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Montana Board of Medical Examiners

Name: Montana Board of Medical Examiners EMS protocol doses
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May be outdated81 dose entries30 drugs1 documentMTeffective 2020-11-01100% machine-parsed of 81

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Drugs and doses30

A–C Albuterol, Aspirin, Atropine3

Albuterol

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	2.5 mg	NEB	not captured	standing	pages 22, 23 · source
Anaphylaxis	peds	2.5 mg	NEB	not captured	standing	pages 22, 23 · source
Respiratory distress	adult	2.5 mg	NEB	not captured	standing	pages 44, 64, 78 · source
Respiratory distress	peds	2.5 mg	NEB	not captured	standing	pages 44, 64, 78 · source

Aspirin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	325 mg	PO	not captured	standing	page 35 · source

Atropine

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	0.5 mg	IV/IO/IM	not captured	standing	pages 27, 29 · source
Other	adult	2–4 mg	IV/IO/IM/ET	not captured	standing	page 67 · source
Other	peds	0.02 mg/kg	IV/IO/IM/ET	not captured	standing	page 67 · source

D–F Dexamethasone, Dextrose, Diazepam, Diphenhydramine, Dopamine, Epinephrine, Fentanyl7

Dexamethasone

Indication	Population	Dose	Route	Repeat	Standing	Source
Adrenal crisis	adult	4 mg	IM	not captured	standing	page 16 · source
Adrenal crisis	adult	4 mg	IV/IO/IM	not captured	standing	page 16 · source

Dextrose

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypoglycemia	adult	50 mL	IV	not captured	standing	pages 19, 39, 40, 43 · source
Hypoglycemia	peds	2 mL/kg	IV	not captured	standing	pages 19, 39, 40, 43 · source

Diazepam

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	5 mg	IV	not captured	standing	page 27 · source
Mild to moderate pain	adult	5 mg	IV	not captured	standing	page 63 · source
Seizure	adult	2–10 mg	IV/IO/ET	not captured	standing	page 72 · source
Seizure	peds	0.3 mg/kg (max 10 mg)	IV/IO/ET	not captured	standing	page 72 · source

Diphenhydramine

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	50 mg	IV/IM	not captured	standing	page 27 · source
Anaphylaxis	adult	50 mg	IM	not captured	standing	page 23 · source
Anaphylaxis	adult	50 mg	IV	not captured	standing	pages 23, 24 · source
Anaphylaxis	adult	50–100 mg	PO	not captured	standing	pages 22, 23 · source
Anaphylaxis	peds	0.5–1 mg/kg (max 50 mg)	PO	not captured	standing	pages 22, 23 · source
Anaphylaxis	peds	0.5–1 mg/kg (max 50 mg)	IM	not captured	standing	page 23 · source
Anaphylaxis	peds	0.5–1 mg/kg (max 50 mg)	IV	not captured	standing	pages 23, 24 · source

Dopamine

Indication	Population	Dose	Route	Repeat	Standing	Source
Cardiogenic shock	adult	5 mcg/kg	IV	not captured	standing	page 76 · source
Sepsis	adult	5 mcg/kg	IV	not captured	standing	page 77 · source

Epinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	0.3–0.5 mg	IM	not captured	standing	pages 22, 23 · source
Anaphylaxis	peds	0.01 mg/kg (max 0.5 mg)	IM	not captured	standing	pages 22, 23 · source
Anaphylaxis	peds	0.1 mL/kg (max 4 mL)	IV	not captured	standing	page 23 · source
Neonatal resuscitation	peds	0.01–0.03 mg/kg	IV/IO/IM/ET	not captured	standing	page 59 · source
Respiratory distress	adult	0.3–0.5 mg	IM	not captured	standing	pages 44, 64 · source
Respiratory distress	peds	0.5 mg	NEB	not captured	standing	page 64 · source

Fentanyl

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	25–50 mcg	IV/IO	not captured	standing	page 52 · source
Mild to moderate pain	adult	25–50 mcg	IV/IO/IM/IN	not captured	standing	pages 62, 63 · source
Mild to moderate pain	peds	0.5 mcg/kg	IV/IO/IM/IN	not captured	standing	pages 62, 63 · source

G–L Glucagon, Haloperidol, Hydrocortisone, Hydromorphone, Hydroxocobalamin, Ipratropium, Ketamine, Lidocaine, Lorazepam9

Glucagon

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypoglycemia	adult	1 mg	IM/IN/SQ	not captured	standing	pages 19, 40 · source
Hypoglycemia	adult	1 mg	IM/IN	not captured	standing	pages 19, 27, 38, 40, 43, 71, 73 · source
Hypoglycemia	peds	0.5 mg	IM/IN	not captured	standing	pages 19, 27, 38, 40, 43, 71, 73 · source

Haloperidol

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	5 mg	IV/IM	not captured	standing	page 27 · source

Hydrocortisone

Indication	Population	Dose	Route	Repeat	Standing	Source
Adrenal crisis	adult	100 mg	IM	not captured	standing	page 16 · source
Adrenal crisis	adult	100 mg	IV/IO/IM	not captured	standing	page 16 · source
Adrenal crisis	peds	2 mg/kg	IM	not captured	standing	page 16 · source
Adrenal crisis	peds	2 mg/kg	IV/IO/IM	not captured	standing	page 16 · source

