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Pennsylvania Department of Health, Bureau of Emergency Medical Services

Name: Pennsylvania Department of Health, Bureau of Emergency Medical Services EMS protocol doses
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May be outdated157 dose entries47 drugs15 documentsPAeffective 2024-03-31100% machine-parsed of 157

The current listed document is more than 24 months old and may be outdated.

Drugs and doses47

A–C Acetaminophen, Activated Charcoal, Adenosine, Albuterol, Amiodarone, Aspirin, Atropine, Calcium Chloride, Captopril, Cefazolin10

Acetaminophen

Indication	Population	Dose	Route	Repeat	Standing	Source
Fever	adult	650 mg	PO	not captured	standing	page 8
Fever	peds	15 mg/kg	PO	not captured	standing	page 8
Other	adult	1000 mg	IV	not captured	standing	page 104
Other	peds	15 mg/kg	IV	not captured	standing	page 104
Mild to moderate pain	adult	650 mg	PO	not captured	standing	page 104
Mild to moderate pain	peds	15 mg/kg	PO	not captured	standing	page 104

Activated Charcoal

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	25–50 g	PO	not captured	standing	pages 177, 178
Other	peds	1 g/kg	PO	not captured	standing	pages 177, 178

Adenosine

Indication	Population	Dose	Route	Repeat	Standing	Source
Narrow-complex tachycardia	adult	6 mg	IV/IO	not captured	standing	pages 86, 89
Narrow-complex tachycardia	peds	0.1 mg/kg	IV/IO	not captured	standing	pages 86, 89
Wide-complex tachycardia	adult	6 mg	IV/IO	not captured	standing	pages 91, 93
Wide-complex tachycardia	peds	0.1 mg/kg	IV/IO	not captured	standing	pages 91, 93

Albuterol

Indication	Population	Dose	Route	Repeat	Standing	Source
Allergic reaction	adult	2.5–5 mg	NEB	not captured	standing	page 60
Allergic reaction	peds	2.5–5 mg	NEB	not captured	standing	page 60
Asthma / bronchospasm	adult	2.5–5 mg	NEB	not captured	standing	pages 60, 62, 65
Asthma / bronchospasm	peds	2.5–5 mg	NEB	not captured	standing	pages 60, 62, 65
Croup	adult	2.5–5 mg	NEB	not captured	standing	page 65
Croup	peds	2.5–5 mg	NEB	not captured	standing	page 65

Amiodarone

Indication	Population	Dose	Route	Repeat	Standing	Source
Wide-complex tachycardia	adult	150 mg	IV/IO	not captured	standing	pages 91, 92, 93, 94
Wide-complex tachycardia	peds	5 mg/kg	IV/IO	not captured	standing	pages 91, 92, 93, 94
VF / pulseless VT	adult	300 mg	IV/IO	not captured	standing	pages 26, 29, 31
VF / pulseless VT	peds	5 mg/kg	IV/IO	not captured	standing	pages 26, 29, 31

Aspirin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	324 mg	PO	not captured	standing	pages 73, 74
Mild to moderate pain	adult	650 mg	PO	not captured	standing	pages 104, 139

Atropine

Indication	Population	Dose	Route	Repeat	Standing	Source
Bradycardia	adult	1 mg	IV/IO	not captured	standing	pages 17, 81, 84, 85
Bradycardia	peds	0.02 mg/kg	IV/IO	not captured	standing	pages 17, 81, 84, 85
Nerve agent exposure	adult	2 mg	IM	not captured	standing	page 182
Nerve agent exposure	peds	0.25 mg	IM	not captured	standing	page 182

Calcium Chloride

Indication	Population	Dose	Route	Repeat	Standing	Source
Hyperkalemia	adult	10 mL	IV/IO	not captured	standing	pages 26, 31, 84, 85
Hyperkalemia	peds	0.2 mL/kg	IV/IO	not captured	standing	pages 26, 31, 84, 85

Captopril

Indication	Population	Dose	Route	Repeat	Standing	Source
CHF / pulmonary edema	adult	25 mg	SL	not captured	standing	page 78

Cefazolin

Indication	Population	Dose	Route	Repeat	Standing	Source
Trauma / hemorrhage	adult	2 g	IV/IO	not captured	standing	pages 123, 124
Trauma / hemorrhage	peds	1 g	IV/IO	not captured	standing	pages 123, 124

