Statewide
Massachusetts Office of Emergency Medical Services
Drugs and doses55
A–C Acetaminophen, Adenosine, Albuterol, Amiodarone, Aspirin, Atropine, Buprenorphine, Calcium Chloride, Calcium Gluconate, Cetirizine10
Acetaminophen
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | peds | 15 mg/kg | IV/PO | not captured | standing | page 37 |
| Mild to moderate pain | adult | 650–1000 mg | PO | not captured | standing | page 37 |
| Mild to moderate pain | adult | 650–1000 mg | IV | not captured | standing | page 37 |
| Mild to moderate pain | peds | 15 mg/kg | PO | not captured | standing | page 37 |
| Mild to moderate pain | peds | 15 mg/kg | IV | not captured | standing | page 37 |
Adenosine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 6 mg | IV | not captured | standing | page 68 |
| Other | peds | 0.1 mg/kg | IV/IO | not captured | standing | page 67 |
| SVT | adult | 6 mg | IV/IO | not captured | standing | pages 66, 67 |
| SVT | peds | 0.1 mg/kg | IV/IO | not captured | standing | pages 66, 67 |
| Wide-complex tachycardia | adult | 6 mg | IV | not captured | standing | page 68 |
Albuterol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 2.5 mg | NEB | not captured | standing | pages 16, 17 |
| Anaphylaxis | peds | 1.25 mg | NEB | not captured | standing | pages 16, 17 |
| Asthma / bronchospasm | adult | 2.5–3 mg | NEB | not captured | standing | pages 23, 25 |
| Asthma / bronchospasm | peds | 1.25 mg | NEB | not captured | standing | pages 23, 25 |
| Other | peds | 2.5 mg | NEB | not captured | standing | page 17 |
Amiodarone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Atrial fibrillation with RVR | adult | 150 mg | IV/IO | not captured | standing | pages 56, 66 |
| Other | adult | 150 mg | IV/IO | not captured | standing | page 65 |
| Other | adult | 150 mg | IV/IO | not captured | standing | page 56 |
| Other | adult | 150 mg | IV/IO | not captured | standing | page 68 |
| Wide-complex tachycardia | adult | 150 mg | IV/IO | not captured | standing | page 68 |
| VF / pulseless VT | adult | 300 mg | IV/IO | not captured | standing | pages 61, 62 |
| VF / pulseless VT | adult | 300 mg | IV/IO | not captured | standing | pages 61, 62 |
| VF / pulseless VT | peds | 5 mg/kg | IV/IO | not captured | standing | pages 61, 62 |
| VF / pulseless VT | peds | 5 mg/kg | IV/IO | not captured | standing | pages 61, 62 |
Aspirin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 324–325 mg | PO | not captured | standing | pages 53, 162 |
| ACS / chest pain | adult | 324–325 mg | not captured | not captured | standing | page 53 |
Atropine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Bradycardia | adult | 1 mg | IV/IO | not captured | standing | pages 57, 58 |
| Bradycardia | peds | 0.02 mg/kg | IV/IO | not captured | standing | pages 57, 58 |
| Cardiac arrest | adult | 1 mg | IV/IO | not captured | standing | pages 59, 60 |
| Cardiac arrest | peds | 0.02 mg/kg | IV/IO | not captured | standing | pages 59, 60 |
| Organophosphate poisoning | adult | 2 mg | IV/IO | not captured | standing | page 29 |
| Other | adult | 1 mg | IV/IO | not captured | standing | page 57 |
| Other | adult | 2 mg | IM | not captured | standing | page 30 |
| Other | adult | 2 mg | IM | not captured | standing | page 30 |
| Other | adult | 2–5 mg | IV/IO | not captured | standing | page 38 |
| Other | peds | 0.02 mg/kg | IV/IO | not captured | standing | page 38 |
| Other | peds | 0.3–0.75 mg | not captured | not captured | standing | page 31 |
| Other | peds | 0.5–1.25 mg | not captured | not captured | standing | page 31 |
| Other | peds | 0.5 mg | IM | not captured | standing | page 31 |
| Other | peds | 0.6–1.5 mg | not captured | not captured | standing | page 31 |
| Other | peds | 0.7–1.75 mg | not captured | not captured | standing | page 31 |
| Other | peds | 1.5 mg | IM | not captured | standing | page 31 |
Buprenorphine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 16 mg | SL | not captured | standing | page 105 |
