not captured | standing | pages 44, 90, 131 |
| Other | adult | 300 mg | IV/IO | not captured | standing | pages 44, 67, 68, 69, 70, 71, 72, 73, 74, 86, 128 |
| Other | adult | 300 mg | IV/IO | not captured | standing | pages 44, 86 |
| Other | peds | 100 mg | IV/IO | not captured | standing | page 71 |
| Other | peds | 125 mg | IV/IO | not captured | standing | page 72 |
| Other | peds | 150 mg | IV/IO | not captured | standing | page 73 |
| Other | peds | 25 mg | IV/IO | not captured | standing | page 68 |
| Other | peds | 5 mg/kg | IV/IO | not captured | standing | pages 44, 67, 68, 69, 70, 71, 72, 73, 74, 86, 128 |
| Other | peds | 50 mg | IV/IO | not captured | standing | page 69 |
| Other | peds | 75 mg | IV/IO | not captured | standing | page 70 |
| Wide-complex tachycardia | adult | 150 mg | IV/IO | not captured | standing | pages 44, 67, 68, 69, 70, 71, 72, 73, 74, 85, 127 |
| Wide-complex tachycardia | peds | 5 mg/kg | IV/IO | not captured | standing | pages 44, 67, 68, 69, 70, 71, 72, 73, 74, 85, 127 |
Aspirin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 324 mg | PO | not captured | standing | pages 13, 45, 80 |
Atropine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Bradycardia | adult | 1 mg | IV/IO | not captured | standing | pages 46, 68, 69, 70, 71, 72, 73, 82, 125 |
| Bradycardia | peds | 0.02 mg/kg | IV/IO | not captured | standing | pages 46, 68, 69, 70, 71, 72, 73, 82, 125 |
| Organophosphate poisoning | adult | 2 mg | IV/IO | not captured | standing | pages 46, 68, 69, 70, 71, 72, 73, 100, 129 |
| Other | peds | 0.02 mg/kg | IV/IO | not captured | standing | page 67 |
| Other | peds | 0.02 mg/kg | IV/IO | not captured | standing | page 67 |
| Other | peds | 0.3 mg | IV/IO | not captured | standing | page 70 |
| Other | peds | 0.4 mg | IV/IO | not captured | standing | page 71 |
| Other | peds | 0.5 mg | IV/IO | not captured | standing | page 72 |
| Other | peds | 0.5 mg | IV/IO | not captured | standing | page 73 |
| Other | peds | 0.5 mg | IV/IO | not captured | standing | page 74 |
Buprenorphine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 16 mg | SL | not captured | standing | pages 47, 114 |
Calcium Chloride
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asystole / PEA | adult | 1 g | IV/IO | not captured | standing | pages 48, 68, 69, 70, 71, 72, 73, 87, 129 |
| Hyperkalemia | adult | 1 g | IV/IO | not captured | standing | pages 48, 95 |
| Other | adult | 1 g | IV/IO | not captured | standing | pages 48, 101 |
| Other | adult | 1 g | IV/IO | not captured | standing | pages 48, 105, 143 |
| Other | peds | 20 mg/kg | IV/IO | not captured | standing | page 67 |
| Other | peds | 200 mg | IV/IO | not captured | standing | page 69 |
| Other | peds | 300 mg | IV/IO | not captured | standing | page 70 |
| Other | peds | 400 mg | IV/IO | not captured | standing | page 71 |
| Other | peds | 500 mg | IV/IO | not captured | standing | page 72 |
D–F Dextrose, Diazepam, Diphenhydramine, Epinephrine, Fentanyl5
Dextrose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 25 g | IV | not captured | standing | pages 49, 68, 69, 70, 71, 72, 73, 78, 121 |
| Other | adult | 25 g | IV | not captured | standing | pages 49, 78, 121 |
| Other | peds | 0.5 g/kg | IV | not captured | standing | page 67 |
| Other | peds | 10 g | IV | not captured | standing | page 71 |
| Other | peds | 12.5 g | IV | not captured | standing | page 72 |
| Other | peds | 17.5 g | IV | not captured | standing | page 73 |
| Other | peds | 25 g | IV | not captured | standing | page 74 |
| Other | peds | 5 g | IV | not captured | standing | page 69 |
| Other | peds | 7.5 g | IV | not captured | standing | page 70 |
Diazepam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Seizure | adult | 10 mg | IM | not captured | standing | page 118 |
Diphenhydramine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 50 mg | IV/IM | not captured | standing | pages 50, 68, 69, 70, 71, 72, 73, 77, 100, 122, 133 |
| Dystonic reaction | adult | 50 mg | IV/IM | not captured | standing | pages 50, 100, 133 |
| Other | peds | 1 mg/kg | IV/IM | not captured | standing | page 67 |
| Other | peds | 10 mg | IV/IM | not captured | standing | page 69 |
| Other | peds | 15 mg | IV/IM | not captured | standing | page 70 |
| Other | peds | 20 mg | IV/IM | not captured | standing | page 71 |
| Other | peds | 25 mg | IV/IM | not captured | standing | page 72 |
| Other | peds | 35 mg | IV/IM | not captured | standing | page 73 |
| Other | peds | 50 mg | IV/IM | not captured | standing | page 74 |
Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 0.3 mg | IM | not captured | standing | page 77 |
| Anaphylaxis | adult | 0.5 mg | IM | not captured | standing | pages 51, 68, 69, 70, 71, 72, 73, 77, 122 |
| Cardiac arrest | adult | 1 mg | IV/IO | not captured | standing | pages 52, 68, 69, 70, 71, 72, 73, 86, 128 |
| Hypotension / shock | adult | 1 mL | IV/IO | not captured | standing | pages 53, 68, 69, 70, 71, 72, 73, 77, 80, 82, 89, 104, 111, 130, 142, 152 |
| Other | peds | 0.01 mg/kg | IM | not captured | standing | page 67 |
| Other | peds | 0.01 mg/kg | IV/IO | not captured | standing | page 67 |
| Other | peds | 0.1 mg | IM | not captured | standing | page 69 |
| Other | peds | 0.1 mg | IV/IO | not captured | standing | page 69 |
| Other | peds | 0.2 mg | IM | not captured | standing | page 71 |
| Other | peds | 0.2 mg | IV/IO | not captured | standing | page 71 |
| Other | peds | 0.25 mg | IM | not captured | standing | page 72 |
| Other | peds | 0.25 mg | IV/IO | not captured | standing | page 72 |
| Other | peds | 0.35 mg | IV/IO | not captured | standing | page 73 |
Fentanyl
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 100 mcg | IV | not captured | standing | pages 54, 108 |
| Other | peds | 1.5 mcg/kg | IN | not captured | standing | pages 54, 67, 148 |
| Mild to moderate pain | adult | 100 mcg | IV | not captured | standing | pages 54, 68, 69, 70, 71, 72, 73, 108, 148 |
| Mild to moderate pain | adult | 50 mcg | IN | not captured | standing | pages 54, 68, 69, 70, 71, 72, 73, 108, 148 |
| Severe pain | peds | 10 mcg | IV | not captured | standing | page 69 |
| Severe pain | peds | 100 mcg | IV | not captured | standing | page 74 |
| Severe pain | peds | 15 mcg | IV/IN | not captured | standing | page 69 |
| Severe pain | peds | 20 mcg | IV | not captured | standing | page 71 |
| Severe pain | peds | 25 mcg | IV/IN | not captured | standing | page 70 |
| Severe pain | peds | 30 mcg | IN | not captured | standing | page 71 |
| Severe pain | peds | 35 mcg | IV/IN | not captured | standing | page 72 |
| Severe pain | peds | 5 mcg | IV/IN | not captured | standing | page 68 |
| Severe pain | peds | 50 mcg | IN | not captured | standing | page 73 |
G–L Glucagon, Hydroxocobalamin, Ipratropium, Ketamine, Levalbuterol, Lidocaine6
Glucagon
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Beta-blocker / calcium-channel-blocker overdose | adult | 1–5 mg | IV | not captured | standing | page 55 |
| Hypoglycemia | adult | 1 mL | IM | not captured | standing | pages 13, 55, 68, 69, 70, 71, 72, 73, 74 |
| Other | peds | 0.05 mg/kg | IM | not captured | standing | page 67 |
| Other | peds | 0.25 mg | IM | not captured | standing | page 68 |
| Other | peds | 0.5 mg | IM | not captured | standing | page 69 |
| Other | peds | 0.75 mg | IM | not captured | standing | page 70 |
Hydroxocobalamin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cyanide poisoning | adult | 5 g | IV | not captured | standing | page 101 |
Ipratropium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | peds | 0.25 mg | NEB | not captured | standing | page 68 |
| Respiratory distress | adult | 2.5 mL | NEB | not captured | standing | pages 56, 77, 103, 141 |
Ketamine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 0.3 mg/kg | IV | not captured | standing | pages 57, 109 |
| Mild to moderate pain | adult | 0.5 mg/kg | IN | not captured | standing | pages 57, 109 |
Levalbuterol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hyperkalemia | adult | 6 mL | NEB | not captured | standing | pages 43, 87, 95, 129 |
| Hyperkalemia | peds | 0.62 mg | NEB | not captured | standing | pages 43, 87, 95, 129 |
| Other | adult | 6 mL | NEB | not captured | standing | pages 43, 105, 143 |
| Other | peds | 0.62 mg | NEB | not captured | standing | pages 14, 43, 71, 72, 73, 141 |
| Other | peds | 0.62 mg | NEB | not captured | standing | pages 43, 105, 143 |
| Other | peds | 2.5 mg | NEB | not captured | standing | pages 14, 43, 73, 74, 141 |
| Respiratory distress | adult | 6 mL | NEB | not captured | standing | pages 14, 43, 71, 73, 74, 77, 79, 103, 141 |
| Respiratory distress | peds | 0.62 mg | NEB | not captured | standing | pages 14, 43, 71, 73, 74, 77, 79, 103, 141 |
Lidocaine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1.5 mg/kg | IV/IO | not captured | standing | pages 58, 90, 131 |
| Other | adult | 1.5 mg/kg | IV/IO | not captured | standing | pages 58, 85, 86, 90 |
| Other | adult | 40 mg | IO | not captured | standing | pages 35, 58 |
