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County

Kosciusko County Paramedics

Current139 dose entries42 drugs1 documentINeffective 2026-01-01100% machine-parsed of 139

Drugs and doses42

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

Acetaminophen

IndicationPopulationDoseRouteRepeatStandingSource
Fever adult 500–1000 mg PO not captured standing pages 19, 20, 83, 90, 156
Fever peds 15 mg/kg PO not captured standing pages 19, 20, 83, 90, 156
Mild to moderate pain adult 500–1000 mg PO not captured standing pages 22, 156
Mild to moderate pain peds 15 mg/kg PO not captured standing pages 22, 156

Adenosine

IndicationPopulationDoseRouteRepeatStandingSource
Narrow-complex tachycardia adult 6 mg IV/IO not captured standing pages 45, 82, 156
Narrow-complex tachycardia peds 0.1 mg/kg IV/IO not captured standing pages 45, 82, 156

Albuterol

IndicationPopulationDoseRouteRepeatStandingSource
Anaphylaxis adult 5 mg NEB not captured standing page 34
Asthma / bronchospasm adult 5 mg NEB not captured standing page 35
Other adult 2.5 mg NEB not captured standing page 35
Other adult 5 mg NEB not captured standing page 34
Other peds 2.5 mg NEB not captured standing page 76

Amiodarone

IndicationPopulationDoseRouteRepeatStandingSource
Cardiac arrest adult 300 mg IV/IO not captured standing pages 48, 79, 156
Cardiac arrest peds 5 mg/kg IV/IO not captured standing pages 48, 79, 156
Narrow-complex tachycardia adult 150 mg IV/IO not captured standing pages 45, 79, 82
Narrow-complex tachycardia peds 5 mg/kg IV/IO not captured standing pages 45, 79, 82

Aspirin

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 324 mg PO not captured standing pages 43, 156

Atropine

IndicationPopulationDoseRouteRepeatStandingSource
Bradycardia adult 0.5 mg IV/IO not captured standing pages 42, 81
Bradycardia peds 0.02 mg/kg IV/IO not captured standing pages 42, 81
Organophosphate poisoning adult 2 mg IV/IO not captured standing pages 21, 86
Organophosphate poisoning peds 0.02 mg/kg IV/IO not captured standing pages 21, 86

Calcium Chloride

IndicationPopulationDoseRouteRepeatStandingSource
Cardiac arrest adult 1 g IV/IO not captured standing pages 40, 49, 157
Crush injury adult 1 g IV not captured standing page 57
Hyperkalemia adult 1 g IV/IO not captured standing pages 38, 40, 157
Other adult 1 g IV/IO not captured standing page 49

Calcium Gluconate

IndicationPopulationDoseRouteRepeatStandingSource
Eclampsia / pre-eclampsia adult 1000 mg IV not captured standing page 70

Ceftriaxone

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 2 g IV not captured standing page 54
Sepsis adult 2 g IV not captured standing pages 19, 25
Trauma / hemorrhage adult 2 g IV not captured standing page 63
Trauma / hemorrhage adult 2 g IV not captured standing page 156
D–F Dextrose, Diltiazem, Diphenhydramine, Droperidol, Epinephrine, Etomidate, Famotidine, Fentanyl8

Dextrose

IndicationPopulationDoseRouteRepeatStandingSource
Hypoglycemia adult 250 mL IV/IO not captured standing pages 16, 84, 88
Hypoglycemia adult 30 g PO not captured standing pages 16, 84
Hypoglycemia peds 5 mL/kg IV/IO not captured standing pages 16, 84, 88
Hypoglycemia peds 7.5 g PO not captured standing pages 16, 84
Other adult 25 g IV/IO not captured standing page 49

Diltiazem

IndicationPopulationDoseRouteRepeatStandingSource
Narrow-complex tachycardia adult 20 mg IV/IO not captured standing pages 45, 157

Diphenhydramine

IndicationPopulationDoseRouteRepeatStandingSource
Allergic reaction adult 25–50 mg IV/IO/IM not captured standing pages 34, 76
Allergic reaction peds 1 mg/kg IV/IO/IM not captured standing pages 34, 76
Anaphylaxis adult 25–50 mg IV/IO not captured standing page 34
Dystonic reaction adult 1–2 mg/kg IV/IO not captured standing page 86
Other adult 25–50 mg IV not captured standing page 20
Other adult 25–50 mg IV/IO/IM not captured standing page 21

Droperidol

IndicationPopulationDoseRouteRepeatStandingSource
Nausea / vomiting adult 1.25 mg IV not captured standing page 15
Other adult 1.25 mg IV not captured standing page 20
Procedural sedation adult 5 mg IV/IM not captured standing pages 22, 27