Calcium Chloride
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hyperkalemia | adult | 1 g | IV/IO | not captured | standing | pages 49, 59, 142 |
| Hyperkalemia | peds | 20 mg/kg | IV/IO | not captured | standing | pages 49, 59, 142 |
| Other | adult | 1 g | IV/IO | not captured | standing | page 142 |
| Other | peds | 20 mg/kg | IV/IO | not captured | standing | pages 32, 57 |
| Other | peds | 20 mg/kg | IV/IO | not captured | standing | page 142 |
Calcium Gluconate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Eclampsia / pre-eclampsia | peds | 20 mg/kg | IV/IO | not captured | standing | page 32 |
| Hyperkalemia | adult | 1 g | IV | not captured | standing | page 49 |
| Hyperkalemia | peds | 20 mg/kg | IV | not captured | standing | page 49 |
| Other | adult | 1 g | IV/IO | not captured | standing | pages 38, 57 |
| Other | adult | 1 g | IV/IO | not captured | standing | page 142 |
| Other | adult | 1 g | IV | not captured | standing | page 110 |
| Other | peds | 20 mg/kg | IV/IO | not captured | standing | pages 38, 57 |
| Other | peds | 20 mg/kg | IV/IO | not captured | standing | page 142 |
Cetirizine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 10 mg | PO/ODT | not captured | standing | pages 16, 17 |
| Anaphylaxis | peds | 2.5 mg | PO/ODT | not captured | standing | pages 16, 17 |
| Other | adult | 10 mg | PO/ODT | not captured | standing | pages 16, 17 |
| Other | adult | 10 mg | IV | not captured | standing | page 16 |
| Other | peds | 10 mg | PO/ODT | not captured | standing | pages 16, 17 |
| Other | peds | 5 mg | PO/ODT | not captured | standing | page 17 |
D–F Dextrose, Diazepam, Diltiazem, Diphenhydramine, Dopamine, Epinephrine, Epinephrine-Surfactant, Epinephrine-Surfactant Nasal Preparation, Fentanyl, Furosemide10
Dextrose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hyperkalemia | adult | 25 g | IV/IO | not captured | standing | page 142 |
| Hyperkalemia | peds | 0.5 g/kg | IV/IO | not captured | standing | page 142 |
| Other | adult | 12.5 g | IV/IO | not captured | standing | pages 18, 19 |
| Other | peds | 0.5 g/kg | IV/IO | not captured | standing | pages 18, 19 |
Diazepam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Organophosphate poisoning | adult | 10 mg | IM | not captured | standing | pages 29, 30 |
Diltiazem
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Atrial fibrillation with RVR | adult | 0.25 mg/kg | IV/IO | not captured | standing | pages 56, 66 |
| Atrial fibrillation with RVR | adult | 0.25 mg/kg | IV/IO | not captured | standing | pages 56, 66 |
| SVT | adult | 0.25 mg/kg | IV/IO | not captured | standing | pages 56, 66 |
Diphenhydramine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 50 mg | IV | not captured | standing | page 158 |
| Other | peds | 50 mg | IV | not captured | standing | page 158 |
Dopamine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 2–20 mcg/kg | IV/IO | not captured | standing | page 16 |
| Bradycardia | adult | 2–20 mcg/kg | IV/IO | not captured | standing | page 57 |
| Hypotension / shock | adult | 2–20 mcg/kg | IV/IO | not captured | standing | pages 42, 44, 45, 65 |
| Hypotension / shock | peds | 2–20 mcg/kg | IV/IO | not captured | standing | pages 42, 44, 45, 65 |
| Sepsis | adult | 2–20 mcg/kg | IV/IO | not captured | standing | pages 45, 65 |
Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 0.3 mg | IM | not captured | standing | pages 16, 17 |
| Anaphylaxis | peds | 0.15 mg | IM | not captured | standing | pages 16, 17 |
| Anaphylaxis | peds | 0.3 mg | IM | not captured | standing | page 17 |
| Bradycardia | adult | 2–10 mcg | IV/IO | not captured | standing | pages 57, 58 |
| Bradycardia | peds | 0.01 mg/kg | IV/IO | not captured | standing | pages 57, 58 |
| Bradycardia | peds | 0.01–0.03 mg/kg | IV/IO | not captured | standing | pages 57, 58 |
| Cardiac arrest | adult | 1 mg | IV/IO | not captured | standing | pages 59, 60, 61, 62 |
