Regional
Northeast Ohio Regional EMS Protocol Committee
Drugs and doses51
A–C Adenosine, Albuterol, Amiodarone, Aspirin, Atropine, Calcium Chloride, Calcium Gluconate, Cefazolin, Ciprofloxacin, Clopidogrel10
Adenosine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 6 mg | IV | not captured | standing | pages 44, 228 |
| Other | peds | 0.1 mg/kg | IV/IO | not captured | standing | page 150 |
| Other | peds | 0.3 mg | IV/IO | not captured | standing | page 286 |
| Other | peds | 0.4 mg | IV/IO | not captured | standing | page 286 |
| Other | peds | 0.5 mg | IV/IO | not captured | standing | page 286 |
| Other | peds | 0.65 mg | IV/IO | not captured | standing | page 286 |
| Other | peds | 0.85 mg | IV/IO | not captured | standing | page 287 |
| Other | peds | 1 mg | IV/IO | not captured | standing | page 287 |
| Other | peds | 1.3 mg | IV/IO | not captured | standing | page 288 |
| Other | peds | 1.65 mg | IV/IO | not captured | standing | page 288 |
| Other | peds | 2.1 mg | IV/IO | not captured | standing | page 289 |
| Other | peds | 2.65 mg | IV/IO | not captured | standing | page 289 |
| Other | peds | 3.3 mg | IV/IO | not captured | standing | page 290 |
| SVT | adult | 6 mg | IV | not captured | standing | pages 44, 45, 150, 228 |
| SVT | adult | 6 mg | IV | not captured | standing | page 228 |
| SVT | peds | 0.1 mg/kg | IV | not captured | standing | page 228 |
| SVT | peds | 0.1 mg/kg | IV | not captured | standing | pages 44, 45, 150, 228 |
Albuterol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 2.5 mg | NEB | not captured | standing | pages 34, 142, 229 |
| Anaphylaxis | peds | 2.5 mg | NEB | not captured | standing | pages 34, 142, 229 |
| Asthma / bronchospasm | adult | 2.5 mg | NEB | not captured | standing | pages 28, 29, 136, 229 |
| Asthma / bronchospasm | peds | 2.5 mg | NEB | not captured | standing | pages 28, 29, 136, 229 |
| COPD | adult | 2.5 mg | NEB | not captured | standing | pages 28, 29, 229 |
| Hyperkalemia | adult | 10 mg | NEB | not captured | standing | pages 76, 168, 229 |
| Other | adult | 2.5 mg | NEB | not captured | standing | pages 22, 229 |
| Other | adult | 2.5 mg | NEB | not captured | standing | pages 22, 229 |
| Other | adult | 2.5 mg | NEB | not captured | standing | pages 34, 142, 229 |
| Other | peds | 2.5 mg | NEB | not captured | standing | pages 34, 142, 229 |
Amiodarone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | peds | 15 mg | IV/IO | not captured | standing | page 286 |
| Other | peds | 20 mg | IV/IO | not captured | standing | page 286 |
| Other | peds | 25 mg | IV/IO | not captured | standing | page 286 |
| Other | peds | 32 mg | IV/IO | not captured | standing | page 286 |
| Wide-complex tachycardia | adult | 150 mg | IV/IO | not captured | standing | pages 46, 156, 231 |
| Wide-complex tachycardia | peds | 5 mg/kg | IV/IO | not captured | standing | pages 46, 156, 231 |
| VF / pulseless VT | adult | 300 mg | IV/IO | not captured | standing | pages 54, 56, 58, 154, 231 |
| VF / pulseless VT | adult | 300 mg | IV/IO | not captured | standing | pages 54, 56, 58, 154, 231 |
| VF / pulseless VT | adult | 300 mg | IV/IO | not captured | standing | pages 54, 56, 58, 154, 231 |
| VF / pulseless VT | peds | 5 mg/kg | IV/IO | not captured | standing | pages 54, 56, 58, 154, 231 |
| VF / pulseless VT | peds | 5 mg/kg | IV/IO | not captured | standing | pages 54, 56, 58, 154, 231 |
| VF / pulseless VT | peds | 5 mg/kg | IV/IO | not captured | standing | pages 54, 56, 58, 154, 231 |
Aspirin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 324 mg | PO | not captured | standing | pages 40, 41, 232 |
| Other | adult | 324 mg | PO | not captured | standing | pages 40, 41, 232 |
| Other | adult | 324 mg | not captured | not captured | standing | page 232 |
| Other | adult | 324 mg | not captured | not captured | standing | pages 40, 41 |
Atropine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Beta-blocker / calcium-channel-blocker overdose | adult | 1 mg | IV/IO | not captured | standing | page 233 |