Hydromorphone

Indication	Population	Dose	Route	Repeat	Standing	Source
Mild to moderate pain	adult	0.5–1 mg	IV/IO/IM	not captured	standing	page 63 · source

Hydroxocobalamin

Indication	Population	Dose	Route	Repeat	Standing	Source
Cyanide poisoning	adult	5 g	IV/IO	not captured	standing	page 79 · source
Cyanide poisoning	peds	70 mg/kg	IV/IO	not captured	standing	page 79 · source

Ipratropium

Indication	Population	Dose	Route	Repeat	Standing	Source
Cyanide poisoning	adult	0.5 mg	NEB	not captured	standing	page 78 · source
Respiratory distress	adult	2 puff	MDI	not captured	standing	page 44 · source
Respiratory distress	adult	3 mL	NEB	not captured	standing	page 44 · source

Ketamine

Indication	Population	Dose	Route	Repeat	Standing	Source
Hyperactive delirium	adult	4 mg/kg	IM	not captured	standing	pages 27, 28, 29 · source
Mild to moderate pain	adult	0.1–0.5 mg/kg	IV	not captured	standing	page 63 · source

Lidocaine

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	20–40 mg	IO	not captured	standing	page 7 · source
Other	peds	0.5 mg/kg	IO	not captured	standing	page 7 · source

Lorazepam

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	2 mg	IV/IM	not captured	standing	page 27 · source
Seizure	adult	1–4 mg	IV/IO/IM	not captured	standing	page 72 · source
Seizure	peds	0.05 mg/kg	IV/IO/IM	not captured	standing	page 72 · source

M–O Magnesium Sulfate, Methylprednisolone, Midazolam, Morphine, Naloxone, Nitroglycerin, Norepinephrine, Oxytocin8

Magnesium Sulfate

Indication	Population	Dose	Route	Repeat	Standing	Source
Seizure	adult	4 g	IV	not captured	standing	page 60 · source

Methylprednisolone

Indication	Population	Dose	Route	Repeat	Standing	Source
Adrenal crisis	adult	125 mg	IM	not captured	standing	page 16 · source
Adrenal crisis	adult	125 mg	IV/IO/IM	not captured	standing	page 16 · source
Adrenal crisis	peds	2 mg/kg	IM	not captured	standing	page 16 · source
Adrenal crisis	peds	2 mg/kg	IV/IO/IM	not captured	standing	page 16 · source

Midazolam

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	2 mg	IV/IO/IN	not captured	standing	pages 28, 29 · source
Agitation	adult	2–4 mg	IV/IM	not captured	standing	page 27 · source
Mild to moderate pain	adult	2–4 mg	IV/IM	not captured	standing	page 63 · source
Seizure	peds	0.2 mg/kg (max 5 mg)	IV/IM/IN	not captured	standing	page 72 · source

Morphine

Indication	Population	Dose	Route	Repeat	Standing	Source
Mild to moderate pain	adult	2–5 mg	IV/IO/IM	not captured	standing	page 62 · source
Mild to moderate pain	adult	5 mg	IM	not captured	standing	page 62 · source
Mild to moderate pain	peds	0.1 mg/kg	IV/IO/IM	not captured	standing	page 62 · source

Naloxone

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	0.4 mg	IM/IN	not captured	standing	page 19 · source
Other	adult	0.4–4 mg	IN	not captured	standing	pages 18, 42 · source
Other	adult	0.4–4 mg	IV/IO/IM/IN/ET	not captured	standing	pages 19, 20, 43 · source
Other	adult	0.4–4 mg	IV/IM/IN/ET	not captured	standing	page 19 · source
Other	peds	0.1 mg/kg	IV/IO/IM/IN/ET	not captured	standing	pages 19, 20, 43 · source
Other	peds	0.1 mg/kg	IV/IM/IN/ET	not captured	standing	page 19 · source
Other	peds	0.2 mg/kg	IN	not captured	standing	pages 18, 42 · source

Nitroglycerin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	0.4 mg	SL	not captured	standing	page 35 · source

Norepinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Cardiogenic shock	adult	1 mcg	IV	not captured	standing	page 76 · source
Sepsis	adult	1 mcg	IV	not captured	standing	page 77 · source

Oxytocin

Indication	Population	Dose	Route	Repeat	Standing	Source
Obstetric hemorrhage	adult	20 unit	IV	not captured	standing	page 60 · source

S–Z Sodium Bicarbonate, Thiamine, Tranexamic Acid3

Sodium Bicarbonate

Indication	Population	Dose	Route	Repeat	Standing	Source
Tricyclic overdose	adult	1 mEq/kg	IV	not captured	standing	page 43 · source

Thiamine

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypoglycemia	adult	100 mg	IV	not captured	standing	pages 19, 43, 71 · source

Tranexamic Acid

Indication	Population	Dose	Route	Repeat	Standing	Source
Trauma / hemorrhage	adult	1 g	IV	not captured	standing	page 56 · source

Cite this

Montana Board of Medical Examiners, United States EMS Protocol Census. 81 dose entries, effective 2020-11-01.

https://protoquiz.com/census/agencies/montana-board-of-medical-examiners/

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