| Cardiac arrest | peds | 0.01 mg/kg | IV/IO | not captured | standing | pages 59, 60, 61, 62 |
| Other | adult | 0.3 mg | IM | not captured | standing | page 16 |
| Other | peds | 0.01 mg/kg | IV/IO | not captured | standing | pages 59, 60 |
| Other | peds | 0.15 mg | IM | not captured | standing | page 16 |
| Sepsis | peds | 0.1 mcg/kg | IV/IO | not captured | standing | pages 45, 46 |
Epinephrine-Surfactant
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | peds | 1 spray | IN | not captured | standing | page 17 |
| Other | adult | 1 spray | IN | not captured | standing | pages 16, 17 |
| Other | peds | 1 spray | IN | not captured | standing | pages 16, 17 |
Epinephrine-Surfactant Nasal Preparation
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 1 spray | IN | not captured | standing | pages 16, 17 |
| Anaphylaxis | peds | 1 spray | IN | not captured | standing | pages 16, 17 |
| Other | peds | 1 spray | IN | not captured | standing | page 17 |
Fentanyl
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 0.5–1 mcg/kg | IV/IO | not captured | standing | page 89 |
| Other | adult | 0.5–1 mcg/kg | IV/IO | not captured | standing | page 89 |
| Other | adult | 1 mcg/kg | IV/IO/IM/IN | not captured | standing | page 37 |
| Other | adult | 50 mcg | IV/IO/IM/IN | not captured | standing | page 64 |
| Other | peds | 1 mcg/kg | IV/IO/IM/IN | not captured | standing | page 37 |
| Mild to moderate pain | adult | 1 mcg/kg | IV/IO/IM/IN | not captured | standing | pages 37, 162 |
| Mild to moderate pain | peds | 1 mcg/kg | IV/IO/IM/IN | not captured | standing | pages 37, 162 |
| Procedural sedation | adult | 1 mcg/kg | IV/IO/IM/IN | not captured | standing | page 124 |
Furosemide
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| CHF / pulmonary edema | adult | 20–40 mg | IV/IO | not captured | standing | page 63 |
| Hyperkalemia | adult | 0.5–1 mg/kg | IV/IO | not captured | standing | page 142 |
| Other | adult | 0.5–1 mg/kg | IV/IO | not captured | standing | page 142 |
| Other | adult | 40 mg | IV/IO | not captured | standing | page 38 |
| Other | adult | 40 mg | IV | not captured | standing | page 158 |
| Other | peds | 0.5 mg/kg | IV/IO | not captured | standing | page 38 |
| Other | peds | 0.5–1 mg/kg | IV/IO | not captured | standing | page 142 |
G–L Glucagon, Haloperidol, Hydrocortisone, Hydroxocobalamin, Hypertonic Saline, Ibuprofen, Insulin, Ipratropium, Ketamine, Ketorolac, Lidocaine, Low Titer Type O+ Whole Blood, Low Titer Type O+ Whole Blood Or Packed Red Blood Cells13
Glucagon
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Beta-blocker / calcium-channel-blocker overdose | adult | 1–5 mg | IV/IO/IM | not captured | standing | page 38 |
| Beta-blocker / calcium-channel-blocker overdose | adult | 1–5 mg | IV/IO/IM | not captured | standing | page 38 |
| Beta-blocker / calcium-channel-blocker overdose | peds | 0.5 mg | IV/IO/IM | not captured | standing | page 38 |
| Hypoglycemia | adult | 1 mg | IM/IN | not captured | standing | pages 18, 19, 96 |
| Hypoglycemia | adult | 1 mg | IV/IO/IM/IN | not captured | standing | pages 18, 96 |
| Hypoglycemia | peds | 0.1 mg/kg | IV/IO/IM/IN | not captured | standing | page 19 |
| Hypoglycemia | peds | 0.5 mg | IM/IN | not captured | standing | pages 19, 96 |
| Hypoglycemia | peds | 0.5 mg | IM/IN | not captured | standing | pages 18, 19, 96 |
| Hypoglycemia | peds | 1 mg | IM/IN | not captured | standing | pages 19, 96 |
Haloperidol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 5 mg | IM | not captured | standing | page 21 |
Hydrocortisone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Adrenal crisis | adult | 100 mg | IV/IO/IM | not captured | standing | page 15 |
| Adrenal crisis | peds | 2 mg/kg | IV/IO/IM | not captured | standing | page 15 |
| Anaphylaxis | adult | 100 mg | IV/IO/IM | not captured | standing | pages 16, 17 |
| Anaphylaxis | peds | 2 mg/kg | IV/IO/IM | not captured | standing | pages 16, 17 |