| Wide-complex tachycardia | adult | 1.5 mg/kg | IV/IO | not captured | standing | pages 58, 85, 127 |
| VF / pulseless VT | adult | 1.5 mg/kg | IV/IO | not captured | standing | pages 58, 86, 128 |
M–O Magnesium Sulfate, Midazolam, Morphine, Naloxone, Nitroglycerin, Ondansetron, Oral Glucose7
Magnesium Sulfate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Eclampsia / pre-eclampsia | adult | 4 g | IV/IO | not captured | standing | pages 59, 97, 134 |
| Eclampsia / pre-eclampsia | adult | 4 g | IV/IO | not captured | standing | pages 59, 97, 98, 134, 135 |
Midazolam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 5 mg | IV/IM/IN | not captured | standing | pages 60, 110, 150 |
| Post-intubation sedation | adult | 2–5 mg | IV/IO/IM/IN | not captured | standing | pages 60, 102, 103, 153 |
| Procedural sedation | adult | 1–5 mg | IV/IO | not captured | standing | pages 60, 83, 84, 85, 126, 127 |
| Procedural sedation | adult | 1–5 mg | IV/IO | not captured | standing | pages 60, 82, 125 |
| Status epilepticus | adult | 10 mg | IM/IN | not captured | standing | pages 60, 78, 121 |
| Status epilepticus | adult | 5 mg | IV/IO | not captured | standing | pages 60, 78, 121 |
| Status epilepticus | adult | 5 mg | IV/IO | not captured | standing | pages 60, 78, 121 |
Morphine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | peds | 0.1 mg/kg | IV/IM | not captured | standing | page 67 |
| Mild to moderate pain | adult | 0.1 mg/kg | IV | not captured | standing | pages 61, 108, 148 |
| Mild to moderate pain | adult | 0.1 mg/kg | IM | not captured | standing | pages 61, 108, 148 |
| Severe pain | peds | 1 mg | IV/IM | not captured | standing | page 69 |
Naloxone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Opioid overdose | adult | 2 mg | IV/IM/IN | not captured | standing | pages 62, 78, 114, 121, 133 |
| Opioid overdose | adult | 2 mg | IM | not captured | standing | pages 78, 100 |
| Other | peds | 0.5 mg | IV/IM/IN | not captured | standing | pages 68, 121, 133 |
| Other | peds | 0.5 mg | IV | not captured | standing | pages 68, 121, 133 |
| Other | peds | 1 mg | IV/IM/IN | not captured | standing | pages 69, 121, 133 |
| Other | peds | 1 mg | IV | not captured | standing | pages 69, 121, 133 |
| Other | peds | 2 mg | IN | not captured | standing | pages 121, 133 |
Nitroglycerin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 0.4 mg | SL | not captured | standing | pages 63, 80, 103 |
| Other | adult | 0.8 mg | SL | not captured | standing | pages 63, 103 |
Ondansetron
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | adult | 4 mg | IV/IM/ODT | not captured | standing | pages 64, 75, 98, 105, 135, 143, 149 |
| Other | adult | 4 mg | IV/IM/ODT | not captured | standing | page 64 |
| Other | peds | 2 mg | IV/IM/ODT | not captured | standing | page 67 |
| Other | peds | 2 mg | IV/IM/ODT | not captured | standing | pages 69, 70 |
| Other | peds | 4 mg | IV/IM/ODT | not captured | standing | pages 69, 70 |
Oral Glucose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 15 g | PO | not captured | standing | pages 78, 121, 147 |
| Hypoglycemia | peds | 15 g | PO | not captured | standing | pages 78, 121, 147 |
P–R Pralidoxime1
Pralidoxime
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nerve agent exposure | adult | 600 mg | IM | not captured | standing | pages 118, 119 |
| Other | peds | 600 mg | IM | not captured | standing | pages 118, 119 |
S–Z Sodium Bicarbonate, Sodium Thiosulfate, Tranexamic Acid3
Sodium Bicarbonate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hyperkalemia | adult | 1 mEq/kg | IV/IO | not captured | standing | pages 65, 95, 129 |
| Other | adult | 1 mEq/kg | IV/IO | not captured | standing | pages 65, 105, 143 |
| Tricyclic overdose | adult | 1 mEq/kg | IV/IO | not captured | standing | pages 65, 100, 133 |
Sodium Thiosulfate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cyanide poisoning | adult | 12.5 g | IV | not captured | standing | page 101 |
Tranexamic Acid
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Obstetric hemorrhage | adult | 1 g | IV/IO | not captured | standing | pages 66, 98, 135 |
| Trauma / hemorrhage | adult | 1 g | IV/IO | not captured | standing | pages 66, 105, 143 |
Cite this
County of San Diego Emergency Medical Services, United States EMS Protocol Census. 180 dose entries, effective 2026-07-01.
https://protoquiz.com/census/agencies/county-of-san-diego-emergency-medical-services/
The census is free and not for sale. Only public agencies are named.