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North Carolina Office of Emergency Medical Services (NC OEMS)

Name: North Carolina Office of Emergency Medical Services (NC OEMS) EMS protocol doses
Creator: ProtoQuiz
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Current133 dose entries40 drugs6 documentsNCeffective 2025-09-01100% machine-parsed of 133

Drugs and doses40

A–C Acetaminophen, Activated Charcoal, Adenosine, Albuterol, Amiodarone, Aspirin, Atropine, Calcium Chloride, Calcium Gluconate9

Acetaminophen

Indication	Population	Dose	Route	Repeat	Standing	Source
Fever	adult	325–1000 mg	PO	not captured	standing	page 20
Fever	peds	15 mg/kg	PO	not captured	standing	page 20
Mild to moderate pain	adult	1 g	IV	not captured	standing	page 21
Mild to moderate pain	adult	325–1000 mg	PO	not captured	standing	page 21
Mild to moderate pain	peds	15 mg/kg	PO	not captured	standing	page 21
Mild to moderate pain	peds	15 mg/kg	IV	not captured	standing	page 21

Activated Charcoal

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	50 g	PO	not captured	standing	page 163
Other	peds	1 g/kg	PO	not captured	standing	page 163

Adenosine

Indication	Population	Dose	Route	Repeat	Standing	Source
Narrow-complex tachycardia	adult	6 mg	IV/IO	not captured	standing	page 72
Narrow-complex tachycardia	peds	0.1 mg/kg	IV/IO	not captured	standing	page 72

Albuterol

Indication	Population	Dose	Route	Repeat	Standing	Source
Asthma / bronchospasm	adult	2.5–5 mg	NEB	not captured	standing	page 47
Asthma / bronchospasm	peds	1.25–2.5 mg	NEB	not captured	standing	page 47
Respiratory distress	adult	2.5–5 mg	NEB	not captured	standing	page 47
Respiratory distress	peds	1.25–2.5 mg	NEB	not captured	standing	page 47
Stridor	adult	2.5–5 mg	NEB	not captured	standing	page 47
Stridor	peds	1.25–2.5 mg	NEB	not captured	standing	page 47

Amiodarone

Indication	Population	Dose	Route	Repeat	Standing	Source
Narrow-complex tachycardia	adult	150 mg	IV/IO	not captured	standing	page 72
VF / pulseless VT	adult	300 mg	IV/IO	not captured	standing	page 78
VF / pulseless VT	adult	300 mg	IV/IO	not captured	standing	page 78

Aspirin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	324 mg	PO	not captured	standing	page 68
Mild to moderate pain	adult	324–650 mg	PO	not captured	standing	page 21

Atropine

Indication	Population	Dose	Route	Repeat	Standing	Source
Bradycardia	adult	1 mg	IV/IO	not captured	standing	page 64
Bradycardia	peds	0.02 mg/kg	IV/IO	not captured	standing	page 64
Nerve agent exposure	adult	2 mg	IV/IO/IM	not captured	standing	page 165

Calcium Chloride

Indication	Population	Dose	Route	Repeat	Standing	Source
Crush injury	adult	1 g	IV/IO	not captured	standing	page 116
Hyperkalemia	adult	1 g	IV/IO	not captured	standing	page 116

Calcium Gluconate

Indication	Population	Dose	Route	Repeat	Standing	Source
Crush injury	adult	2 g	IV/IO	not captured	standing	page 116
Crush injury	peds	20 mg/kg	IV/IO	not captured	standing	page 116
Hyperkalemia	adult	2 g	IV/IO	not captured	standing	page 116
Hyperkalemia	peds	20 mg/kg	IV/IO	not captured	standing	page 116

D–F Dextrose, Diltiazem, Diphenhydramine, Dopamine, Epinephrine, Etomidate, Fentanyl, Furosemide8

Dextrose

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypoglycemia	adult	125 mL	IV/IO	not captured	standing	page 114
Hypoglycemia	peds	5 mL/kg	IV/IO	not captured	standing	page 114