| Asthma / bronchospasm | adult | 100 mg | IV/IO/IM | not captured | standing | pages 23, 26 |
| Asthma / bronchospasm | peds | 2 mg/kg | IV/IO/IM | not captured | standing | pages 23, 26 |
| Other | adult | 100 mg | IV/IO/IM | not captured | standing | pages 23, 26 |
| Other | peds | 2 mg | IV/IO/IM | not captured | standing | pages 23, 26 |
Hydroxocobalamin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cyanide poisoning | adult | 5 g | IV/IO | not captured | standing | pages 38, 70 |
| Cyanide poisoning | peds | 70 mg/kg | IV/IO | not captured | standing | pages 38, 70 |
| Other | adult | 5 g | IV/IO | not captured | standing | page 70 |
| Other | peds | 70 mg/kg | IV/IO | not captured | standing | page 70 |
Hypertonic Saline
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | peds | 3 mL/kg | IV | not captured | standing | page 74 |
Ibuprofen
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 600 mg | PO | not captured | standing | page 37 |
| Mild to moderate pain | peds | 10 mg/kg | PO | not captured | standing | page 37 |
Insulin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hyperkalemia | adult | 10 unit | IV/IO | not captured | standing | page 142 |
| Hyperkalemia | peds | 0.1 unit/kg | IV/IO | not captured | standing | page 142 |
| Other | adult | 10 unit | IV/IO | not captured | standing | page 142 |
| Other | peds | 0.1 unit/kg | IV/IO | not captured | standing | page 142 |
Ipratropium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 500 mcg | NEB | not captured | standing | pages 23, 25 |
| Asthma / bronchospasm | peds | 250–500 mcg | NEB | not captured | standing | pages 23, 25 |
| Other | peds | 250 mcg | NEB | not captured | standing | page 25 |
| Other | peds | 500 mcg | NEB | not captured | standing | page 25 |
Ketamine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 4 mg/kg | IM | not captured | standing | page 21 |
| Other | adult | 1 mg/kg | IM | not captured | standing | page 124 |
| Other | adult | 1–2 mg/kg | IV/IO | not captured | standing | page 89 |
| Other | adult | 1–2 mg/kg | IV/IO | not captured | standing | page 89 |
| Other | adult | 50 mg | IM | not captured | standing | page 145 |
| Other | peds | 0.4 mg/kg | IM | not captured | standing | page 145 |
| Mild to moderate pain | adult | 0.15 mg/kg | IV/IO | not captured | standing | page 37 |
| Mild to moderate pain | adult | 0.3 mg/kg | IM/IN | not captured | standing | page 37 |
Ketorolac
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | peds | 0.5 mg/kg | IV/IM | not captured | standing | page 37 |
| Mild to moderate pain | adult | 15 mg | IV | not captured | standing | page 37 |
| Mild to moderate pain | adult | 30 mg | IM | not captured | standing | page 37 |
| Mild to moderate pain | peds | 0.5 mg/kg | IV | not captured | standing | page 37 |
| Mild to moderate pain | peds | 0.5 mg/kg | IM | not captured | standing | page 37 |
Lidocaine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1–1.5 mg/kg | IV/IO | not captured | standing | page 68 |
| Other | adult | 1–1.5 mg/kg | IV/IO | not captured | standing | page 65 |
| Mild to moderate pain | adult | 40 mg | IO | not captured | standing | page 7 |
| Mild to moderate pain | adult | 40 mg | IO | not captured | standing | page 7 |
| Mild to moderate pain | peds | 1 mg/kg | IO | not captured | standing | page 7 |
| Mild to moderate pain | peds | 1 mg/kg | IO | not captured | standing | page 7 |
| VF / pulseless VT | adult | 1.5 mg/kg | IV/IO | not captured | standing | page 61 |
Low Titer Type O+ Whole Blood
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1 unit | IV | not captured | standing | pages 110, 111 |
| Other | peds | 10 mL/kg | IV | not captured | standing | pages 110, 111 |
Low Titer Type O+ Whole Blood Or Packed Red Blood Cells
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1 unit | IV | not captured | standing | pages 110, 111 |
| Other | peds | 10 mL/kg | IV | not captured | standing | pages 110, 111 |
