Regional

Northwest Community EMS System

Name: Northwest Community EMS System EMS protocol doses
Creator: ProtoQuiz
License: https://protoquiz.com/census/data-license/

May be outdated122 dose entries25 drugs4 documentsILeffective 2024-08-05100% machine-parsed of 122

The current listed document is more than 24 months old and may be outdated.

Drugs and doses25

A–C Acetaminophen, Adenosine, Albuterol, Amiodarone, Aspirin, Atropine6

Acetaminophen

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	625–1000 mg	PO	not captured	standing	page 97
Other	peds	12.5 mg/kg	PO	not captured	standing	page 97
Severe pain	adult	1000 mg	IV	not captured	standing	page 97
Severe pain	peds	15 mg/kg	IV	not captured	standing	page 97

Adenosine

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	6 mg	IV	not captured	standing	page 97
Other	peds	0.1 mg/kg	IV	not captured	standing	page 97
Narrow-complex tachycardia	adult	6 mg	IV	not captured	standing	page 97
Narrow-complex tachycardia	peds	0.1 mg/kg	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 98
Asthma / bronchospasm	peds	2.5 mg	NEB	not captured	standing	page 98
Hyperkalemia	adult	5 mg	NEB	not captured	standing	page 98
Hyperkalemia	peds	5 mg	NEB	not captured	standing	page 98

Amiodarone

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	150 mg	IV	not captured	standing	page 98
Other	adult	300 mg	IV/IO	not captured	standing	page 98
Other	peds	5 mg/kg	IV	not captured	standing	page 98
Other	peds	5 mg/kg	IV/IO	not captured	standing	page 98

Aspirin

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	324 mg	PO	not captured	standing	page 98

Atropine

Indication	Population	Dose	Route	Repeat	Standing	Source
Bradycardia	adult	1 mg	IV/IO	not captured	standing	page 99
Bradycardia	peds	0.02 mg/kg	IV/IO	not captured	standing	page 99
Hypotension / shock	adult	1 mg	IV/IO	not captured	standing	page 99
Hypotension / shock	peds	0.02 mg/kg	IV/IO	not captured	standing	page 99
Organophosphate poisoning	adult	1 mg	IV/IO	not captured	standing	page 99
Organophosphate poisoning	peds	0.02 mg/kg	IV/IO	not captured	standing	page 99

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

Dextrose

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypoglycemia	adult	12.5 g	IV	not captured	standing	pages 35, 90, 99
Hypoglycemia	peds	0.5 g/kg	IV	not captured	standing	pages 35, 90, 99

Diphenhydramine

Indication	Population	Dose	Route	Repeat	Standing	Source
Allergic reaction	adult	50 mg	PO	not captured	standing	pages 14, 100
Allergic reaction	adult	50 mg	IM	not captured	standing	pages 14, 100
Allergic reaction	adult	50 mg	IV	not captured	standing	pages 14, 100
Allergic reaction	adult	50 mg	IV	not captured	standing	pages 14, 100
Allergic reaction	adult	50 mg	IM	not captured	standing	pages 14, 100
Allergic reaction	adult	50 mg	PO	not captured	standing	pages 14, 100
Allergic reaction	peds	1 mg/kg (max 50 mg)	PO	not captured	standing	pages 14, 100
Allergic reaction	peds	1 mg/kg (max 50 mg)	IM	not captured	standing	pages 14, 100
Allergic reaction	peds	1 mg/kg (max 50 mg)	IV	not captured	standing	pages 14, 100
Allergic reaction	peds	1 mg/kg (max 50 mg)	IV	not captured	standing	pages 14, 100
Allergic reaction	peds	1 mg/kg (max 50 mg)	IM	not captured	standing	pages 14, 100
Allergic reaction	peds	1 mg/kg (max 50 mg)	PO	not captured	standing	pages 14, 100
Dystonic reaction	adult	50 mg	IV	not captured	standing	page 100
Other	adult	50 mg	IV/IO	not captured	standing	pages 14, 81, 100
Other	adult	50 mg	IM	not captured	standing	pages 14, 81, 100
Other	peds	1 mg/kg (max 50 mg)	IV/IO	not captured	standing	pages 14, 81, 100
Other	peds	1 mg/kg (max 50 mg)	IM	not captured	standing	pages 14, 81, 100

Epinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Allergic reaction	adult	0.3 mg	IM	not captured	standing	pages 14, 81, 100
Allergic reaction	peds	0.15 mg	IM	not captured	standing	pages 14, 81, 100
Bradycardia	peds	0.01 mg/kg	IV/IO	not captured	standing	pages 84, 101
Cardiac arrest	adult	1 mg	IV/IO	not captured	standing	pages 23, 100, 101
Cardiac arrest	peds	0.01 mg/kg	IV/IO	not captured	standing	pages 23, 100, 101
Other	adult	0.1 mg	IV/IO	not captured	standing	pages 14, 81, 101
Other	adult	0.5 mg	IM	not captured	standing	pages 14, 81, 100
Other	peds	0.01 mg/kg	IV/IO	not captured	standing	pages 14, 81, 101
Other	peds	0.01 mg/kg	IV/IO	not captured	standing	pages 7, 101
Other	peds	0.15 mg	IM	not captured	standing	pages 14, 81, 100

Etomidate

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	0.5 mg/kg (max 40 mg)	IV/IO	not captured	standing	pages 13, 101

Fentanyl

Indication	Population	Dose	Route	Repeat	Standing	Source
Severe pain	adult	1 mcg/kg (max 100 mcg)	IV/IO/IM/IN	not captured	standing	pages 7, 75, 101
Severe pain	peds	1 mcg/kg (max 100 mcg)	IV/IO/IM/IN	not captured	standing	pages 7, 75, 101

G–L Glucagon, Hydroxocobalamin, Ipratropium, Ketamine, Lidocaine5

Glucagon

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypoglycemia	adult	1 mg	IM/IN	not captured	standing	pages 90, 102
Hypoglycemia	peds	0.5 mg	IM/IN	not captured	standing	pages 90, 102
Other	adult	1 mg	IV/IO/IM/IN	not captured	standing	pages 14, 102
Other	peds	0.5 mg	IV/IO/IM/IN	not captured	standing	pages 14, 102

Hydroxocobalamin

Indication	Population	Dose	Route	Repeat	Standing	Source
Cyanide poisoning	adult	5 g	IV	not captured	standing	pages 31, 102
Cyanide poisoning	peds	70 mg/kg (max 5 g)	IV	not captured	standing	pages 31, 102

Ipratropium

Indication	Population	Dose	Route	Repeat	Standing	Source
Allergic reaction	adult	0.5 mg	NEB	not captured	standing	pages 14, 81
Allergic reaction	peds	0.5 mg	NEB	not captured	standing	pages 14, 81
Asthma / bronchospasm	adult	0.5 mg	NEB	not captured	standing	pages 15, 82, 83, 102
Asthma / bronchospasm	peds	0.25–0.5 mg	NEB	not captured	standing	pages 15, 82, 83, 102

Ketamine

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	2 mg/kg	IV	not captured	standing	pages 13, 78
Other	adult	2 mg/kg	IV	not captured	standing	pages 29, 30, 48, 88, 89, 103
Other	peds	2 mg/kg	IV	not captured	standing	pages 13, 78
Other	peds	2 mg/kg	IV	not captured	standing	pages 29, 30, 48, 88, 89, 103
Severe pain	adult	0.3 mg/kg	IV	not captured	standing	pages 7, 75, 102, 103
Severe pain	adult	0.3 mg/kg	IM/IN	not captured	standing	pages 7, 75, 102, 103
Severe pain	peds	0.3 mg/kg	IV	not captured	standing	pages 7, 75, 102, 103
Severe pain	peds	0.3 mg/kg	IM/IN	not captured	standing	pages 7, 75, 102, 103

Lidocaine

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	1 mg/kg	IO	not captured	standing	pages 6, 74, 103
Other	peds	0.5 mg/kg	IO	not captured	standing	pages 6, 74, 103

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

Magnesium Sulfate

Indication	Population	Dose	Route	Repeat	Standing	Source
Asthma / bronchospasm	adult	2 g	IV/IO	not captured	standing	pages 15, 82, 86, 103
Asthma / bronchospasm	adult	2 g	IV	not captured	standing	pages 15, 82, 86, 103
Asthma / bronchospasm	peds	25 mg/kg	IV/IO	not captured	standing	pages 15, 82, 86, 103
Asthma / bronchospasm	peds	25 mg/kg	IV	not captured	standing	pages 15, 82, 86, 103
Eclampsia / pre-eclampsia	adult	2 g	IV/IO	not captured	standing	pages 72, 103
Eclampsia / pre-eclampsia	adult	2 g	IV	not captured	standing	pages 72, 103
VF / pulseless VT	adult	2 g	IV/IO	not captured	standing	pages 21, 86, 103
VF / pulseless VT	adult	2 g	IV	not captured	standing	pages 21, 86, 103
VF / pulseless VT	peds	25 mg/kg	IV/IO	not captured	standing	pages 21, 86, 103
VF / pulseless VT	peds	25 mg/kg	IV	not captured	standing	pages 21, 86, 103

