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Michigan Department of Health and Human Services (MDHHS) / West Michigan Regional MCC

Name: Michigan Department of Health and Human Services (MDHHS) / West Michigan Regional MCC EMS protocol doses
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May be outdated132 dose entries35 drugs1 documentMIeffective 2024-01-04100% machine-parsed of 132

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Drugs and doses35

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

Acetaminophen

Indication	Population	Dose	Route	Repeat	Standing	Source
Mild to moderate pain	adult	650 mg	PO	not captured	standing	page 148

Adenosine

Indication	Population	Dose	Route	Repeat	Standing	Source
SVT	adult	6 mg	IV	not captured	standing	page 97
SVT	peds	0.1 mg/kg (max 6 mg)	IV	not captured	standing	page 97

Albuterol

Indication	Population	Dose	Route	Repeat	Standing	Source
Asthma / bronchospasm	adult	2.5 mg	NEB	not captured	standing	page 9
Asthma / bronchospasm	peds	2.5 mg	NEB	not captured	standing	page 9
Hyperkalemia	adult	2.5 mg	NEB	not captured	standing	page 25
Hyperkalemia	peds	2.5 mg	NEB	not captured	standing	page 25
Other	adult	2.5 mg	NEB	not captured	standing	page 9
Other	peds	2.5 mg	NEB	not captured	standing	page 9
Respiratory distress	adult	2.5 mg	NEB	not captured	standing	page 9
Respiratory distress	peds	2.5 mg	NEB	not captured	standing	page 9

Amiodarone

Indication	Population	Dose	Route	Repeat	Standing	Source
Cardiac arrest	adult	300 mg	IV/IO	not captured	standing	page 92
Cardiac arrest	peds	5 mg/kg	IV/IO	not captured	standing	page 92
Narrow-complex tachycardia	adult	150 mg	IV	not captured	standing	page 98
Narrow-complex tachycardia	peds	5 mg/kg	IV	not captured	standing	page 98

Aspirin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	325 mg	PO	not captured	standing	page 102

Atropine

Indication	Population	Dose	Route	Repeat	Standing	Source
Bradycardia	adult	1 mg	IV/IO	not captured	standing	page 62
Bradycardia	peds	0.02 mg/kg	IV/IO	not captured	standing	page 62
Nerve agent exposure	adult	2 mg	IV/IM	not captured	standing	page 401

Calcium Chloride

Indication	Population	Dose	Route	Repeat	Standing	Source
Beta-blocker / calcium-channel-blocker overdose	adult	1 g	IV	not captured	standing	page 34
Beta-blocker / calcium-channel-blocker overdose	peds	20 mg/kg	IV	not captured	standing	page 34
Crush injury	adult	1 g	IV	not captured	standing	page 26
Crush injury	peds	20 mg/kg	IV	not captured	standing	page 26
Hyperkalemia	adult	1 g	IV/IO	not captured	standing	page 93
Hyperkalemia	peds	20 mg/kg	IV/IO	not captured	standing	page 93

Cefazolin

Indication	Population	Dose	Route	Repeat	Standing	Source
Trauma / hemorrhage	adult	2 g	IV/IO	not captured	standing	page 28
Trauma / hemorrhage	peds	30 mg/kg	IV/IO	not captured	standing	page 28

Ceftriaxone

Indication	Population	Dose	Route	Repeat	Standing	Source
Trauma / hemorrhage	adult	2 g	IV/IO	not captured	standing	page 28
Trauma / hemorrhage	peds	50 mg/kg	IV/IO	not captured	standing	page 28

D–F Dextrose, Diazepam, Diphenhydramine, Epinephrine, Fentanyl5

Dextrose

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypoglycemia	adult	25 g	IV	not captured	standing	page 48
Hypoglycemia	peds	0.5 g/kg	IV	not captured	standing	page 48
Seizure	adult	25 g	IV	not captured	standing	page 56
Seizure	peds	0.5 g/kg	IV	not captured	standing	page 56

Diazepam

Indication	Population	Dose	Route	Repeat	Standing	Source
Procedural sedation	adult	5–10 mg	IV/IO	not captured	standing	page 161

Diphenhydramine

Indication	Population	Dose	Route	Repeat	Standing	Source
Allergic reaction	adult	50 mg	IV/IO/IM	not captured	standing	page 10
Allergic reaction	adult	50 mg	IV/IO/IM	not captured	standing	page 416
Allergic reaction	peds	1 mg/kg	IV/IO/IM	not captured	standing	page 10
Allergic reaction	peds	1 mg/kg	IV/IO/IM	not captured	standing	page 416
Anaphylaxis	adult	50 mg	IV/IO/IM	not captured	standing	page 10
Anaphylaxis	peds	1 mg/kg	IV/IO/IM	not captured	standing	page 10
Dystonic reaction	adult	50 mg	IV	not captured	standing	page 34
Dystonic reaction	peds	1 mg/kg	IV	not captured	standing	page 34
Nausea / vomiting	adult	12.5–25 mg	IV/IM	not captured	standing	page 4
Nausea / vomiting	peds	1 mg/kg	IV/IM	not captured	standing	page 4

Epinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	0.3 mg	IM	not captured	standing	page 8
Anaphylaxis	peds	0.15 mg	IM	not captured	standing	page 8
Bradycardia	peds	0.01 mg/kg	IV/IO	not captured	standing	page 95
Cardiac arrest	adult	1 mg	IV/IO	not captured	standing	page 92
Cardiac arrest	peds	0.01 mg/kg	IV/IO	not captured	standing	page 92
Cardiogenic shock	adult	20 mcg	IV/IO	not captured	standing	page 100
Hypotension / shock	adult	10–20 mcg	IV/IO	not captured	standing	page 6
Post-ROSC care	adult	10–20 mcg	IV/IO	not captured	standing	page 104
Post-ROSC care	peds	1 mcg/kg	IV/IO	not captured	standing	page 104
Respiratory distress	adult	0.3 mg	IM	not captured	standing	page 54

Fentanyl

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	1 mcg/kg (max 100 mcg)	IV/IO/IN	not captured	standing	page 103
Other	peds	1 mcg/kg	IV/IO	not captured	standing	page 161
Mild to moderate pain	adult	1 mcg/kg (max 100 mcg)	IV/IO/IN	not captured	standing	page 150

G–L Hydrocortisone, Hydroxocobalamin, Ibuprofen, Ipratropium, Ketamine, Ketorolac, Lidocaine7

Hydrocortisone

Indication	Population	Dose	Route	Repeat	Standing	Source
Adrenal crisis	adult	100 mg	IV/IM	not captured	standing	page 12
Adrenal crisis	peds	1–2 mg/kg	IV/IM	not captured	standing	page 12

Hydroxocobalamin

Indication	Population	Dose	Route	Repeat	Standing	Source
Cyanide poisoning	adult	5 g	IV/IO	not captured	standing	page 426
Cyanide poisoning	adult	5 g	IV/IO	not captured	standing	page 426
Cyanide poisoning	peds	70 mg/kg	IV/IO	not captured	standing	page 426
Cyanide poisoning	peds	70 mg/kg	IV/IO	not captured	standing	page 426

Ibuprofen

Indication	Population	Dose	Route	Repeat	Standing	Source
Mild to moderate pain	adult	400 mg	PO	not captured	standing	page 148

Ipratropium

Indication	Population	Dose	Route	Repeat	Standing	Source
Asthma / bronchospasm	adult	500 mcg	NEB	not captured	standing	page 9
Asthma / bronchospasm	peds	500 mcg	NEB	not captured	standing	page 9
Other	adult	500 mcg	NEB	not captured	standing	page 9
Other	peds	500 mcg	NEB	not captured	standing	page 9

Ketamine

Indication	Population	Dose	Route	Repeat	Standing	Source
Hyperactive delirium	adult	4 mg/kg	IM	not captured	standing	page 59
Severe pain	adult	0.2 mg/kg	IV/IO	not captured	standing	page 149
Severe pain	adult	0.5 mg/kg	IN	not captured	standing	page 149
Severe pain	peds	0.2 mg/kg	IV/IO	not captured	standing	page 149
Severe pain	peds	0.5 mg/kg	IN	not captured	standing	page 149

Ketorolac

Indication	Population	Dose	Route	Repeat	Standing	Source
Mild to moderate pain	adult	15 mg	IV/IM	not captured	standing	page 148
Mild to moderate pain	peds	1 mg/kg	IV/IM	not captured	standing	page 148

Lidocaine

Indication	Population	Dose	Route	Repeat	Standing	Source
Cardiac arrest	adult	1 mg/kg	IV/IO	not captured	standing	page 93
Cardiac arrest	peds	1 mg/kg	IV/IO	not captured	standing	page 93
Mild to moderate pain	adult	20 mg	IO	not captured	standing	page 176
Mild to moderate pain	peds	0.5 mg/kg	IO	not captured	standing	page 176
Narrow-complex tachycardia	adult	1 mg/kg	IV	not captured	standing	page 98
Narrow-complex tachycardia	peds	1 mg/kg	IV	not captured	standing	page 98

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 55
Eclampsia / pre-eclampsia	adult	4 g	IV/IO	not captured	standing	page 68
Eclampsia / pre-eclampsia	adult	4 g	IV/IO	not captured	standing	page 56
VF / pulseless VT	adult	2 g	IV/IO	not captured	standing	page 93
VF / pulseless VT	adult	2 g	IV/IO	not captured	standing	page 436