| Nerve agent exposure | adult | 2 mg | IV | not captured | standing | page 364 |
| Organophosphate poisoning | adult | 1 mg | IV | not captured | standing | pages 94, 148, 233 |
| Organophosphate poisoning | peds | 0.05 mg/kg | IV | not captured | standing | pages 94, 148, 233 |
| Other | adult | 1 mg | IV/IO | not captured | standing | pages 42, 148, 233 |
| Other | adult | 2 mg | IV/IM | not captured | standing | page 364 |
| Other | adult | 2 mg | IM | not captured | standing | page 365 |
| Other | adult | 2.1 mg | IM | not captured | standing | pages 279, 365 |
| Other | peds | 0.02 mg/kg | IV/IO | not captured | standing | pages 42, 148, 233 |
| Other | peds | 0.26 mg | IV/IO | not captured | standing | page 288 |
| Other | peds | 0.33 mg | IV/IO | not captured | standing | page 288 |
Calcium Chloride
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Beta-blocker / calcium-channel-blocker overdose | adult | 1 g | IV/IO | not captured | standing | pages 96, 184, 234 |
| Beta-blocker / calcium-channel-blocker overdose | peds | 20 mg/kg | IV/IO | not captured | standing | pages 96, 184, 234 |
| Hyperkalemia | adult | 1 g | IV/IO | not captured | standing | pages 76, 168, 234 |
| Hyperkalemia | peds | 20 mg/kg | IV/IO | not captured | standing | pages 76, 168, 234 |
| Other | adult | 1 g | IV/IO | not captured | standing | pages 52, 54, 234 |
| Other | adult | 1 g | IV/IO | not captured | standing | pages 52, 54 |
| Other | adult | 1 g | IV/IO | not captured | standing | pages 96, 184 |
| Other | adult | 1 g | IV/IO | not captured | standing | page 234 |
| Other | adult | 1 g | IV/IO | not captured | standing | page 76 |
| Other | peds | 170 mg | IV/IO | not captured | standing | page 287 |
| Other | peds | 20 mg/kg | IV/IO | not captured | standing | pages 96, 184 |
| Other | peds | 20 mg/kg | IV/IO | not captured | standing | page 234 |
| Other | peds | 210 mg | IV/IO | not captured | standing | page 287 |
| Other | peds | 260 mg | IV/IO | not captured | standing | page 288 |
| Other | peds | 330 mg | IV/IO | not captured | standing | page 288 |
Calcium Gluconate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Beta-blocker / calcium-channel-blocker overdose | adult | 3 g | IV/IO | not captured | standing | pages 96, 184 |
| Beta-blocker / calcium-channel-blocker overdose | peds | 60 mg/kg | IV/IO | not captured | standing | pages 96, 184 |
| Hyperkalemia | adult | 3 g | IV/IO | not captured | standing | pages 76, 168 |
| Hyperkalemia | peds | 60 mg/kg | IV/IO | not captured | standing | pages 76, 168 |
| Other | adult | 0.1–0.2 mL/kg | IV | not captured | standing | pages 102, 274 |
| Other | adult | 0.1–0.2 mL/kg | IV | not captured | standing | pages 102, 274 |
| Other | adult | 3 g | IV/IO | not captured | standing | pages 52, 54, 76, 146, 168 |
| Other | adult | 3 g | IV/IO | not captured | standing | page 52 |
| Other | peds | 60 mg/kg | IV/IO | not captured | standing | pages 52, 54, 76, 146, 168 |
Cefazolin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 2 g | IV/IO | not captured | standing | pages 118, 200, 235 |
| Other | peds | 1 g | IV/IO | not captured | standing | pages 118, 200, 235 |
| Other | peds | 1 g | IV/IO | not captured | standing | pages 200, 235 |
Ciprofloxacin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 400 mg | IV/IO | not captured | standing | page 276 |
| Other | adult | 500 mg | PO | not captured | standing | page 276 |
Clopidogrel
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| STEMI | adult | 600 mg | PO | not captured | standing | page 277 |
D–F Dextrose, Diazepam, Diphenhydramine, Doxycycline, Droperidol, Epinephrine, Etomidate, Fentanyl8
Dextrose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 25 g | IV/IO | not captured | standing | pages 72, 146, 166, 236 |
| Hypoglycemia | peds | 10.5 g | IV/IO | not captured | standing | page 289 |
| Hypoglycemia | peds | 12.5 g | IV/IO | not captured | standing | page 289 |
| Hypoglycemia | peds | 4.25 g | IV/IO | not captured | standing | page 287 |
