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Michigan Department of Health and Human Services (MDHHS) / Midland Gladwin MCA

Name: Michigan Department of Health and Human Services (MDHHS) / Midland Gladwin MCA EMS protocol doses
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May be outdated133 dose entries37 drugs1 documentMIeffective 2023-08-24100% machine-parsed of 133

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Drugs and doses37

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

Acetaminophen

Indication	Population	Dose	Route	Repeat	Standing	Source
Fever	peds	1.25 mL	PO	not captured	standing	page 111
Mild to moderate pain	adult	650 mg	PO	not captured	standing	page 156
Mild to moderate pain	peds	1.25 mL	PO	not captured	standing	page 156

Adenosine

Indication	Population	Dose	Route	Repeat	Standing	Source
SVT	adult	6 mg	IV	not captured	standing	page 130
SVT	peds	0.1 mg/kg	IV	not captured	standing	page 130

Albuterol

Indication	Population	Dose	Route	Repeat	Standing	Source
Asthma / bronchospasm	adult	2.5 mg	NEB	not captured	standing	page 4
Asthma / bronchospasm	peds	2.5 mg	NEB	not captured	standing	page 4
Hyperkalemia	adult	2.5 mg	NEB	not captured	standing	page 70
Hyperkalemia	peds	2.5 mg	NEB	not captured	standing	page 70

Amiodarone

Indication	Population	Dose	Route	Repeat	Standing	Source
Narrow-complex tachycardia	adult	150 mg	IV/IO	not captured	standing	page 131
Narrow-complex tachycardia	peds	5 mg/kg	IV/IO	not captured	standing	page 131
VF / pulseless VT	adult	300 mg	IV/IO	not captured	standing	page 125
VF / pulseless VT	peds	5 mg/kg	IV/IO	not captured	standing	page 125

Aspirin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	325 mg	PO	not captured	standing	page 135

Atropine

Indication	Population	Dose	Route	Repeat	Standing	Source
Bradycardia	adult	1 mg	IV/IO	not captured	standing	page 128
Bradycardia	peds	0.02 mg/kg	IV/IO	not captured	standing	page 128
Nerve agent exposure	adult	2 mg	IV/IM	not captured	standing	page 11
Nerve agent exposure	peds	0.05 mg/kg	IV/IM	not captured	standing	page 11

Calcium Chloride

Indication	Population	Dose	Route	Repeat	Standing	Source
Beta-blocker / calcium-channel-blocker overdose	adult	1 g	IV	not captured	standing	page 79
Beta-blocker / calcium-channel-blocker overdose	peds	20 mg/kg	IV	not captured	standing	page 79
Hyperkalemia	adult	1 g	IV/IO	not captured	standing	page 71
Hyperkalemia	adult	1 g	IV	not captured	standing	page 71
Hyperkalemia	peds	20 mg/kg	IV/IO	not captured	standing	page 71
Hyperkalemia	peds	20 mg/kg	IV	not captured	standing	page 71

Cefazolin

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	2 g	IV	not captured	standing	page 73
Other	peds	30 mg/kg	IV	not captured	standing	page 73
Trauma / hemorrhage	adult	2 g	IV	not captured	standing	page 73
Trauma / hemorrhage	adult	2 g	IV	not captured	standing	page 73
Trauma / hemorrhage	peds	30 mg/kg	IV	not captured	standing	page 73
Trauma / hemorrhage	peds	30 mg/kg	IV	not captured	standing	page 73

Ceftriaxone

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	2 g	IV	not captured	standing	page 73
Other	peds	50 mg/kg	IV	not captured	standing	page 73
Trauma / hemorrhage	adult	2 g	IV	not captured	standing	page 73
Trauma / hemorrhage	adult	2 g	IV	not captured	standing	page 73
Trauma / hemorrhage	peds	50 mg/kg	IV	not captured	standing	page 73
Trauma / hemorrhage	peds	50 mg/kg	IV	not captured	standing	page 73

D–F Dextrose, Diazepam, Diltiazem, Diphenhydramine, Epinephrine, Fentanyl6

Dextrose

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypoglycemia	adult	25 g	IV	not captured	standing	page 83
Hypoglycemia	peds	0.5 g/kg	IV	not captured	standing	page 83

Diazepam

Indication	Population	Dose	Route	Repeat	Standing	Source
Procedural sedation	adult	5–10 mg	IV/IO	not captured	standing	page 172

Diltiazem

Indication	Population	Dose	Route	Repeat	Standing	Source
Narrow-complex tachycardia	adult	15–20 mg	IV	not captured	standing	page 131

Diphenhydramine

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	50 mg	IV/IO/IM	not captured	standing	page 44
Anaphylaxis	peds	1 mg/kg	IV/IO/IM	not captured	standing	page 44
Dystonic reaction	adult	50 mg	IV	not captured	standing	page 79
Dystonic reaction	peds	1 mg/kg	IV	not captured	standing	page 79
Nausea / vomiting	adult	12.5–25 mg	IV/IM	not captured	standing	page 38
Nausea / vomiting	peds	1 mg/kg	IV/IM	not captured	standing	page 38

Epinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	0.3 mg	IM	not captured	standing	page 42
Anaphylaxis	peds	0.15 mg	IM	not captured	standing	page 42
Cardiac arrest	adult	1 mg	IV/IO	not captured	standing	page 125
Cardiac arrest	peds	0.01 mg/kg	IV/IO	not captured	standing	page 125
Hypotension / shock	adult	10–20 mcg	IV/IO	not captured	standing	page 40
Respiratory distress	adult	0.3 mg	IM	not captured	standing	page 87

Fentanyl

Indication	Population	Dose	Route	Repeat	Standing	Source
Mild to moderate pain	adult	0.5 mcg/kg	IV/IO/IM/IN	not captured	standing	page 136
Mild to moderate pain	peds	1 mcg/kg	IV/IO/IM/IN	not captured	standing	page 136
Procedural sedation	adult	50–100 mcg	IV/IO	not captured	standing	page 172
Procedural sedation	peds	1 mcg/kg	IV/IO	not captured	standing	page 172

G–L Glucagon, Heparin, Hydroxocobalamin, Ibuprofen, Ipratropium, Ketamine, Ketorolac, Lidocaine8

Glucagon

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypoglycemia	adult	1 mg	IM	not captured	standing	page 83
Hypoglycemia	adult	3 mg	IN	not captured	standing	page 83
Hypoglycemia	peds	0.5 mg	IM	not captured	standing	page 83

Heparin

Indication	Population	Dose	Route	Repeat	Standing	Source
STEMI	adult	60 unit/kg	IV	not captured	standing	page 138

Hydroxocobalamin

Indication	Population	Dose	Route	Repeat	Standing	Source
Cyanide poisoning	adult	5 g	IV/IO	not captured	standing	page 18
Cyanide poisoning	adult	5 g	IV/IO	not captured	standing	page 18
Cyanide poisoning	peds	70 mg/kg	IV/IO	not captured	standing	page 18
Cyanide poisoning	peds	70 mg/kg	IV/IO	not captured	standing	page 18

Ibuprofen

Indication	Population	Dose	Route	Repeat	Standing	Source
Fever	peds	4 mL	PO	not captured	standing	page 111
Mild to moderate pain	adult	400 mg	PO	not captured	standing	page 156
Mild to moderate pain	peds	4 mL	PO	not captured	standing	page 156

Ipratropium

Indication	Population	Dose	Route	Repeat	Standing	Source
Asthma / bronchospasm	adult	500 mcg	NEB	not captured	standing	page 43
Asthma / bronchospasm	peds	500 mcg	NEB	not captured	standing	page 43

Ketamine

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	4 mg/kg	IM	not captured	standing	page 92
Mild to moderate pain	adult	0.2 mg/kg	IV/IO	not captured	standing	page 157
Mild to moderate pain	adult	0.5 mg/kg	IN	not captured	standing	page 157
Mild to moderate pain	peds	0.2 mg/kg	IV/IO	not captured	standing	page 157
Mild to moderate pain	peds	0.5 mg/kg	IN	not captured	standing	page 157
Procedural sedation	adult	1.5 mg/kg	IV/IO	not captured	standing	page 172
Procedural sedation	peds	1.5 mg/kg	IV/IO	not captured	standing	page 172

Ketorolac

Indication	Population	Dose	Route	Repeat	Standing	Source
Mild to moderate pain	adult	15 mg	IV/IM	not captured	standing	page 156
Mild to moderate pain	peds	0.5 mg/kg	IV/IM	not captured	standing	page 156

Lidocaine

Indication	Population	Dose	Route	Repeat	Standing	Source
Cardiac arrest	adult	1 mg/kg	IV/IO	not captured	standing	page 125
Cardiac arrest	peds	1 mg/kg	IV/IO	not captured	standing	page 125
Other	adult	20 mg	IO	not captured	standing	page 193
Other	peds	0.5 mg/kg	IO	not captured	standing	page 193
Narrow-complex tachycardia	adult	1 mg/kg	IV	not captured	standing	page 132
Narrow-complex tachycardia	peds	1 mg/kg	IV	not captured	standing	page 132

M–O Magnesium Sulfate, Methylprednisolone, Midazolam, Morphine, Naloxone, Nitroglycerin, Ondansetron7

Magnesium Sulfate

Indication	Population	Dose	Route	Repeat	Standing	Source
Asthma / bronchospasm	adult	2 g	IV	not captured	standing	page 354
Eclampsia / pre-eclampsia	adult	4 g	IV/IO	not captured	standing	page 89
VF / pulseless VT	adult	2 g	IV/IO	not captured	standing	page 126