Midazolam

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	2 mg	IV/IN	not captured	standing	pages 19, 27, 38, 57, 103
Agitation	peds	0.1 mg/kg	IV/IN	not captured	standing	pages 19, 27, 38, 57, 103
Other	adult	2 mg	IV/IN	not captured	standing	pages 29, 89, 103
Other	adult	2 mg	IV/IN	not captured	standing	pages 55, 104
Other	adult	2 mg	IV/IN	not captured	standing	pages 29, 89, 104
Other	adult	2 mg	IV/IO/IN	not captured	standing	pages 27, 36, 42, 72, 91, 104
Other	adult	5–10 mg	IM	not captured	standing	pages 27, 36, 42, 72, 91, 104
Other	peds	0.1 mg/kg	IV/IN	not captured	standing	pages 29, 89, 103
Other	peds	0.1 mg/kg	IV/IN	not captured	standing	pages 55, 104
Other	peds	0.1 mg/kg	IV/IN	not captured	standing	pages 29, 89, 104
Other	peds	0.1 mg/kg	IV/IO/IN	not captured	standing	pages 27, 36, 42, 72, 91, 104
Other	peds	0.1–0.2 mg/kg	IM	not captured	standing	pages 27, 36, 42, 72, 91, 104
Procedural sedation	adult	2 mg	IV/IN	not captured	standing	pages 19, 27, 38, 57, 103
Procedural sedation	adult	2–5 mg	IV/IN	not captured	standing	pages 20, 21, 85, 103
Procedural sedation	peds	0.1 mg/kg	IV/IN	not captured	standing	pages 20, 21, 85, 103
Procedural sedation	peds	0.1 mg/kg	IV/IN	not captured	standing	pages 19, 27, 38, 57, 103

Morphine

Indication	Population	Dose	Route	Repeat	Standing	Source
Severe pain	adult	0.1 mg/kg	IV/IO	not captured	standing	pages 7, 104

Naloxone

Indication	Population	Dose	Route	Repeat	Standing	Source
Opioid overdose	adult	1 mg	IV/IO	not captured	standing	pages 23, 28, 29, 80, 87, 88, 104
Opioid overdose	adult	1 mg	IM/IN	not captured	standing	pages 23, 28, 29, 80, 87, 88, 104
Opioid overdose	peds	0.1 mg/kg	IV/IO	not captured	standing	pages 23, 28, 29, 80, 87, 88, 104
Opioid overdose	peds	0.1 mg/kg	IM/IN	not captured	standing	pages 23, 28, 29, 80, 87, 88, 104

Nitroglycerin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	0.4 mg	SL	not captured	standing	page 18
CHF / pulmonary edema	adult	0.4 mg	SL	not captured	standing	pages 24, 105
Other	adult	0.4 mg	SL	not captured	standing	pages 36, 105

Norepinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	8 mcg	IV/IO	not captured	standing	pages 7, 23, 24, 43, 57, 92, 105, 112
Other	peds	0.1 mcg/kg	IV/IO	not captured	standing	pages 7, 23, 24, 43, 57, 92, 105, 112

Ondansetron

Indication	Population	Dose	Route	Repeat	Standing	Source
Nausea / vomiting	adult	4 mg	ODT	not captured	standing	pages 6, 34, 45, 49, 52, 75, 93, 106
Nausea / vomiting	adult	4 mg	IV	not captured	standing	pages 6, 75, 106
Nausea / vomiting	peds	0.15 mg/kg	ODT	not captured	standing	pages 6, 34, 45, 49, 52, 75, 93, 106

S–Z Sodium Bicarbonate, Verapamil2

Sodium Bicarbonate

Indication	Population	Dose	Route	Repeat	Standing	Source
Crush injury	adult	50 mEq	IV	not captured	standing	pages 26, 55, 106
Hyperkalemia	adult	50 mEq	IV	not captured	standing	pages 26, 106
Other	adult	1 mEq/kg	IV/IO	not captured	standing	pages 23, 106
Other	peds	1 mEq/kg	IV/IO	not captured	standing	pages 23, 106
Tricyclic overdose	adult	1 mEq/kg	IV	not captured	standing	pages 29, 88, 106
Tricyclic overdose	peds	1 mEq/kg	IV	not captured	standing	pages 29, 88, 106

Verapamil

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	5 mg	IV	not captured	standing	pages 20, 106
SVT	adult	5 mg	IV	not captured	standing	pages 20, 106

Cite this

Northwest Community EMS System, United States EMS Protocol Census. 122 dose entries, effective 2024-08-05.

https://protoquiz.com/census/agencies/northwest-community-ems-system/

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