D–F Dextrose, Diazepam, Diltiazem, Diphenhydramine, Dobutamine, Dopamine, Droperidol, Enalapril, Epinephrine, Etomidate, Fentanyl11

Dextrose

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypoglycemia	adult	25 g	IV/IO	not captured	standing	pages 44, 131, 135, 155
Hypoglycemia	peds	5 mL/kg	IV/IO	not captured	standing	pages 44, 131, 135, 155

Diazepam

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	0.05 mg/kg	IM	not captured	standing	page 168
Nausea / vomiting	adult	5 mg	IV/IO	not captured	standing	page 161
Other	adult	5–10 mg	IV/IO	not captured	standing	pages 46, 68
Other	peds	0.1 mg/kg	IV/IO	not captured	standing	pages 46, 68
Procedural sedation	adult	5–10 mg	IV/IO	not captured	standing	page 81
Procedural sedation	adult	5–10 mg	IV/IO	not captured	standing	pages 86, 89, 91, 93
Procedural sedation	peds	0.1 mg/kg	IV/IO	not captured	standing	pages 86, 89, 91, 93
Seizure	adult	5–10 mg	IV/IO/IM	not captured	standing	pages 155, 182
Seizure	peds	0.3 mg/kg	IV/IO/IM	not captured	standing	pages 155, 182
Seizure	peds	0.5 mg/kg	PR	not captured	standing	pages 155, 182

Diltiazem

Indication	Population	Dose	Route	Repeat	Standing	Source
Narrow-complex tachycardia	adult	0.25 mg/kg	IV/IO	not captured	standing	pages 86, 87

Diphenhydramine

Indication	Population	Dose	Route	Repeat	Standing	Source
Allergic reaction	adult	50 mg	IV/IM/PO	not captured	standing	page 60
Allergic reaction	peds	1 mg/kg	IV/IM/PO	not captured	standing	page 60

Dobutamine

Indication	Population	Dose	Route	Repeat	Standing	Source
CHF / pulmonary edema	adult	5–20 mcg/kg	IV	not captured	standing	pages 77, 79
Other	adult	5–20 mcg/kg	IV	not captured	standing	pages 145, 147

Dopamine

Indication	Population	Dose	Route	Repeat	Standing	Source
Bradycardia	adult	5–20 mcg/kg	IV/IO	not captured	standing	page 82
CHF / pulmonary edema	adult	5–20 mcg/kg	IV/IO	not captured	standing	page 79
Hypotension / shock	adult	5–20 mcg/kg	IV/IO	not captured	standing	pages 79, 145, 147

Droperidol

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	5 mg	IM	not captured	standing	pages 168, 171
Nausea / vomiting	adult	1.25 mg	IV/IO/IM	not captured	standing	pages 161, 162

Enalapril

Indication	Population	Dose	Route	Repeat	Standing	Source
CHF / pulmonary edema	adult	0.625–1.25 mg	IV	not captured	standing	page 78

Epinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Allergic reaction	adult	0.3 mg	IM	not captured	standing	pages 60, 61
Allergic reaction	peds	0.01 mg/kg	IM	not captured	standing	pages 60, 61
Asthma / bronchospasm	adult	0.3 mg	IM	not captured	standing	pages 62, 63
Asthma / bronchospasm	peds	0.01 mg/kg	IM	not captured	standing	pages 62, 63
Cardiac arrest	adult	1 mg	IV/IO	not captured	standing	pages 25, 26, 31, 34
Cardiac arrest	peds	0.01 mg/kg	IV/IO	not captured	standing	pages 25, 26, 31, 34
Croup	peds	5 mL	NEB	not captured	standing	page 65
Hypotension / shock	adult	0.02 mg	IV	not captured	standing	pages 15, 17

Etomidate

Indication	Population	Dose	Route	Repeat	Standing	Source
RSI induction	adult	0.3 mg/kg	IV/IO	not captured	standing	pages 55, 56

Fentanyl

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	1 mcg/kg	IV/IO	not captured	standing	pages 46, 68
Other	peds	1 mcg/kg	IV/IO	not captured	standing	pages 46, 68
Mild to moderate pain	adult	50–100 mcg	IV/IO/IM/IN	not captured	standing	pages 104, 139
Mild to moderate pain	peds	1 mcg/kg	IV/IO/IM/IN	not captured	standing	pages 104, 139

G–L Glucagon, Hydroxocobalamine, Ibuprofen, Ipratropium, Ketamine, Ketorolac, Levalbuterol, Lidocaine, Lorazepam9

