City

Office of the EMS Medical Director for Kansas City, Missouri

Name: Office of the EMS Medical Director for Kansas City, Missouri EMS protocol doses
Creator: ProtoQuiz
License: https://protoquiz.com/census/data-license/

Current66 dose entries19 drugs1 documentKansas City, MOeffective 2026-04-01100% machine-parsed of 66

Drugs and doses19

A–C Albuterol, Amiodarone, Aspirin, Atropine, Calcium Chloride5

Albuterol

Indication	Population	Dose	Route	Repeat	Standing	Source
Asthma / bronchospasm	adult	2.5 mg	NEB	not captured	standing	pages 53, 70, 83
Asthma / bronchospasm	peds	2.5 mg	NEB	not captured	standing	pages 53, 70, 83

Amiodarone

Indication	Population	Dose	Route	Repeat	Standing	Source
Cardiac arrest	adult	300 mg	IV/IO	not captured	standing	pages 75, 86, 149
Cardiac arrest	peds	5 mg/kg	IV/IO	not captured	standing	pages 75, 86, 149
Narrow-complex tachycardia	adult	150 mg	IV/IO	not captured	standing	pages 74, 149

Aspirin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	324 mg	PO	not captured	standing	pages 72, 150

Atropine

Indication	Population	Dose	Route	Repeat	Standing	Source
Bradycardia	adult	1 mg	IV/IO	not captured	standing	pages 73, 151
Bradycardia	peds	0.02 mg/kg	IV/IO	not captured	standing	pages 73, 151
Nerve agent exposure	adult	1 mg	IV/IM	not captured	standing	pages 104, 105, 151
Organophosphate poisoning	adult	1 mg	IV/IM	not captured	standing	pages 104, 105, 151

Calcium Chloride

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	1 g	IV/IO	not captured	standing	pages 75, 153
Other	adult	1 g	IV/IO	not captured	standing	pages 95, 153
Other	peds	1 g	IV/IO	not captured	standing	pages 75, 153
Other	peds	1 g	IV/IO	not captured	standing	pages 95, 153

D–F Dextrose, Diphenhydramine, Epinephrine, Fentanyl4

Dextrose

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypoglycemia	adult	125 mL	IV	not captured	standing	pages 59, 154
Hypoglycemia	peds	5 mL/kg	IV	not captured	standing	pages 59, 154

Diphenhydramine

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	1 mg/kg (max 50 mg)	IV/IO/IM	not captured	standing	page 53
Anaphylaxis	peds	1 mg/kg (max 50 mg)	IV/IO/IM	not captured	standing	page 53

Epinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	0.01 mg/kg	IM	not captured	standing	page 53
Anaphylaxis	adult	0.01 mg/kg	IM	not captured	standing	page 53
Anaphylaxis	peds	0.01 mg/kg	IM	not captured	standing	page 53
Anaphylaxis	peds	0.01 mg/kg	IM	not captured	standing	page 53
Bradycardia	peds	0.01 mg/kg	IV/IO	not captured	standing	pages 73, 84, 86
Cardiac arrest	adult	1 mg	IV/IO	not captured	standing	pages 75, 86
Cardiac arrest	peds	0.01 mg/kg	IV/IO	not captured	standing	pages 75, 86
Hypotension / shock	adult	10–20 mcg	IV/IO	not captured	standing	page 60

Fentanyl

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	25–100 mcg	IV/IO	not captured	standing	pages 64, 65
Other	peds	1–2 mcg/kg	IV/IO	not captured	standing	pages 64, 65
Severe pain	adult	50 mcg	IV/IM/IN	not captured	standing	page 63
Severe pain	peds	1 mcg/kg	IV/IM/IN	not captured	standing	page 63

G–L Glucagon, Hydroxocobalamin, Ipratropium3

Glucagon

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypoglycemia	adult	1 mg	IM/IN/SQ	not captured	standing	page 59
Hypoglycemia	peds	0.1 mg/kg	IM/IN/SQ	not captured	standing	page 59

Hydroxocobalamin

Indication	Population	Dose	Route	Repeat	Standing	Source
Cyanide poisoning	adult	5 g	IV	not captured	standing	page 56
Cyanide poisoning	peds	70 mg/kg	IV	not captured	standing	page 56