| Hypoglycemia | peds | 5 mL/kg | IV/IO | not captured | standing | pages 72, 146, 166, 236 |
| Hypoglycemia | peds | 5.25 g | IV/IO | not captured | standing | page 287 |
| Hypoglycemia | peds | 6.5 g | IV/IO | not captured | standing | page 288 |
| Hypoglycemia | peds | 8.5 g | IV/IO | not captured | standing | page 288 |
| Other | adult | 12.5 g | IV/IO | not captured | standing | pages 94, 236 |
| Other | adult | 12.5 g | IV/IO | not captured | standing | pages 72, 236 |
| Other | adult | 25 g | IV/IO | not captured | standing | pages 72, 236 |
| Other | peds | 2 mL/kg | IV/IO | not captured | standing | pages 146, 166, 236 |
Diazepam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 10 mg | IM | not captured | standing | pages 279, 364, 365 |
| Other | adult | 2.5–5 mg | IV/IO | not captured | standing | pages 237, 251 |
| Other | adult | 2.5–5 mg | IV/IO | not captured | standing | page 237 |
| Other | adult | 2.5–5 mg | IV/IO | not captured | standing | pages 237, 251 |
| Status epilepticus | adult | 2.5–5 mg | IV/IO | not captured | standing | pages 237, 251 |
| Status epilepticus | peds | 0.15–0.2 mg/kg | IV/IO | not captured | standing | pages 237, 251 |
Diphenhydramine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 25–50 mg | IV/IM | not captured | standing | pages 164, 238 |
| Agitation | peds | 1 mg/kg | IV/IM | not captured | standing | pages 164, 238 |
| Allergic reaction | adult | 25–50 mg | IV/IO/IM | not captured | standing | pages 34, 142, 238 |
| Allergic reaction | peds | 1 mg/kg | IV/IO/IM | not captured | standing | pages 34, 142, 238 |
| Dystonic reaction | adult | 25–50 mg | IV/IM | not captured | standing | pages 70, 238, 243, 254 |
| Other | adult | 25–50 mg | IV/IM | not captured | standing | pages 84, 238 |
| Other | adult | 25–50 mg | IV/IO/IM | not captured | standing | pages 34, 142, 238 |
| Other | adult | 25–50 mg | IV/IM | not captured | standing | pages 70, 164, 238, 239, 243, 254 |
| Other | adult | 25–50 mg | IV/IM | not captured | standing | pages 84, 238 |
| Other | adult | 50 mg | IV/IO/IM | not captured | standing | pages 34, 142, 238 |
| Other | peds | 1 mg/kg | IV/IO/IM | not captured | standing | pages 34, 142, 238 |
| Other | peds | 1 mg/kg | IV/IO/IM | not captured | standing | pages 34, 142, 238 |
| Other | peds | 1 mg/kg | IV/IM | not captured | standing | pages 70, 164, 238, 239, 243, 254 |
| Other | peds | 1 mg/kg | IO | not captured | standing | pages 164, 238 |
Doxycycline
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 100 mg | PO | not captured | standing | page 278 |
| Other | adult | 100 mg | PO | not captured | standing | page 278 |
Droperidol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 5 mg | IM | not captured | standing | pages 70, 239, 243 |
| Other | adult | 5 mg | IM | not captured | standing | pages 239, 243 |
| Other | adult | 5 mg | IM | not captured | standing | pages 70, 239 |
Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 0.3–0.5 mg | IM | not captured | standing | pages 34, 142, 240 |
| Anaphylaxis | adult | 100 mcg | IV/IO | not captured | standing | pages 34, 142, 240 |
| Anaphylaxis | peds | 0.01 mg/kg | IM | not captured | standing | pages 34, 142, 240 |
| Anaphylaxis | peds | 0.01 mg/kg | IV/IO | not captured | standing | pages 34, 142, 240 |
| Cardiac arrest | adult | 1 mg | IV/IO | not captured | standing | pages 52, 54, 56, 146, 154, 240 |
| Cardiac arrest | peds | 0.01 mg/kg | IV/IO | not captured | standing | pages 52, 54, 56, 146, 154, 240 |
| Other | adult | 0.3–0.5 mg | IM | not captured | standing | pages 28, 29, 240 |
| Other | adult | 100 mcg | IV/IO | not captured | standing | pages 34, 240 |
| Other | peds | 0.01 mg/kg | IM | not captured | standing | page 240 |
| Other | peds | 0.01 mg/kg | IM | not captured | standing | pages 142, 240 |
| Other | peds | 0.01 mg/kg | IV/IO | not captured | standing | pages 52, 146, 154, 240 |
| Other | peds | 3 mL | NEB | not captured | standing | pages 28, 240 |
| Respiratory distress | adult | 0.3–0.5 mg | IM | not captured | standing | pages 28, 29, 240 |