Glucagon

Indication	Population	Dose	Route	Repeat	Standing	Source
Beta-blocker / calcium-channel-blocker overdose	adult	3–10 mg	IV/IO	not captured	standing	pages 82, 85, 92, 94
Beta-blocker / calcium-channel-blocker overdose	peds	0.05 mg/kg	IV/IO	not captured	standing	pages 82, 85, 92, 94
Hypoglycemia	adult	1 mg	IM/IN	not captured	standing	pages 131, 135, 155, 156
Hypoglycemia	peds	0.5 mg	IM/IN	not captured	standing	pages 131, 135, 155, 156

Hydroxocobalamine

Indication	Population	Dose	Route	Repeat	Standing	Source
Cyanide poisoning	adult	70 mg/kg	IV/IO	not captured	standing	pages 179, 180
Cyanide poisoning	peds	70 mg/kg	IV/IO	not captured	standing	pages 179, 180

Ibuprofen

Indication	Population	Dose	Route	Repeat	Standing	Source
Mild to moderate pain	adult	600 mg	PO	not captured	standing	pages 104, 105, 139
Mild to moderate pain	peds	10 mg/kg	PO	not captured	standing	pages 104, 105, 139

Ipratropium

Indication	Population	Dose	Route	Repeat	Standing	Source
Allergic reaction	adult	500 mcg	NEB	not captured	standing	page 60
Allergic reaction	peds	500 mcg	NEB	not captured	standing	page 60
Asthma / bronchospasm	adult	500 mcg	NEB	not captured	standing	pages 60, 62, 65
Asthma / bronchospasm	peds	500 mcg	NEB	not captured	standing	pages 60, 62, 65
Croup	adult	500 mcg	NEB	not captured	standing	page 65
Croup	peds	500 mcg	NEB	not captured	standing	page 65

Ketamine

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	2 mg/kg	IV	not captured	standing	page 168
Agitation	adult	4 mg/kg	IM	not captured	standing	page 168
Mild to moderate pain	adult	0.3 mg/kg	IV/IO	not captured	standing	pages 104, 140
RSI induction	adult	2 mg/kg	IV/IO	not captured	standing	pages 55, 56

Ketorolac

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	15 mg	IV/IO	not captured	standing	pages 104, 106, 140
Other	peds	0.5 mg/kg	IV/IO	not captured	standing	pages 104, 106, 140

Levalbuterol

Indication	Population	Dose	Route	Repeat	Standing	Source
Allergic reaction	adult	1.25 mg	NEB	not captured	standing	page 60
Allergic reaction	peds	1.25 mg	NEB	not captured	standing	page 60
Asthma / bronchospasm	adult	1.25 mg	NEB	not captured	standing	pages 60, 62, 65
Asthma / bronchospasm	peds	1.25 mg	NEB	not captured	standing	pages 60, 62, 65
Croup	adult	1.25 mg	NEB	not captured	standing	page 65
Croup	peds	1.25 mg	NEB	not captured	standing	page 65

Lidocaine

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	20–40 mg	IO	not captured	standing	page 7
Other	peds	0.5 mg/kg	IO	not captured	standing	page 7
VF / pulseless VT	adult	1.5 mg/kg	IV/IO	not captured	standing	pages 26, 28, 31, 32
VF / pulseless VT	peds	1.5 mg/kg	IV/IO	not captured	standing	pages 26, 28, 31, 32

Lorazepam

Indication	Population	Dose	Route	Repeat	Standing	Source
Nausea / vomiting	adult	1 mg	IV/IO	not captured	standing	page 161
Other	adult	1–2 mg	IV/IO	not captured	standing	pages 46, 68
Other	peds	0.1 mg/kg	IV/IO	not captured	standing	pages 46, 68
Procedural sedation	adult	1–2 mg	IV/IO	not captured	standing	page 81
Procedural sedation	adult	1–2 mg	IV/IO	not captured	standing	pages 86, 89, 91, 93
Procedural sedation	peds	0.1 mg/kg	IV/IO	not captured	standing	pages 86, 89, 91, 93
Seizure	adult	2 mg	IV/IO/IM/IN	not captured	standing	pages 155, 182
Seizure	peds	0.1 mg/kg	IV/IO/IM/IN	not captured	standing	pages 155, 182

M–O Magnesium Sulfate, Methylprednisolone, Midazolam, Morphine, Naloxone, Nitroglycerin, Norepinephrine, Ondansetron, