Regional

Oakland County Medical Control Authority

Name: Oakland County Medical Control Authority EMS protocol doses
Creator: ProtoQuiz
License: https://protoquiz.com/census/data-license/

Under review120 dose entries35 drugs1 documentMIeffective 2026-06-2297% machine-parsed of 120

An undated version is under review. The figures below are from the current listed document.

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 169
Pediatric fever	adult	650 mg	PO	not captured	standing	page 89

Adenosine

Indication	Population	Dose	Route	Repeat	Standing	Source
Narrow-complex tachycardia	adult	6 mg	IV	not captured	standing	page 108
Narrow-complex tachycardia	peds	0.1 mg/kg	IV	not captured	standing	page 108

Albuterol

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	2.5 mg	NEB	not captured	standing	page 16
Anaphylaxis	peds	2.5 mg	NEB	not captured	standing	page 16
Asthma / bronchospasm	adult	2.5 mg	NEB	not captured	standing	page 67
Asthma / bronchospasm	peds	2.5 mg	NEB	not captured	standing	page 67
Crush injury	adult	2.5 mg	NEB	not captured	standing	page 34
Crush injury	peds	2.5 mg	NEB	not captured	standing	page 34

Amiodarone

Indication	Population	Dose	Route	Repeat	Standing	Source
Cardiac arrest	adult	300 mg	IV/IO	not captured	standing	page 104
Cardiac arrest	peds	5 mg/kg	IV/IO	not captured	standing	page 104
Narrow-complex tachycardia	adult	150 mg	IV	not captured	standing	page 109
Narrow-complex tachycardia	peds	5 mg/kg	IV	not captured	standing	page 109

Aspirin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	325 mg	PO	not captured	standing	page 112

Atropine

Indication	Population	Dose	Route	Repeat	Standing	Source
Bradycardia	adult	1 mg	IV/IO	not captured	standing	page 106
Bradycardia	peds	0.02 mg/kg	IV/IO	not captured	standing	page 106
Other	adult	1 mg	IV/IO	not captured	standing	page 74

Calcium Chloride

Indication	Population	Dose	Route	Repeat	Standing	Source
Crush injury	adult	1 g	IV	not captured	standing	page 35
Crush injury	peds	20 mg/kg	IV	not captured	standing	page 35
Hyperkalemia	adult	1 g	IV/IO	not captured	standing	page 104
Hyperkalemia	peds	20 mg/kg	IV/IO	not captured	standing	page 104

Cefazolin

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	2 g	IV	not captured	standing	page 37
Other	adult	2 g	not captured	not captured	standing	page 37
Other	peds	30 mg/kg	IV	not captured	standing	page 37
Other	peds	30 mg/kg	not captured	not captured	standing	page 37

Ceftriaxone

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	2 g	IV	not captured	standing	page 37
Other	adult	2 g	not captured	not captured	standing	page 37
Other	peds	50 mg/kg	IV	not captured	standing	page 37
Other	peds	50 mg/kg	not captured	not captured	standing	page 37

D–F Dextrose, Diazepam, Diltiazem, Diphenhydramine, Epinephrine, Fentanyl6

Dextrose

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	25 g	IV	not captured	standing	page 27
Other	peds	0.5 g/kg	IV	not captured	standing	page 27

Diazepam

Indication	Population	Dose	Route	Repeat	Standing	Source
Procedural sedation	adult	5–10 mg	IV/IO	not captured	standing	page 183

Diltiazem

Indication	Population	Dose	Route	Repeat	Standing	Source
Narrow-complex tachycardia	adult	15–20 mg	IV	not captured	standing	page 109

Diphenhydramine

Indication	Population	Dose	Route	Repeat	Standing	Source
Allergic reaction	adult	50 mg	IV/IO/IM	not captured	standing	page 17
Allergic reaction	peds	1 mg/kg	IV/IO/IM	not captured	standing	page 17
Dystonic reaction	adult	50 mg	IV	not captured	standing	page 43
Dystonic reaction	peds	1 mg/kg	IV	not captured	standing	page 43
Nausea / vomiting	adult	12.5–25 mg	IV/IM	not captured	standing	page 11
Nausea / vomiting	peds	1 mg/kg	IV/IM	not captured	standing	page 11

Epinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	0.3 mg	IM	not captured	standing	page 15
Anaphylaxis	peds	0.15 mg	IM	not captured	standing	page 15
Hypotension / shock	adult	10–20 mcg	IV/IO	not captured	standing	page 13
Respiratory distress	adult	0.3 mg	IM	not captured	standing	page 68

Fentanyl

Indication	Population	Dose	Route	Repeat	Standing	Source
Mild to moderate pain	adult	1 mcg/kg	IV/IO/IM/IN	not captured	standing	page 113
Mild to moderate pain	peds	1 mcg/kg	IV/IO/IM/IN	not captured	standing	page 113

G–L Hydrocortisone, Ibuprofen, Ipratropium, Ketamine, Ketorolac, Lidocaine6

Hydrocortisone

Indication	Population	Dose	Route	Repeat	Standing	Source
Adrenal crisis	adult	100 mg	IV/IM	not captured	standing	page 19
Adrenal crisis	peds	1–2 mg/kg	IV/IM	not captured	standing	page 19

Ibuprofen

Indication	Population	Dose	Route	Repeat	Standing	Source
Mild to moderate pain	adult	400 mg	PO	not captured	standing	page 169
Pediatric fever	adult	400 mg	PO	not captured	standing	page 89

Ipratropium

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	500 mcg	NEB	not captured	standing	page 16
Anaphylaxis	peds	500 mcg	NEB	not captured	standing	page 16
Respiratory distress	adult	500 mcg	NEB	not captured	standing	page 67
Respiratory distress	peds	500 mcg	NEB	not captured	standing	page 67

Ketamine

Indication	Population	Dose	Route	Repeat	Standing	Source
Mild to moderate pain	adult	0.2 mg/kg	IV/IO	not captured	standing	page 170
Mild to moderate pain	adult	0.5 mg/kg	IN	not captured	standing	page 170
Mild to moderate pain	peds	0.2 mg/kg	IV/IO	not captured	standing	page 170
Mild to moderate pain	peds	0.5 mg/kg	IN	not captured	standing	page 170
Procedural sedation	adult	1.5 mg/kg	IV/IO	not captured	standing	page 183
Procedural sedation	peds	1.5 mg/kg	IV/IO	not captured	standing	page 183

Ketorolac

Indication	Population	Dose	Route	Repeat	Standing	Source
Mild to moderate pain	adult	15 mg	IV/IM	not captured	standing	page 169
Mild to moderate pain	peds	0.5 mg/kg	IV/IM	not captured	standing	page 169

Lidocaine

Indication	Population	Dose	Route	Repeat	Standing	Source
Cardiac arrest	adult	1 mg/kg	IV/IO	not captured	standing	page 104
Cardiac arrest	peds	1 mg/kg	IV/IO	not captured	standing	page 104
Mild to moderate pain	adult	20 mg	IO	not captured	standing	page 199
Mild to moderate pain	peds	0.5 mg/kg	IO	not captured	standing	page 199
Narrow-complex tachycardia	adult	1 mg/kg	IV	not captured	standing	page 109
Narrow-complex tachycardia	peds	1 mg/kg	IV	not captured	standing	page 109

M–O Magnesium Sulfate, Methylprednisolone, Midazolam, Morphine, Naloxone, Nitroglycerin, Ondansetron, Oral Glucose8

Magnesium Sulfate

Indication	Population	Dose	Route	Repeat	Standing	Source
Cardiac arrest	adult	2 g	IV/IO	not captured	standing	page 104
Respiratory distress	adult	2 g	IV	not captured	standing	page 68
Seizure	adult	4 g	IV/IO	not captured	standing	page 69
Narrow-complex tachycardia	adult	2 g	IV	not captured	standing	page 110

Methylprednisolone

Indication	Population	Dose	Route	Repeat	Standing	Source
Adrenal crisis	adult	125 mg	IV/IO/IM	not captured	standing	page 19
Adrenal crisis	peds	2 mg/kg	IV/IO/IM	not captured	standing	page 19
Anaphylaxis	adult	125 mg	IV/IO/IM	not captured	standing	page 18
Anaphylaxis	peds	2 mg/kg	IV/IO/IM	not captured	standing	page 18
Respiratory distress	adult	125 mg	IV/IO/IM	not captured	standing	page 67
Respiratory distress	peds	2 mg/kg	IV/IO/IM	not captured	standing	page 67