| Respiratory distress | peds | 0.01 mg/kg | IM | not captured | standing | pages 28, 29, 240 |
| Stridor | adult | 5 mg | NEB | not captured | standing | pages 28, 240 |
| Stridor | peds | 3–5 mL | NEB | not captured | standing | pages 28, 240 |
Etomidate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 0.3 mg/kg | IV/IO | not captured | standing | page 280 |
Fentanyl
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1 mcg/kg | IV/IO | not captured | standing | page 26 |
| Other | adult | 100 mcg | IV/IO/IM/IN | not captured | standing | page 241 |
| Other | adult | 25–100 mcg | IV/IO/IM/IN | not captured | standing | pages 20, 26, 40, 86, 176, 241 |
| Other | adult | 25 mcg | IV | not captured | standing | pages 20, 26, 241 |
| Other | adult | 25 mcg | IV/IO | not captured | standing | page 20 |
| Other | adult | 25 mcg | IV/IO/IM/IN | not captured | standing | page 241 |
| Other | peds | 1 mcg/kg | IV/IO/IM/IN | not captured | standing | pages 20, 26, 40, 86, 176, 241 |
| Other | peds | 10.5 mcg | IV/IM/IN | not captured | standing | page 287 |
| Other | peds | 13 mcg | IV/IM/IN | not captured | standing | page 288 |
| Other | peds | 16.5 mcg | IV/IM/IN | not captured | standing | page 288 |
| Other | peds | 21 mcg | IV/IM/IN | not captured | standing | page 289 |
| Other | peds | 26.5 mcg | IV/IM/IN | not captured | standing | page 289 |
| Other | peds | 3 mcg | IV/IM/IN | not captured | standing | page 286 |
| Other | peds | 4 mcg | IV/IM/IN | not captured | standing | page 286 |
| Other | peds | 5 mcg | IV/IM/IN | not captured | standing | page 286 |
| Other | peds | 6.5 mcg | IV/IM/IN | not captured | standing | page 286 |
| Other | peds | 8.5 mcg | IV/IM/IN | not captured | standing | page 287 |
G–L Glucagon, Haloperidol, Heparin, Hydromorphone, Hydroxocobalamin, Ipratropium, Ketamine, Ketorolac, Labetalol, Lidocaine, Lorazepam11
Glucagon
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 1 mg | IM | not captured | standing | pages 72, 166, 242 |
| Other | peds | 1 mg | IM | not captured | standing | page 166 |
Haloperidol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 5 mg | IM | not captured | standing | pages 70, 243 |
| Other | adult | 5 mg | IM | not captured | standing | pages 70, 243 |
| Other | adult | 5 mg | IM | not captured | standing | pages 70, 243 |
Heparin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| STEMI | adult | 60 unit/kg | IV/IO | not captured | standing | pages 40, 244 |
Hydromorphone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 0.5–1 mg | IV/IM | not captured | standing | pages 86, 245 |
| Other | adult | 0.5–1 mg | IV/IO/IM | not captured | standing | page 86 |
| Other | adult | 0.5 mg | IV/IM | not captured | standing | page 245 |
| Mild to moderate pain | adult | 0.5–1 mg | IV/IM | not captured | standing | pages 86, 245 |
Hydroxocobalamin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cyanide poisoning | adult | 5 g | IV | not captured | standing | page 281 |
| Other | adult | 5 g | IV | not captured | standing | pages 98, 281 |
Ipratropium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 0.5 mg | NEB | not captured | standing | pages 34, 142, 230, 246 |
| Asthma / bronchospasm | adult | 0.5 mg | NEB | not captured | standing | pages 28, 136, 230, 246 |
| COPD | adult | 0.5 mg | NEB | not captured | standing | pages 28, 230, 246 |
| Other | adult | 0.5 mg | NEB | not captured | standing | pages 22, 230, 246 |
Ketamine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1–2 mg/kg | IV/IO | not captured | standing | pages 26, 247 |
| Other | adult | 1–2 mg/kg | IV/IO | not captured | standing | pages 26, 247 |
| Other | adult | 1 mg/kg | IV/IO | not captured | standing | pages 20, 247 |
| Other | adult | 1 mg/kg | IV/IO | not captured | standing | page 20 |
| Other | adult | 1 mg/kg | IV/IO | not captured | standing | page 26 |
| Other | adult | 100 mg | IM/IN | not captured | standing | page 247 |
| Other | adult | 100 mg | IV/IO/IM | not captured | standing | pages 88, 247 |
| Other | peds | 2 mg/kg | IM | not captured | standing | pages 70, 164, 247 |