M–O Magnesium Sulfate, Methylprednisolone, Metoprolol, Midazolam, Morphine, Naloxone, Nitroglycerin, Norepinephrine, Olanzapine, Ondansetron, Oxytocin11
Magnesium Sulfate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 2–4 g | IV/IO | not captured | standing | pages 23, 26 |
| Asthma / bronchospasm | peds | 25 mg/kg | IV/IO | not captured | standing | pages 23, 26 |
| Eclampsia / pre-eclampsia | adult | 2–4 g | IV/IO | not captured | standing | pages 32, 39 |
Methylprednisolone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Adrenal crisis | adult | 125 mg | IV/IO/IM | not captured | standing | page 15 |
| Adrenal crisis | peds | 2 mg/kg | IV/IO/IM | not captured | standing | page 15 |
| Anaphylaxis | adult | 125 mg | IV/IO/IM | not captured | standing | pages 16, 17 |
| Anaphylaxis | peds | 2 mg/kg | IV/IO/IM | not captured | standing | pages 16, 17 |
| Asthma / bronchospasm | adult | 125 mg | IV/IO/IM | not captured | standing | pages 23, 26 |
| Asthma / bronchospasm | peds | 2 mg/kg | IV/IO/IM | not captured | standing | pages 23, 26 |
| Other | adult | 125 mg | IV/IO/IM | not captured | standing | pages 23, 26 |
| Other | peds | 2 mg | IV/IO/IM | not captured | standing | pages 23, 26 |
Metoprolol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Atrial fibrillation with RVR | adult | 2.5–5 mg | IV/IO | not captured | standing | page 56 |
| Atrial fibrillation with RVR | adult | 2.5–5 mg | IV/IO | not captured | standing | page 56 |
| Other | adult | 5 mg | IV | not captured | standing | page 157 |
Midazolam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 10 mg | IN | not captured | standing | page 21 |
| Agitation | adult | 10 mg | IN | not captured | standing | page 21 |
| Agitation | adult | 5 mg | IV/IO/IM | not captured | standing | page 21 |
| Agitation | adult | 5 mg | IV/IO/IM | not captured | standing | page 21 |
| Agitation | peds | 0.1 mg/kg | IV/IO/IM | not captured | standing | page 21 |
| Agitation | peds | 0.1 mg/kg | IN | not captured | standing | page 21 |
| Eclampsia / pre-eclampsia | adult | 2–6 mg | IV/IO/IM | not captured | standing | page 32 |
| Eclampsia / pre-eclampsia | adult | 2–6 mg | IN | not captured | standing | page 32 |
| Eclampsia / pre-eclampsia | adult | 2–6 mg | IV/IO/IM | not captured | standing | page 32 |
| Organophosphate poisoning | adult | 10 mg | IN | not captured | standing | pages 29, 30 |
| Organophosphate poisoning | adult | 5 mg | IV/IO/IM | not captured | standing | pages 29, 30 |
| Other | adult | 0.05 mg/kg | IV/IO | not captured | standing | page 89 |
| Other | adult | 0.05 mg/kg | IV/IO | not captured | standing | page 89 |
| Other | adult | 2–6 mg | IV/IO/IM/IN | not captured | standing | page 38 |
| Other | peds | 0.05 mg/kg | IV/IO/IM/IN | not captured | standing | page 38 |
| Other | peds | 2 mg | not captured | not captured | standing | page 31 |
| Other | peds | 2.5 mg | not captured | not captured | standing | page 31 |
| Other | peds | 3 mg | not captured | not captured | standing | page 31 |
| Other | peds | 3.5 mg | not captured | not captured | standing | page 31 |
| Other | peds | 4 mg | not captured | not captured | standing | page 31 |
| Other | peds | 4.5 mg | not captured | not captured | standing | page 31 |
| Other | peds | 5 mg | not captured | not captured | standing | page 31 |
| Seizure | adult | 10 mg | IN | not captured | standing | pages 39, 40 |
| Seizure | adult | 5 mg | IV/IO/IM | not captured | standing | pages 39, 40 |
| Seizure | peds | 0.1 mg/kg | IV/IO/IM | not captured | standing | pages 39, 40 |
| Seizure | peds | 0.2 mg/kg | IN | not captured | standing | pages 39, 40 |
| Status epilepticus | adult | 5 mg | IV/IO/IM | not captured | standing | page 39 |
Morphine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 0.1 mg/kg | IV/IO/IM | not captured | standing | page 37 |
| Mild to moderate pain | peds | 0.1 mg/kg | IV/IO/IM | not captured | standing | page 37 |