Diltiazem

Indication	Population	Dose	Route	Repeat	Standing	Source
Narrow-complex tachycardia	adult	0.25 mg/kg	IV/IO	not captured	standing	page 72

Diphenhydramine

Indication	Population	Dose	Route	Repeat	Standing	Source
Allergic reaction	adult	25–50 mg	PO	not captured	standing	page 112
Allergic reaction	adult	25–50 mg	IV/IO/IM	not captured	standing	page 112
Allergic reaction	peds	1 mg/kg	PO	not captured	standing	page 112
Allergic reaction	peds	1 mg/kg	IV/IO/IM	not captured	standing	page 112
Dystonic reaction	adult	50 mg	IV/IO/IM/PO	not captured	standing	page 34
Dystonic reaction	peds	1 mg/kg	IV/IO/IM/PO	not captured	standing	page 34

Dopamine

Indication	Population	Dose	Route	Repeat	Standing	Source
Bradycardia	adult	2–20 mcg/kg	IV/IO	not captured	standing	page 64

Epinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	0.3–0.5 mg	IM	not captured	standing	page 112
Anaphylaxis	peds	0.01 mg/kg	IM	not captured	standing	page 112
Bradycardia	adult	1–10 mcg	IV/IO	not captured	standing	page 64
Bradycardia	peds	0.01 mg/kg	IV/IO	not captured	standing	page 64
Cardiac arrest	adult	1 mg	IV/IO	not captured	standing	page 62
Cardiac arrest	peds	0.01 mg/kg	IV/IO	not captured	standing	page 62
Respiratory distress	adult	0.3–0.5 mg	IM	not captured	standing	page 47
Respiratory distress	peds	0.01 mg/kg	IM	not captured	standing	page 47
Stridor	adult	1 mg	NEB	not captured	standing	page 47
Stridor	peds	1 mg	NEB	not captured	standing	page 47

Etomidate

Indication	Population	Dose	Route	Repeat	Standing	Source
RSI induction	adult	0.3 mg/kg	IV/IO	not captured	standing	page 45

Fentanyl

Indication	Population	Dose	Route	Repeat	Standing	Source
Mild to moderate pain	adult	50–100 mcg	IV/IO/IM	not captured	standing	page 21
Mild to moderate pain	peds	1 mcg/kg	IV/IO/IM	not captured	standing	page 21
Mild to moderate pain	peds	1 mcg/kg	IN	not captured	standing	page 21

Furosemide

Indication	Population	Dose	Route	Repeat	Standing	Source
CHF / pulmonary edema	adult	40 mg	IV	not captured	standing	page 70
CHF / pulmonary edema	peds	1 mg/kg	IV	not captured	standing	page 70

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

Glucagon

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypoglycemia	adult	1–2 mg	IM	not captured	standing	page 114
Hypoglycemia	peds	0.1 mg/kg	IM	not captured	standing	page 114

Haloperidol

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	2–5 mg	IM	not captured	standing	page 36

Hydroxocobalamin

Indication	Population	Dose	Route	Repeat	Standing	Source
Cyanide poisoning	adult	70 mg/kg	IV/IO	not captured	standing	page 154

Ibuprofen

Indication	Population	Dose	Route	Repeat	Standing	Source
Fever	adult	400–600 mg	PO	not captured	standing	page 20
Fever	peds	10 mg/kg	PO	not captured	standing	page 20
Mild to moderate pain	adult	400–600 mg	PO	not captured	standing	page 21
Mild to moderate pain	peds	10 mg/kg	PO	not captured	standing	page 21

Ipratropium

Indication	Population	Dose	Route	Repeat	Standing	Source
Respiratory distress	adult	0.5 mg	NEB	not captured	standing	page 47
Respiratory distress	peds	0.5 mg	NEB	not captured	standing	page 47