| Other | peds | 2 mg/kg | IM | not captured | standing | pages 70, 164, 247 |
| Mild to moderate pain | adult | 10 mg | IV/IO/IM/IN | not captured | standing | pages 86, 176, 247 |
| Post-intubation sedation | adult | 1 mg/kg | IV/IO | not captured | standing | pages 26, 247 |
| Seizure | adult | 100 mg | IV/IO/IM | not captured | standing | pages 88, 247 |
Ketorolac
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 15 mg | IV/IO | not captured | standing | pages 86, 248 |
| Other | adult | 30 mg | IM | not captured | standing | pages 86, 248 |
Labetalol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 10 mg | IV | not captured | standing | pages 90, 249 |
| Other | adult | 10 mg | IV | not captured | standing | page 90 |
| Other | adult | 20 mg | IV | not captured | standing | pages 216, 249 |
Lidocaine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1–1.5 mg/kg | IV/IO | not captured | standing | page 250 |
| Other | adult | 40 mg | IO | not captured | standing | page 250 |
| Other | peds | 0.5 mg/kg | IO | not captured | standing | page 250 |
| Other | peds | 1 mg/kg | IV/IO | not captured | standing | page 250 |
| Other | peds | 13 mg | IV/IO | not captured | standing | page 288 |
| Other | peds | 0.66 mL | IO | not captured | standing | page 289 |
| Other | peds | 21 mg | IV/IO | not captured | standing | page 289 |
| Other | peds | 1.32 mL | IV/IO | not captured | standing | page 289 |
| Other | peds | 4.25 mg | IO | not captured | standing | page 287 |
| Other | peds | 5.25 mg | IO | not captured | standing | page 287 |
| Other | peds | 8.25 mg | IO | not captured | standing | page 288 |
| Other | peds | 8.5 mg | IV/IO | not captured | standing | page 287 |
| Wide-complex tachycardia | adult | 1–1.5 mg/kg | IV/IO | not captured | standing | page 250 |
| Wide-complex tachycardia | peds | 1 mg/kg | IV/IO | not captured | standing | page 250 |
| VF / pulseless VT | adult | 1–1.5 mg/kg | IV/IO | not captured | standing | page 250 |
| VF / pulseless VT | peds | 1 mg/kg | IV/IO | not captured | standing | page 250 |
Lorazepam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Alcohol withdrawal | adult | 1–2 mg | IV/IO/IM/IN | not captured | standing | page 251 |
| Other | adult | 1–2 mg | IV/IO/IM/IN | not captured | standing | page 251 |
| Other | adult | 1–2 mg | IV/IO/IM/IN | not captured | standing | page 251 |
| Other | adult | 1–2 mg | IV/IO/IM/IN | not captured | standing | page 251 |
| Other | adult | 1–2 mg | IV/IO/IM/IN | not captured | standing | page 251 |
| Other | adult | 1–2 mg | IV/IO/IM/IN | not captured | standing | page 20 |
| Other | adult | 1–2 mg | IV/IO/IM/IN | not captured | standing | pages 94, 182 |
| Other | peds | 0.05–0.1 mg/kg | IV/IO/IM/IN | not captured | standing | page 251 |
| Other | peds | 0.05–0.1 mg/kg | IV/IO/IM/IN | not captured | standing | pages 94, 182 |
| Other | peds | 0.05 mg/kg | IV/IO/IM/IN | not captured | standing | page 251 |
| Other | peds | 0.65 mg | IV/IO | not captured | standing | page 288 |
| Other | peds | 0.825 mg | IV/IO | not captured | standing | page 288 |
| RSI induction | adult | 1–2 mg | IV/IO/IM/IN | not captured | standing | page 251 |
| Status epilepticus | adult | 1–4 mg | IV/IO/IM/IN | not captured | standing | page 251 |
| Status epilepticus | peds | 0.05–0.1 mg/kg | IV/IO/IM/IN | not captured | standing | page 251 |
M–O Magnesium Sulfate, Methylprednisolone, Metoclopramide, Metoprolol, Midazolam, Morphine, Naloxone, Nitroglycerin, Olanzapine, Ondansetron, Oral Glucose, Oxytocin12
Magnesium Sulfate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Eclampsia / pre-eclampsia | adult | 4 g | IV/IO | not captured | standing | page 252 |
| Other | adult | 2 g | IV/IO | not captured | standing | page 252 |
| Other | adult | 2 g | IV/IO | not captured | standing | page 252 |
| Other | adult | 2 g | IV/IO | not captured | standing | page 252 |
| Other | adult | 2 g | IV/IO | not captured | standing | page 252 |
| Other | adult | 2 g | IV/IO | not captured | standing | page 58 |