Methylprednisolone

Indication	Population	Dose	Route	Repeat	Standing	Source
Adrenal crisis	adult	125 mg	IV/IO/IM	not captured	standing	page 46
Adrenal crisis	peds	2 mg/kg	IV/IO/IM	not captured	standing	page 46
Allergic reaction	adult	125 mg	IV/IO/IM	not captured	standing	page 45
Allergic reaction	peds	2 mg/kg	IV/IO/IM	not captured	standing	page 45
Respiratory distress	adult	125 mg	IV/IO/IM	not captured	standing	page 88
Respiratory distress	peds	2 mg/kg	IV/IO/IM	not captured	standing	page 88

Midazolam

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	10 mg	IM/IN	not captured	standing	page 92
Other	adult	0.1 mg/kg	IM/IN	not captured	standing	page 170
Other	peds	0.1 mg/kg	IM/IN	not captured	standing	page 170
Procedural sedation	adult	1–5 mg	IV/IO/IN	not captured	standing	page 172
Procedural sedation	peds	0.05 mg/kg	IV/IO/IN	not captured	standing	page 172
Seizure	adult	10 mg	IM	not captured	standing	page 10
Seizure	adult	5 mg	IV/IO	not captured	standing	page 10
Seizure	peds	0.1 mg/kg	IM	not captured	standing	page 10

Morphine

Indication	Population	Dose	Route	Repeat	Standing	Source
Mild to moderate pain	adult	0.1 mg/kg	IV/IO/IM	not captured	standing	page 159
Mild to moderate pain	peds	0.1 mg/kg	IV/IO/IM	not captured	standing	page 159

Naloxone

Indication	Population	Dose	Route	Repeat	Standing	Source
Opioid overdose	adult	2 mg	IM	not captured	standing	page 49
Opioid overdose	adult	2 mg	IV	not captured	standing	page 49
Opioid overdose	adult	2–4 mg	IN	not captured	standing	page 49
Opioid overdose	peds	0.1 mg/kg	IN	not captured	standing	page 49
Opioid overdose	peds	0.1 mg/kg	IM	not captured	standing	page 49
Opioid overdose	peds	0.1 mg/kg	IV	not captured	standing	page 49

Nitroglycerin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	0.4 mg	SL	not captured	standing	page 135
CHF / pulmonary edema	adult	0.4 mg	SL	not captured	standing	page 133

Ondansetron

Indication	Population	Dose	Route	Repeat	Standing	Source
Nausea / vomiting	adult	4 mg	ODT	not captured	standing	page 37
Nausea / vomiting	adult	4 mg	IV/IM	not captured	standing	page 37
Nausea / vomiting	peds	0.1 mg/kg	IV/IM	not captured	standing	page 37
Nausea / vomiting	peds	4 mg	ODT	not captured	standing	page 37

P–R Pralidoxime, Prednisone, Racemic Epinephrine3

Pralidoxime

Indication	Population	Dose	Route	Repeat	Standing	Source
Nerve agent exposure	adult	600 mg	IV/IM	not captured	standing	page 6

Prednisone

Indication	Population	Dose	Route	Repeat	Standing	Source
Adrenal crisis	adult	50 mg	PO	not captured	standing	page 46
Adrenal crisis	peds	50 mg	PO	not captured	standing	page 46
Allergic reaction	adult	50 mg	PO	not captured	standing	page 44
Allergic reaction	peds	50 mg	PO	not captured	standing	page 44
Respiratory distress	adult	50 mg	PO	not captured	standing	page 87
Respiratory distress	peds	50 mg	PO	not captured	standing	page 87

Racemic Epinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Stridor	peds	0.5 mL	NEB	not captured	standing	page 110

S–Z Sodium Bicarbonate, Tetracaine, Tranexamic Acid, Verapamil4

Sodium Bicarbonate

Indication	Population	Dose	Route	Repeat	Standing	Source
Crush injury	adult	100 mEq	IV	not captured	standing	page 71
Crush injury	peds	1 mEq/kg	IV	not captured	standing	page 71
Hyperkalemia	adult	1 mEq/kg	IV/IO	not captured	standing	page 126
Hyperkalemia	peds	1 mEq/kg	IV/IO	not captured	standing	page 126
Tricyclic overdose	adult	50 mEq	IV	not captured	standing	page 79
Tricyclic overdose	peds	1 mEq/kg	IV	not captured	standing	page 79

Tetracaine

Indication	Population	Dose	Route	Repeat	Standing	Source
Mild to moderate pain	adult	1–2 drop	OPH	not captured	standing	page 4
Mild to moderate pain	peds	1–2 drop	OPH	not captured	standing	page 4

Tranexamic Acid

Indication	Population	Dose	Route	Repeat	Standing	Source
Trauma / hemorrhage	adult	1 g	IV/IO	not captured	standing	page 63

Verapamil

Indication	Population	Dose	Route	Repeat	Standing	Source
Narrow-complex tachycardia	adult	5 mg	IV	not captured	standing	page 131

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Michigan Department of Health and Human Services (MDHHS) / Midland Gladwin MCA, United States EMS Protocol Census. 133 dose entries, effective 2023-08-24.

https://protoquiz.com/census/agencies/michigan-department-of-health-and-human-services-mdhhs-midland-gladwin-mca/

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