Methylprednisolone

Indication	Population	Dose	Route	Repeat	Standing	Source
Adrenal crisis	adult	125 mg	IV/IO/IM	not captured	standing	page 12
Adrenal crisis	peds	2 mg/kg	IV/IO/IM	not captured	standing	page 12
Allergic reaction	adult	125 mg	IV/IO/IM	not captured	standing	page 11
Allergic reaction	peds	2 mg/kg	IV/IO/IM	not captured	standing	page 11
Respiratory distress	adult	125 mg	IV/IO/IM	not captured	standing	page 55
Respiratory distress	peds	2 mg/kg	IV/IO/IM	not captured	standing	page 55

Midazolam

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	10 mg	IM/IN	not captured	standing	page 59
Other	adult	0.1 mg/kg	IM/IN	not captured	standing	page 159
Other	peds	0.1 mg/kg	IM/IN	not captured	standing	page 159
Procedural sedation	adult	1–5 mg	IV/IO	not captured	standing	page 161
Procedural sedation	peds	0.05 mg/kg	IV/IO	not captured	standing	page 161
Seizure	adult	10 mg	IM	not captured	standing	page 56
Seizure	adult	5 mg	IV/IO	not captured	standing	page 56
Seizure	peds	0.1 mg/kg	IM	not captured	standing	page 56

Morphine

Indication	Population	Dose	Route	Repeat	Standing	Source
Mild to moderate pain	adult	0.1 mg/kg	IV/IO	not captured	standing	page 150
Mild to moderate pain	peds	0.1 mg/kg	IV/IO	not captured	standing	page 150

Naloxone

Indication	Population	Dose	Route	Repeat	Standing	Source
Cardiac arrest	adult	2 mg	IV/IO	not captured	standing	page 93
Cardiac arrest	adult	2–4 mg	IN	not captured	standing	page 93
Opioid overdose	adult	2 mg	IN	not captured	standing	page 14
Opioid overdose	adult	2 mg	IM	not captured	standing	page 14
Opioid overdose	adult	2 mg	IV	not captured	standing	page 15
Opioid overdose	peds	0.1 mg/kg	IV/IM/IN	not captured	standing	page 15

Nitroglycerin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	0.4 mg	SL	not captured	standing	page 102
CHF / pulmonary edema	adult	0.4 mg	SL	not captured	standing	page 100

Ondansetron

Indication	Population	Dose	Route	Repeat	Standing	Source
Nausea / vomiting	adult	4 mg	ODT	not captured	standing	page 3
Nausea / vomiting	adult	4 mg	IV/IM	not captured	standing	page 3
Nausea / vomiting	peds	0.1 mg/kg	IV/IM	not captured	standing	page 3

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 448
Nerve agent exposure	peds	600 mg	IV/IM	not captured	standing	page 448

Prednisone

Indication	Population	Dose	Route	Repeat	Standing	Source
Adrenal crisis	adult	50 mg	PO	not captured	standing	page 12
Adrenal crisis	peds	50 mg	PO	not captured	standing	page 12
Allergic reaction	adult	50 mg	PO	not captured	standing	page 10
Allergic reaction	peds	50 mg	PO	not captured	standing	page 10
Respiratory distress	adult	50 mg	PO	not captured	standing	page 54
Respiratory distress	peds	50 mg	PO	not captured	standing	page 54

Racemic Epinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Stridor	peds	0.5 mL	NEB	not captured	standing	page 77

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 26
Crush injury	peds	1 mEq/kg	IV	not captured	standing	page 26
Hyperkalemia	adult	1 mEq/kg	IV/IO	not captured	standing	page 93
Hyperkalemia	peds	1 mEq/kg	IV/IO	not captured	standing	page 93
Tricyclic overdose	adult	50 mEq	IV/IO	not captured	standing	page 34
Tricyclic overdose	peds	1 mEq/kg	IV/IO	not captured	standing	page 34

Tetracaine

Indication	Population	Dose	Route	Repeat	Standing	Source
Mild to moderate pain	adult	1–2 drop	OPH	not captured	standing	page 35
Mild to moderate pain	peds	1–2 drop	OPH	not captured	standing	page 35

Tranexamic Acid

Indication	Population	Dose	Route	Repeat	Standing	Source
Trauma / hemorrhage	adult	1 g	IV/IO	not captured	standing	page 44

Verapamil

Indication	Population	Dose	Route	Repeat	Standing	Source
Narrow-complex tachycardia	adult	5 mg	IV	not captured	standing	page 98

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Michigan Department of Health and Human Services (MDHHS) / West Michigan Regional MCC, United States EMS Protocol Census. 132 dose entries, effective 2024-01-04.

https://protoquiz.com/census/agencies/michigan-department-of-health-and-human-services-mdhhs-west-michigan-regional-mcc/

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