Epinephrine

IndicationPopulationDoseRouteRepeatStandingSource
Anaphylaxis adult 0.3 mg IM not captured standing page 34
Bradycardia adult 2–10 mcg IV/IO not captured standing pages 42, 81
Bradycardia peds 0.01 mg/kg IV/IO not captured standing pages 42, 81
Cardiac arrest adult 1 mg IV/IO not captured standing pages 40, 48, 78, 79
Cardiac arrest peds 0.01 mg/kg IV/IO not captured standing pages 40, 48, 78, 79
Other peds 0.01 mg/kg IV/IO/IM not captured standing page 78
Other peds 0.15 mg IM not captured standing page 77
Sepsis adult 10–20 mcg IV not captured standing pages 25, 34
Stridor peds 5 mL NEB not captured standing page 77

Etomidate

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 0.3 mg/kg IV/IO not captured standing page 31
Other adult 10 mg IV/IO not captured standing page 46
Other adult 10 mg IV/IO not captured standing page 47

Famotidine

IndicationPopulationDoseRouteRepeatStandingSource
Allergic reaction adult 20–40 mg IV not captured standing page 34

Fentanyl

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 1 mcg/kg IV/IO not captured standing page 31
Other peds 1 mcg/kg IV/IO not captured standing page 31
Mild to moderate pain adult 1 mcg/kg IV/IO/IM/IN not captured standing pages 15, 17, 20, 22, 53, 54, 55, 57, 59, 74, 87, 92, 94
Mild to moderate pain peds 0.5–1 mcg/kg IV/IO/IM/IN not captured standing pages 15, 17, 20, 22, 53, 54, 55, 57, 59, 74, 87, 92, 94
G–L Glucagon, Heparin, Hydromorphone, Hydroxocobalamin, Ibuprofen, Insulin R, Ipratropium, Ketamine, Ketorolac, Labetalol, Lidocaine11

Glucagon

IndicationPopulationDoseRouteRepeatStandingSource
Beta-blocker / calcium-channel-blocker overdose peds 0.1 mg/kg IV/IO not captured standing page 78
Hypoglycemia adult 1 mg IM not captured standing pages 16, 84
Hypoglycemia peds 0.5 mg IM not captured standing pages 16, 84

Heparin

IndicationPopulationDoseRouteRepeatStandingSource
STEMI adult 70 unit/kg IV not captured standing pages 43, 158

Hydromorphone

IndicationPopulationDoseRouteRepeatStandingSource
Mild to moderate pain adult 0.5–1 mg IV/IO/IM not captured standing pages 15, 17, 22, 53, 54, 55, 57

Hydroxocobalamin

IndicationPopulationDoseRouteRepeatStandingSource
Cyanide poisoning adult 70 mg/kg IV/IO not captured standing page 56
Cyanide poisoning peds 70 mg/kg IV/IO not captured standing page 56
Other adult 70 mg/kg IV/IO not captured standing page 55
Other adult 70 mg/kg IV/IO not captured standing page 56
Other peds 70 mg/kg IV/IO not captured standing page 55
Other peds 70 mg/kg IV/IO not captured standing page 56

Ibuprofen

IndicationPopulationDoseRouteRepeatStandingSource
Fever adult 400–800 mg PO not captured standing pages 19, 158
Fever peds 10 mg/kg PO not captured standing pages 19, 158
Mild to moderate pain adult 400–800 mg PO not captured standing pages 17, 22, 158
Mild to moderate pain peds 10 mg/kg PO not captured standing pages 17, 22, 158

Insulin R

IndicationPopulationDoseRouteRepeatStandingSource
Hyperkalemia adult 10 unit IV/IO not captured standing page 49

Ipratropium

IndicationPopulationDoseRouteRepeatStandingSource
Anaphylaxis adult 0.5 mg NEB not captured standing page 34
Other adult 0.5 mg NEB not captured standing page 35

Ketamine

IndicationPopulationDoseRouteRepeatStandingSource
Agitation adult 300 mg IM not captured standing page 27
Mild to moderate pain adult 10 mg IV not captured standing pages 53, 54, 55, 57, 59
Procedural sedation adult 1 mg/kg IV not captured standing page 42
Procedural sedation adult 1 mg/kg IV/IO/IM/IN not captured standing page 89
Procedural sedation adult 1 mg/kg IV/IO not captured standing pages 22, 31
Procedural sedation adult 300 mg IM not captured standing pages 22, 23
Procedural sedation peds 1 mg/kg IV/IO/IM/IN not captured standing page 89

Ketorolac

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 30 mg IV not captured standing page 20
Mild to moderate pain adult 30–60 mg IV/IM not captured standing page 17

Labetalol

IndicationPopulationDoseRouteRepeatStandingSource
Eclampsia / pre-eclampsia adult 20 mg IV not captured standing page 70

Lidocaine

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 20–50 mg IO not captured standing page 117
Other peds 0.5 mg/kg IO not captured standing page 117
Mild to moderate pain adult 20–50 mg IO not captured standing page 158
M–O Magnesium Sulfate, Methylprednisolone, Midazolam, Naloxone, Nitroglycerin, Norepinephrine, Ondansetron, Oral Glucose, Oxymetazoline, Oxytocin10