| Other | adult | 2 g | IV | not captured | standing | page 28 |
| Other | adult | 4 g | IV/IO | not captured | standing | page 252 |
| Other | adult | 4 g | IV/IO | not captured | standing | pages 216, 252 |
| Other | peds | 25 mg/kg | IV/IO | not captured | standing | pages 184, 252 |
| Other | peds | 25 mg/kg | IV/IO | not captured | standing | page 252 |
| Other | peds | 50 mg/kg | IV/IO | not captured | standing | page 252 |
Methylprednisolone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 125 mg | IV/IO/IM | not captured | standing | page 253 |
| Anaphylaxis | peds | 2 mg/kg | IV/IO/IM | not captured | standing | page 253 |
| Other | adult | 125 mg | IV/IO/IM/PO | not captured | standing | page 253 |
| Other | adult | 125 mg | IV/IO/IM/PO | not captured | standing | page 253 |
| Other | adult | 125 mg | IV/IO/IM/PO | not captured | standing | pages 28, 253 |
| Other | adult | 125 mg | IV/IO/IM | not captured | standing | pages 142, 253 |
| Other | adult | 125 mg | IV | not captured | standing | pages 134, 253 |
| Other | peds | 10 mg | IV/IO | not captured | standing | page 286 |
| Other | peds | 13 mg | IV/IO | not captured | standing | page 286 |
| Other | peds | 17 mg | IV/IO | not captured | standing | page 287 |
| Other | peds | 2 mg/kg | IV/IO/IM | not captured | standing | pages 142, 253 |
| Other | peds | 2 mg/kg | IV | not captured | standing | pages 134, 253 |
| Other | peds | 2 mg/kg | IO/IM | not captured | standing | pages 134, 253 |
| Other | peds | 2 mg/kg | IO/IM/PO | not captured | standing | pages 143, 253 |
| Other | peds | 2 mg/kg | IO/IM/PO | not captured | standing | page 253 |
| Other | peds | 2 mg/kg | IV/IO/IM/PO | not captured | standing | page 253 |
| Other | peds | 2 mg/kg | IV/IO/IM/PO | not captured | standing | page 253 |
| Other | peds | 21 mg | IV/IO | not captured | standing | page 287 |
| Other | peds | 26 mg | IV/IO | not captured | standing | page 288 |
| Other | peds | 33 mg | IV/IO | not captured | standing | page 288 |
| Other | peds | 42 mg | IV/IO | not captured | standing | page 289 |
| Other | peds | 53 mg | IV/IO | not captured | standing | page 289 |
| Other | peds | 6 mg | IV/IO | not captured | standing | page 286 |
| Other | peds | 8 mg | IV/IO | not captured | standing | page 286 |
Metoclopramide
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | adult | 10 mg | IV | not captured | standing | page 254 |
| Nausea / vomiting | adult | 10 mg | IV/IM | not captured | standing | pages 84, 85, 254 |
Metoprolol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 5 mg | IV/IO | not captured | standing | page 255 |
Midazolam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Alcohol withdrawal | adult | 2.5 mg | IV/IO | not captured | standing | page 256 |
| Alcohol withdrawal | adult | 5 mg | IM/IN | not captured | standing | page 256 |
| Other | adult | 2.5 mg | IV/IO | not captured | standing | page 256 |
| Other | adult | 2.5 mg | IV/IO | not captured | standing | page 256 |
| Other | adult | 2.5 mg | IV/IO | not captured | standing | page 256 |
| Other | adult | 2.5 mg | IV/IO | not captured | standing | page 256 |
| Other | adult | 5 mg | IM/IN | not captured | standing | page 256 |
| Other | adult | 5 mg | IM/IN | not captured | standing | page 256 |
| Other | adult | 5 mg | IM/IN | not captured | standing | page 256 |
| Other | peds | 0.05–0.1 mg/kg | IV/IO | not captured | standing | page 256 |
| Other | peds | 0.05–0.1 mg/kg | IV/IO | not captured | standing | page 256 |
| Other | peds | 0.2 mg/kg | IM/IN | not captured | standing | page 256 |
| Other | peds | 0.2 mg/kg | IM/IN | not captured | standing | page 256 |
| Other | peds | 1.3 mg | IM/IN | not captured | standing | page 286 |
| Other | peds | 2 mg | IV/IO | not captured | standing | page 289 |
| Other | peds | 5 mg | IM/IN | not captured | standing | page 289 |
| RSI induction | adult | 2.5 mg | IV/IO | not captured | standing | page 256 |
| RSI induction | adult | 5 mg | IM/IN | not captured | standing | page 256 |