Ketamine

Indication	Population	Dose	Route	Repeat	Standing	Source
Hyperactive delirium	adult	4 mg/kg	IM	not captured	standing	page 37
Hyperactive delirium	peds	2 mg/kg	IM	not captured	standing	page 37
Mild to moderate pain	adult	0.3 mg/kg	IV/IO	not captured	standing	page 21
Post-intubation sedation	adult	1.5–2 mg/kg	IV/IO	not captured	standing	page 55
RSI induction	adult	1–2 mg/kg	IV/IO	not captured	standing	page 45
RSI induction	adult	4 mg/kg	IM	not captured	standing	page 45
RSI induction	peds	2 mg/kg	IM	not captured	standing	page 45

Ketorolac

Indication	Population	Dose	Route	Repeat	Standing	Source
Mild to moderate pain	adult	15 mg	IV/IO	not captured	standing	page 21
Mild to moderate pain	adult	30 mg	IM	not captured	standing	page 21
Mild to moderate pain	peds	0.5 mg/kg	IV/IO	not captured	standing	page 21
Mild to moderate pain	peds	0.5 mg/kg	IM	not captured	standing	page 21

Lidocaine

Indication	Population	Dose	Route	Repeat	Standing	Source
VF / pulseless VT	adult	1–1.5 mg/kg	IV/IO	not captured	standing	page 78
VF / pulseless VT	adult	1–1.5 mg/kg	IV/IO	not captured	standing	page 78

M–O Magnesium Sulfate, Methylprednisolone, Midazolam, Morphine, Naloxone, Ondansetron, Oxymetazoline, Oxytocin8

Magnesium Sulfate

Indication	Population	Dose	Route	Repeat	Standing	Source
Crush injury	adult	2 g	IV/IO	not captured	standing	page 138
Crush injury	peds	20 mg/kg	IV/IO	not captured	standing	page 138
Respiratory distress	adult	2 g	IV/IO	not captured	standing	page 47
Respiratory distress	peds	40 mg/kg	IV/IO	not captured	standing	page 47

Methylprednisolone

Indication	Population	Dose	Route	Repeat	Standing	Source
Allergic reaction	adult	125 mg	IV/IO	not captured	standing	page 112
Allergic reaction	peds	2 mg/kg	IV/IO	not captured	standing	page 112
CHF / pulmonary edema	peds	2 mg/kg	IV/IO	not captured	standing	page 101
Respiratory distress	adult	125 mg	IV/IO/IM	not captured	standing	page 47
Respiratory distress	peds	2 mg/kg	IV/IO/IM	not captured	standing	page 47

Midazolam

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	2.5 mg	IV/IO/IN	not captured	standing	page 36
Agitation	adult	5 mg	IM	not captured	standing	page 36
Agitation	peds	0.1–0.2 mg/kg	IV/IO/IN	not captured	standing	page 36
Eclampsia / pre-eclampsia	adult	10 mg	IM	not captured	standing	page 171
Eclampsia / pre-eclampsia	adult	2–2.5 mg	IV/IO	not captured	standing	page 171
Eclampsia / pre-eclampsia	peds	0.2 mg	IV/IO	not captured	standing	page 171
Eclampsia / pre-eclampsia	peds	0.2 mg/kg	IM	not captured	standing	page 171
Hyperactive delirium	adult	10 mg	IM	not captured	standing	page 37
Hyperactive delirium	peds	0.1–0.2 mg/kg	IM	not captured	standing	page 37
Post-intubation sedation	adult	2–2.5 mg	IV/IO	not captured	standing	page 55
Post-intubation sedation	peds	0.1–0.2 mg/kg	IV/IO	not captured	standing	page 55
Procedural sedation	adult	2–2.5 mg	IV/IO	not captured	standing	page 72
Procedural sedation	peds	0.1–0.2 mg/kg	IV/IO	not captured	standing	page 72
Seizure	adult	10 mg	IM	not captured	standing	page 25
Seizure	adult	2–2.5 mg	IV/IO	not captured	standing	page 25
Seizure	peds	0.2 mg/kg	IV/IO	not captured	standing	page 25
Seizure	peds	0.2 mg/kg	IM	not captured	standing	page 25