| Procedural sedation | adult | 0.1 mg/kg | IV/IO/IM/SQ | not captured | standing | page 124 |
Naloxone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Opioid overdose | adult | 0.4 mg | IN | not captured | standing | page 38 |
| Opioid overdose | adult | 0.4 mg | IM | not captured | standing | page 38 |
| Opioid overdose | adult | 0.4 mg | IV/IO | not captured | standing | page 38 |
| Opioid overdose | peds | 0.1 mg/kg | IN | not captured | standing | page 38 |
| Opioid overdose | peds | 0.1 mg/kg | IM | not captured | standing | page 38 |
| Opioid overdose | peds | 0.1 mg/kg | IV/IO | not captured | standing | page 38 |
| Other | adult | 0.4 mg | IM/IN | not captured | standing | page 38 |
| Other | adult | 0.4 mg | IV/IO/IM/IN | not captured | standing | page 38 |
| Other | peds | 0.1 mg/kg | IV/IO/IM/IN | not captured | standing | page 38 |
Nitroglycerin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 0.4 mg | SL | not captured | standing | pages 53, 162 |
| ACS / chest pain | adult | 1 tablet | SL | not captured | standing | page 53 |
| CHF / pulmonary edema | adult | 0.4–0.8 mg | SL | not captured | standing | page 63 |
| CHF / pulmonary edema | adult | 1 inch | TOP | not captured | standing | page 63 |
| Other | adult | 0.4–0.8 mg | SL | not captured | standing | page 63 |
| Other | adult | 1 inch | TOP | not captured | standing | page 63 |
| Other | adult | 400 mcg | IV | not captured | standing | page 104 |
Norepinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypotension / shock | adult | 0.1–0.5 mcg/kg | IV/IO | not captured | standing | pages 16, 42, 44, 45, 63, 65 |
| Hypotension / shock | peds | 0.1 mcg/kg | IV/IO | not captured | standing | page 44 |
| Hypotension / shock | peds | 0.1–0.5 mcg/kg | IV/IO | not captured | standing | pages 16, 42, 44, 45, 63, 65 |
| Sepsis | adult | 0.1–0.5 mcg/kg | IV/IO | not captured | standing | pages 45, 65 |
| Sepsis | peds | 0.1–0.5 mcg/kg | IV/IO | not captured | standing | pages 45, 65 |
Olanzapine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 10 mg | ODT | not captured | standing | page 21 |
| Agitation | adult | 5–10 mg | PO/ODT | not captured | standing | pages 21, 103 |
Ondansetron
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | adult | 4 mg | PO/ODT | not captured | standing | page 37 |
| Nausea / vomiting | adult | 4 mg | IV/IO/IM | not captured | standing | page 37 |
| Nausea / vomiting | peds | 2 mg | PO/ODT | not captured | standing | page 37 |
| Nausea / vomiting | peds | 2 mg | IV/IO/IM | not captured | standing | page 37 |
| Other | peds | 2 mg | IV/IM/PO/ODT | not captured | standing | page 37 |
| Other | peds | 4 mg | IV/IM/PO/ODT | not captured | standing | page 37 |
Oxytocin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Obstetric hemorrhage | adult | 10 mg | IM | not captured | standing | page 32 |
| Obstetric hemorrhage | adult | 20 unit | IV | not captured | standing | page 32 |
| Other | adult | 20 unit | IV | not captured | standing | page 32 |
P–R Packed Red Blood Cells, Pralidoxime, Racemic Epinephrine, Risperidone4
Packed Red Blood Cells
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1 unit | IV | not captured | standing | pages 110, 111 |
| Other | peds | 10 mL/kg | IV | not captured | standing | pages 110, 111 |
Pralidoxime
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Organophosphate poisoning | adult | 1–2 g | IV/IO | not captured | standing | pages 29, 30 |
| Other | adult | 1 g | IV | not captured | standing | page 30 |
| Other | adult | 1200–1800 mg | IM | not captured | standing | page 30 |
| Other | adult | 600 mg | IM | not captured | standing | page 30 |
| Other | adult | 600 mg | IM | not captured | standing | page 30 |
| Other | adult | 600–1200 mg | IM | not captured | standing | page 30 |
| Other | peds | 1 g | not captured | not captured | standing | page 31 |
| Other | peds | 200–400 mg | not captured | not captured | standing | page 31 |