| Status epilepticus | adult | 2.5 mg | IV/IO | not captured | standing | page 256 |
| Status epilepticus | adult | 5 mg | IM/IN | not captured | standing | page 256 |
| Status epilepticus | peds | 0.1 mg/kg | IV/IO | not captured | standing | page 256 |
| Status epilepticus | peds | 0.2 mg/kg | IM/IN | not captured | standing | page 256 |
Morphine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 2.5–5 mg | IV/IM | not captured | standing | page 257 |
| Other | adult | 2.5–5 mg | IV/IM | not captured | standing | page 257 |
| Other | peds | 0.05–0.1 mg/kg | IV/IM | not captured | standing | page 257 |
| Other | peds | 0.3 mg | IV/IO | not captured | standing | page 286 |
| Other | peds | 0.65 mg | IV/IO | not captured | standing | page 286 |
| Other | peds | 0.85 mg | IV/IO | not captured | standing | page 287 |
| Other | peds | 1.05 mg | IV/IO | not captured | standing | page 287 |
| Other | peds | 1.3 mg | IV/IO | not captured | standing | page 288 |
| Other | peds | 1.65 mg | IV/IO | not captured | standing | page 288 |
| Other | peds | 2.1 mg | IV/IO | not captured | standing | page 289 |
| Other | peds | 2.65 mg | IV/IO | not captured | standing | page 289 |
| Other | peds | 3.3 mg | IV/IO | not captured | standing | page 290 |
| Mild to moderate pain | adult | 2.5–5 mg | IV/IM | not captured | standing | page 257 |
Naloxone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1–2 mg | IV/IO/IM | not captured | standing | page 94 |
| Other | peds | 0.1 mg/kg | IV/IM | not captured | standing | page 258 |
| Other | peds | 0.1 mg/kg | IV/IO/IM/IN | not captured | standing | pages 182, 258 |
| Other | peds | 0.3 mg | IV/IO/IN | not captured | standing | page 286 |
| Other | peds | 0.65 mg | IV/IO/IN | not captured | standing | page 286 |
| Other | peds | 0.85 mg | IV/IO/IN | not captured | standing | page 287 |
| Other | peds | 1 mg | IN | not captured | standing | page 258 |
| Other | peds | 1.05 mg | IV/IO/IN | not captured | standing | page 287 |
| Other | peds | 1.3 mg | IV/IO/IN | not captured | standing | page 288 |
| Other | peds | 1.65 mg | IV/IO/IN | not captured | standing | page 288 |
| Other | peds | 2 mg | IV/IO/IN | not captured | standing | page 289 |
Nitroglycerin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 0.4 mg | SL | not captured | standing | page 259 |
| Other | adult | 0.4 mg | SL | not captured | standing | page 259 |
| Other | adult | 0.4 mg | SL | not captured | standing | page 22 |
Olanzapine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 10 mg | PO | not captured | standing | page 260 |
| Other | adult | 10 mg | PO | not captured | standing | pages 70, 260 |
Ondansetron
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | adult | 4 mg | IV/IM | not captured | standing | pages 84, 85, 261 |
| Nausea / vomiting | peds | 0.15 mg/kg | IV/IM/PO | not captured | standing | pages 174, 175, 261 |
| Nausea / vomiting | peds | 1.58 mg | IV/IO/PO | not captured | standing | page 287 |
| Nausea / vomiting | peds | 1.95 mg | IV/IO/PO | not captured | standing | page 288 |
| Nausea / vomiting | peds | 2.48 mg | IV/IO/PO | not captured | standing | page 288 |
| Nausea / vomiting | peds | 3.15 mg | IV/IO/PO | not captured | standing | page 289 |
| Nausea / vomiting | peds | 4 mg | IV/IO/PO | not captured | standing | page 289 |
| Other | adult | 4 mg | IV/IM | not captured | standing | page 261 |
| Other | adult | 4 mg | PO | not captured | standing | page 261 |
| Other | peds | 0.15 mg/kg | IV/IM | not captured | standing | page 261 |
| Other | peds | 4 mg | PO | not captured | standing | page 261 |
Oral Glucose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 15 g | PO | not captured | standing | page 262 |
| Hypoglycemia | adult | 15 g | PO | not captured | standing | page 262 |
| Hypoglycemia | peds | 7.5 g | PO | not captured | standing | page 262 |
| Hypoglycemia | peds | 7.5–18.75 g | PO | not captured | standing | page 262 |
| Other | adult | 15–37.5 g | PO | not captured | standing | page 72 |
| Other | peds | 7.5–18.75 g | PO | not captured | standing | page 166 |