Ipratropium

Indication	Population	Dose	Route	Repeat	Standing	Source
Asthma / bronchospasm	adult	0.5 mg	NEB	not captured	standing	pages 70, 83, 152
Asthma / bronchospasm	adult	0.5 mg	NEB	not captured	standing	pages 70, 83, 152
Asthma / bronchospasm	peds	0.5 mg	NEB	not captured	standing	pages 70, 83, 152
Asthma / bronchospasm	peds	0.5 mg	NEB	not captured	standing	pages 70, 83, 152
COPD	adult	0.5 mg	NEB	not captured	standing	pages 70, 152

M–O Magnesium Sulfate, Methylprednisolone, Midazolam, Naloxone, Nitroglycerin, Ondansetron6

Magnesium Sulfate

Indication	Population	Dose	Route	Repeat	Standing	Source
Asthma / bronchospasm	adult	2 g	IV/IO	not captured	standing	page 83
Asthma / bronchospasm	peds	50 mg/kg (max 2 g)	IV/IO	not captured	standing	page 83
Seizure	adult	4 g	IV/IO	not captured	standing	page 66
VF / pulseless VT	adult	2 g	IV/IO	not captured	standing	pages 74, 75
VF / pulseless VT	peds	2 g	IV/IO	not captured	standing	pages 74, 75

Methylprednisolone

Indication	Population	Dose	Route	Repeat	Standing	Source
Asthma / bronchospasm	adult	125 mg	IV/IO	not captured	standing	pages 70, 83, 161
Asthma / bronchospasm	peds	2 mg/kg	IV/IO	not captured	standing	pages 70, 83, 161
Other	adult	125 mg	IV/IO	not captured	standing	pages 60, 161
Other	peds	2 mg/kg	IV/IO	not captured	standing	pages 60, 161

Midazolam

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	0.1 mg/kg (max 10 mg)	IV/IO/IM/IN	not captured	standing	page 55
Agitation	peds	0.1 mg/kg (max 5 mg)	IV/IO/IM/IN	not captured	standing	page 55
Other	adult	2–5 mg	IV/IO	not captured	standing	page 64
Other	peds	0.2–0.3 mg/kg (max 5 mg)	IV/IO	not captured	standing	page 64
Procedural sedation	adult	1–2 mg	IV/IN	not captured	standing	page 73
Seizure	adult	0.1 mg/kg (max 5 mg)	IV/IO/IM/IN	not captured	standing	page 66
Seizure	peds	0.1 mg/kg (max 5 mg)	IV/IO/IM/IN	not captured	standing	page 66

Naloxone

Indication	Population	Dose	Route	Repeat	Standing	Source
Opioid overdose	adult	0.4–2 mg	IV/IO/IM	not captured	standing	pages 54, 62
Opioid overdose	peds	0.1 mg/kg (max 2 mg)	IV/IO/IM	not captured	standing	pages 54, 62

Nitroglycerin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	0.4 mg	SL	not captured	standing	pages 71, 72, 164
CHF / pulmonary edema	adult	0.4 mg	SL	not captured	standing	pages 71, 164
CHF / pulmonary edema	adult	0.4 mg	SL	not captured	standing	pages 71, 164

Ondansetron

Indication	Population	Dose	Route	Repeat	Standing	Source
Nausea / vomiting	adult	4 mg	IV/PO	not captured	standing	pages 61, 165
Nausea / vomiting	peds	4 mg	IV/PO	not captured	standing	pages 61, 165

S–Z Sodium Bicarbonate1

Sodium Bicarbonate

Indication	Population	Dose	Route	Repeat	Standing	Source
Crush injury	adult	1 mEq/kg	IV/IO	not captured	standing	pages 95, 167
Crush injury	peds	1 mEq/kg	IV/IO	not captured	standing	pages 95, 167
Other	adult	1 mEq/kg	IV	not captured	standing	pages 62, 167
Other	peds	1 mEq/kg	IV	not captured	standing	pages 62, 167

Cite this

Office of the EMS Medical Director for Kansas City, Missouri, United States EMS Protocol Census. 66 dose entries, effective 2026-04-01.

https://protoquiz.com/census/agencies/office-of-the-ems-medical-director-for-kansas-city-missouri/

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