Midazolam

Indication	Population	Dose	Route	Repeat	Standing	Source
Hyperactive delirium	adult	10 mg	IM/IN	not captured	standing	page 71
Other	adult	0.1 mg/kg	IM/IN	not captured	standing	page 181
Other	peds	0.1 mg/kg	IM/IN	not captured	standing	page 181
Procedural sedation	adult	1–5 mg	IV/IO	not captured	standing	page 183
Procedural sedation	adult	1–5 mg	IN	not captured	standing	page 183
Procedural sedation	peds	0.05 mg/kg	IV/IO	not captured	standing	page 183
Procedural sedation	peds	0.05 mg/kg	IN	not captured	standing	page 183
Seizure	adult	10 mg	IM	not captured	standing	page 69
Seizure	adult	5 mg	IV/IO	not captured	standing	page 69
Seizure	adult	5 mg	IV/IO/IM/IN	not captured	standing	page 69
Seizure	peds	0.1 mg/kg	IM	not captured	standing	page 91

Morphine

Indication	Population	Dose	Route	Repeat	Standing	Source
Severe pain	adult	0.1 mg/kg	IV/IO/IM	not captured	standing	page 172
Severe pain	peds	0.1 mg/kg	IV/IO/IM	not captured	standing	page 172

Naloxone

Indication	Population	Dose	Route	Repeat	Standing	Source
Opioid overdose	adult	2 mg	IM/IN	not captured	standing	page 23
Opioid overdose	adult	2 mg	IV	not captured	standing	page 24
Opioid overdose	peds	0.1 mg/kg	IM/IN	not captured	standing	page 23
Opioid overdose	peds	0.1 mg/kg	IV	not captured	standing	page 24

Nitroglycerin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	0.4 mg	SL	not captured	standing	page 112
Cardiogenic shock	adult	0.4 mg	SL	not captured	standing	page 111

Ondansetron

Indication	Population	Dose	Route	Repeat	Standing	Source
Nausea / vomiting	adult	4 mg	ODT	not captured	standing	page 10
Nausea / vomiting	adult	4 mg	IV/IM	not captured	standing	page 10
Nausea / vomiting	peds	0.1 mg/kg	IV/IM	not captured	standing	page 10
Nausea / vomiting	peds	4 mg	ODT	not captured	standing	page 10

Oral Glucose

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	15 g	PO	not captured	standing	page 27
Other	peds	15 g	PO	not captured	standing	page 27

P–R Prednisone, Racemic Epinephrine2

Prednisone

Indication	Population	Dose	Route	Repeat	Standing	Source
Adrenal crisis	adult	50 mg	PO	not captured	standing	page 19
Adrenal crisis	peds	50 mg	PO	not captured	standing	page 19
Anaphylaxis	adult	50 mg	PO	not captured	standing	page 17
Anaphylaxis	peds	50 mg	PO	not captured	standing	page 17
Respiratory distress	adult	50 mg	PO	not captured	standing	page 67
Respiratory distress	peds	50 mg	PO	not captured	standing	page 67

Racemic Epinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Respiratory distress	peds	0.5 mL	NEB	not captured	standing	page 88
Stridor	peds	0.5 mL	NEB	not captured	standing	page 88

S–Z Sodium Bicarbonate, Tetracaine, Tranexamic Acid, Verapamil4

Sodium Bicarbonate

Indication	Population	Dose	Route	Repeat	Standing	Source
Cardiac arrest	adult	1 mEq/kg	IV/IO	not captured	standing	page 104
Cardiac arrest	peds	1 mEq/kg	IV/IO	not captured	standing	page 104
Tricyclic overdose	adult	50 mEq	IV/IO	not captured	standing	page 43
Tricyclic overdose	peds	1 mEq/kg	IV/IO	not captured	standing	page 43

Tetracaine

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	1–2 drop	OPH	not captured	standing	page 44
Other	peds	1–2 drop	OPH	not captured	standing	page 44

Tranexamic Acid

Indication	Population	Dose	Route	Repeat	Standing	Source
Trauma / hemorrhage	adult	1 g	IV/IO	not captured	standing	page 55
Traumatic arrest	adult	1 g	IV/IO	not captured	standing	page 40

Verapamil

Indication	Population	Dose	Route	Repeat	Standing	Source
Narrow-complex tachycardia	adult	5 mg	IV	not captured	standing	page 109

Cite this

Oakland County Medical Control Authority, United States EMS Protocol Census. 120 dose entries, effective 2026-06-22.

https://protoquiz.com/census/agencies/oakland-county-medical-control-authority/

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