Oxytocin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 10 unit | IM | not captured | standing | page 264 |
| Other | adult | 10 unit | IM | not captured | standing | page 264 |
P–R Pralidoxime, Racemic Epinephrine, Rocuronium3
Pralidoxime
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 600 mg | IM | not captured | standing | pages 279, 365 |
Racemic Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 0.5 mL | NEB | not captured | standing | pages 28, 134 |
| Other | peds | 0.5 mL | NEB | not captured | standing | page 134 |
Rocuronium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| RSI induction | adult | 1 mg/kg | IV/IO | not captured | standing | page 26 |
S–Z Sodium Bicarbonate, Succinylcholine, Tenecteplase, Tetracaine, Thiamine, Ticagrelor, Tranexamic Acid7
Sodium Bicarbonate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1 mEq/kg | IV/IO | not captured | standing | pages 94, 182 |
| Other | adult | 1 mEq/kg | IV/IO | not captured | standing | pages 94, 182 |
| Other | adult | 1 mEq/kg | IV/IO | not captured | standing | pages 94, 96, 266 |
| Other | adult | 1 mEq/kg | IV/IO | not captured | standing | pages 76, 168, 266 |
| Other | adult | 1 mEq/kg | IV/IO | not captured | standing | pages 94, 266 |
| Other | adult | 1 mEq/kg | IV/IO | not captured | standing | pages 114, 266 |
| Other | adult | 1 mEq/kg | IV/IO | not captured | standing | pages 52, 54, 56, 266 |
| Other | peds | 1 mEq/kg | IV/IO | not captured | standing | pages 94, 96, 266 |
| Other | peds | 1 mEq/kg | IV/IO | not captured | standing | pages 76, 168, 266 |
Succinylcholine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| RSI induction | adult | 1–1.5 mg/kg | IV/IO | not captured | standing | pages 26, 27 |
Tenecteplase
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| STEMI | adult | 30 mg | IV | not captured | standing | page 285 |
| STEMI | adult | 35 mg | IV | not captured | standing | page 285 |
| STEMI | adult | 40 mg | IV | not captured | standing | page 285 |
| STEMI | adult | 45 mg | IV | not captured | standing | page 285 |
| STEMI | adult | 50 mg | IV | not captured | standing | page 285 |
Tetracaine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1–2 drop | TOP | not captured | standing | page 102 |
| Other | adult | 1–2 drop | TOP | not captured | standing | page 267 |
| Other | adult | 1 drop | TOP | not captured | standing | pages 122, 204 |
| Other | adult | 1–2 drop | OPH | not captured | standing | pages 122, 267 |
| Other | peds | 1 drop | OPH | not captured | standing | pages 122, 267 |
| Other | peds | 1 drop | TOP | not captured | standing | page 267 |
| Other | peds | 1 drop | TOP | not captured | standing | pages 122, 204 |
Thiamine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 100 mg | IV/IM | not captured | standing | pages 66, 72, 73, 268 |
Ticagrelor
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| STEMI | adult | 180 mg | PO | not captured | standing | pages 40, 269 |
Tranexamic Acid
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1 g | IV/IO | not captured | standing | page 270 |
| Other | adult | 1 g | IV/IO | not captured | standing | pages 214, 270 |
| Other | adult | 1 g | IV/IO | not captured | standing | pages 214, 270 |
| Other | adult | 1–2 g | IV/IO | not captured | standing | page 270 |
| Other | adult | 2 g | IV/IO | not captured | standing | page 270 |
| Other | adult | 2 g | IV/IO | not captured | standing | pages 108, 112, 118, 124, 192, 196, 200, 270 |
| Other | adult | 2 g | IV/IO | not captured | standing | pages 108, 112, 118, 124 |
| Other | peds | 15 mg/kg | IV/IO | not captured | standing | pages 192, 196, 200, 270 |
| Other | peds | 15 mg/kg | IV/IO | not captured | standing | pages 108, 112, 118, 124, 192, 196, 200, 270 |
Cite this
Northeast Ohio Regional EMS Protocol Committee, United States EMS Protocol Census. 365 dose entries, effective 2026-01-01.
https://protoquiz.com/census/agencies/northeast-ohio-regional-ems-protocol-committee/
The census is free and not for sale. Only public agencies are named.