Morphine

Indication	Population	Dose	Route	Repeat	Standing	Source
CHF / pulmonary edema	peds	0.1 mg/kg	IV/IO	not captured	standing	page 101
Mild to moderate pain	adult	4 mg	IV/IO/IM	not captured	standing	page 21
Mild to moderate pain	peds	0.1 mg/kg	IV/IO/IM	not captured	standing	page 21

Naloxone

Indication	Population	Dose	Route	Repeat	Standing	Source
Opioid overdose	adult	0.4–2 mg	IM/IN	not captured	standing	page 66
Opioid overdose	adult	0.4–2 mg	IV/IO/IM/IN/ET	not captured	standing	page 66
Opioid overdose	peds	0.1 mg/kg	IM/IN	not captured	standing	page 66
Opioid overdose	peds	0.1 mg/kg	IV/IO/IM/IN/ET	not captured	standing	page 66

Ondansetron

Indication	Population	Dose	Route	Repeat	Standing	Source
Nausea / vomiting	adult	4 mg	IV/IO/IM/PO/ODT	not captured	standing	page 7
Nausea / vomiting	peds	0.2 mg/kg	IV/IO/IM/PO/ODT	not captured	standing	page 7

Oxymetazoline

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	2 spray	IN	not captured	standing	page 18

Oxytocin

Indication	Population	Dose	Route	Repeat	Standing	Source
Obstetric hemorrhage	adult	10 unit	IM	not captured	standing	page 167

P–R Pralidoxime, Promethazine, Rocuronium3

Pralidoxime

Indication	Population	Dose	Route	Repeat	Standing	Source
Nerve agent exposure	adult	600 mg	IV/IO/IM	not captured	standing	page 165
Nerve agent exposure	peds	15–25 mg/kg	IV/IO/IM	not captured	standing	page 165

Promethazine

Indication	Population	Dose	Route	Repeat	Standing	Source
Nausea / vomiting	adult	12.5 mg	IV/IM/PO	not captured	standing	page 7

Rocuronium

Indication	Population	Dose	Route	Repeat	Standing	Source
Post-intubation sedation	adult	0.6–1.2 mg/kg	IV/IO	not captured	standing	page 55
RSI induction	adult	1 mg/kg	IV/IO	not captured	standing	page 45

S–Z Sodium Bicarbonate, Succinylcholine, Tranexamic Acid, Vecuronium4

Sodium Bicarbonate

Indication	Population	Dose	Route	Repeat	Standing	Source
Crush injury	adult	50 mEq	IV/IO	not captured	standing	page 116
Crush injury	peds	1 mEq/kg	IV/IO	not captured	standing	page 116
Hyperkalemia	adult	50 mEq	IV/IO	not captured	standing	page 116
Hyperkalemia	peds	1 mEq/kg	IV/IO	not captured	standing	page 116

Succinylcholine

Indication	Population	Dose	Route	Repeat	Standing	Source
RSI induction	adult	2 mg/kg	IV/IO	not captured	standing	page 45

Tranexamic Acid

Indication	Population	Dose	Route	Repeat	Standing	Source
Obstetric hemorrhage	adult	2 g	IV/IO	not captured	standing	page 171
Obstetric hemorrhage	peds	20 mg/kg	IV/IO	not captured	standing	page 171
Other	adult	1 g	TOP	not captured	standing	page 18
Trauma / hemorrhage	adult	1–2 g	IV/IO	not captured	standing	page 143
Trauma / hemorrhage	adult	1 g	TOP	not captured	standing	page 15

Vecuronium

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	10 mg	IV/IO	not captured	standing	page 86
Post-intubation sedation	adult	10 mg	IV/IO	not captured	standing	page 55

Cite this

North Carolina Office of Emergency Medical Services (NC OEMS), United States EMS Protocol Census. 133 dose entries, effective 2025-09-01.

https://protoquiz.com/census/agencies/north-carolina-office-of-emergency-medical-services/

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