Magnesium Sulfate

IndicationPopulationDoseRouteRepeatStandingSource
Asthma / bronchospasm adult 2 g IV not captured standing page 35
Eclampsia / pre-eclampsia adult 4 g IV not captured standing page 70
Other adult 2 g IV not captured standing page 35
Seizure adult 4 g IV not captured standing page 23
VF / pulseless VT adult 2 g IV not captured standing pages 47, 158

Methylprednisolone

IndicationPopulationDoseRouteRepeatStandingSource
Anaphylaxis adult 125 mg IV not captured standing page 34
Asthma / bronchospasm adult 125 mg IV not captured standing page 35
Asthma / bronchospasm peds 2 mg/kg IV/IM not captured standing page 77
Other peds 2 mg/kg IV not captured standing page 76

Midazolam

IndicationPopulationDoseRouteRepeatStandingSource
Eclampsia / pre-eclampsia adult 10 mg IM not captured standing page 70
Other adult 1 mg IV/IM/IN not captured standing pages 53, 93
Post-intubation sedation adult 2–5 mg IV/IO not captured standing page 31
Procedural sedation adult 1–5 mg IV/IO/IM not captured standing page 159
Seizure adult 10 mg IM not captured standing page 23
Seizure adult 2.5 mg IV/IO not captured standing page 23

Naloxone

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 0.5 mg IV/IO/IN not captured standing pages 16, 21, 84, 86
Other peds 0.1 mg/kg IN not captured standing pages 16, 21, 84, 86
Other peds 0.1 mg/kg IV/IO/IN not captured standing pages 16, 21, 84, 86

Nitroglycerin

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 0.4 mg SL not captured standing pages 43, 44, 159
CHF / pulmonary edema adult 0.4–0.8 mg SL not captured standing pages 44, 159

Norepinephrine

IndicationPopulationDoseRouteRepeatStandingSource
Cardiogenic shock adult 5–30 mcg IV not captured standing page 159
Hypotension / shock adult 5–30 mcg IV not captured standing pages 15, 159
Sepsis adult 2–30 mcg IV not captured standing page 25

Ondansetron

IndicationPopulationDoseRouteRepeatStandingSource
Nausea / vomiting adult 4 mg IV not captured standing pages 15, 74, 85
Nausea / vomiting peds 0.1 mg/kg IV not captured standing pages 15, 74, 85

Oral Glucose

IndicationPopulationDoseRouteRepeatStandingSource
Hypoglycemia adult 30 g PO not captured standing pages 84, 158
Hypoglycemia peds 7.5 g PO not captured standing pages 84, 158

Oxymetazoline

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 2 spray IN not captured standing page 18

Oxytocin

IndicationPopulationDoseRouteRepeatStandingSource
Obstetric hemorrhage adult 10 unit IM not captured standing page 71
Obstetric hemorrhage adult 30 unit IV not captured standing page 71
P–R Promethazine, Rocuronium2

Promethazine

IndicationPopulationDoseRouteRepeatStandingSource
Nausea / vomiting adult 25 mg IV not captured standing page 160

Rocuronium

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 1 mg/kg IV/IO not captured standing pages 31, 33
Other peds 1 mg/kg IV/IO not captured standing pages 31, 33
S–Z Sodium Bicarbonate, Tranexamic Acid2

Sodium Bicarbonate

IndicationPopulationDoseRouteRepeatStandingSource
Cardiac arrest adult 50 mEq IV/IO not captured standing pages 48, 79
Cardiac arrest peds 1 mEq/kg IV/IO not captured standing pages 48, 79
Crush injury adult 1 mEq/kg IV/IO not captured standing page 57
Hyperactive delirium adult 100 mEq IV/IO not captured standing pages 27, 38
Hyperkalemia adult 100 mEq IV/IO not captured standing pages 38, 78
Hyperkalemia peds 1 mEq/kg IV/IO not captured standing pages 38, 78
Other adult 1 mEq/kg IV/IO not captured standing page 21
Narrow-complex tachycardia adult 100 mEq IV/IO not captured standing page 46

Tranexamic Acid

IndicationPopulationDoseRouteRepeatStandingSource
Obstetric hemorrhage adult 2 g IV/IO not captured standing page 71
Other adult 500 mg NEB not captured standing page 18
Trauma / hemorrhage adult 1 g IV/IO not captured standing pages 63, 96
Trauma / hemorrhage peds 15 mg/kg IV/IO not captured standing pages 63, 96
Traumatic arrest adult 2 g IV/IO not captured standing pages 66, 97
Traumatic arrest peds 15 mg/kg IV/IO not captured standing pages 66, 97
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Kosciusko County Paramedics, United States EMS Protocol Census. 139 dose entries, effective 2026-01-01.

https://protoquiz.com/census/agencies/kosciusko-county-paramedics/

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