| Other | peds | 24–46 mg/kg | IM | not captured | standing | page 31 |
| Other | peds | 300–600 mg | not captured | not captured | standing | page 31 |
| Other | peds | 400–800 mg | not captured | not captured | standing | page 31 |
| Other | peds | 500 mg | not captured | not captured | standing | page 31 |
| Other | peds | 600 mg | not captured | not captured | standing | page 31 |
| Other | peds | 700 mg | not captured | not captured | standing | page 31 |
| Other | peds | 800 mg | not captured | not captured | standing | page 31 |
| Other | peds | 900 mg | not captured | not captured | standing | page 31 |
Racemic Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Croup | peds | 11.25 mg | NEB | not captured | standing | page 86 |
Risperidone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 2 mg | PO/ODT | not captured | standing | pages 21, 103 |
| Agitation | adult | 2 mg | ODT | not captured | standing | page 21 |
S–Z Sodium Bicarbonate, Sodium Nitrite, Sodium Thiosulfate, Surfactant, Tetracaine, Tranexamic Acid, Whole Blood7
Sodium Bicarbonate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | adult | 1 mEq/kg | IV/IO | not captured | standing | pages 59, 60, 61, 62 |
| Cardiac arrest | peds | 1 mEq/kg | IV/IO | not captured | standing | pages 59, 60, 61, 62 |
| Crush injury | adult | 1 mEq/kg | IV/IO | not captured | standing | pages 78, 141 |
| Crush injury | peds | 0.5–2 mEq/kg | IV/IO | not captured | standing | pages 78, 141 |
| Hyperkalemia | adult | 0.5–2 mEq/kg | IV | not captured | standing | page 142 |
| Other | adult | 0.5–1 mEq/kg | IV/IO | not captured | standing | page 38 |
| Other | adult | 0.5–2 mEq/kg | IV/IO | not captured | standing | page 141 |
| Other | adult | 0.5–2 mEq/kg | IV | not captured | standing | page 142 |
| Other | peds | 0.5–2 mEq/kg | IV/IO | not captured | standing | page 141 |
| Other | peds | 8 mL/kg | IV | not captured | standing | page 141 |
Sodium Nitrite
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cyanide poisoning | adult | 10 mL | IV/IO | not captured | standing | page 38 |
| Cyanide poisoning | peds | 0.2 mL/kg | IV/IO | not captured | standing | page 38 |
| Other | adult | 10 mL | IV/IO | not captured | standing | page 38 |
| Other | peds | 0.2 mL/kg | IV/IO | not captured | standing | page 38 |
Sodium Thiosulfate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cyanide poisoning | adult | 50 mL | IV/IO | not captured | standing | page 38 |
| Cyanide poisoning | peds | 5 mL | IV/IO | not captured | standing | page 38 |
Surfactant
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 1 spray | IN | not captured | standing | pages 16, 17 |
| Anaphylaxis | peds | 1 spray | IN | not captured | standing | pages 16, 17 |
| Other | peds | 1 spray | IN | not captured | standing | page 17 |
Tetracaine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 1–2 drop | OPH | not captured | standing | page 73 |
Tranexamic Acid
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Obstetric hemorrhage | adult | 2 g | IV | not captured | standing | page 32 |
| Obstetric hemorrhage | adult | 2 g | IV | not captured | standing | page 32 |
| Other | adult | 2 g | IV | not captured | standing | pages 75, 83, 110 |
| Other | peds | 15 mg/kg | IV | not captured | standing | pages 75, 83 |
| Trauma / hemorrhage | adult | 2 g | IV | not captured | standing | pages 75, 83 |
| Trauma / hemorrhage | peds | 15 mg/kg | IV | not captured | standing | pages 75, 83 |
Whole Blood
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1 unit | IV | not captured | standing | pages 110, 111 |
| Other | peds | 10 mL/kg | IV | not captured | standing | pages 110, 111 |
Cite this
Massachusetts Office of Emergency Medical Services, United States EMS Protocol Census. 292 dose entries, effective 2026-09-01.
https://protoquiz.com/census/agencies/massachusetts-department-of-public-health-office-of-emergency-medical-services/
The census is free and not for sale. Only public agencies are named.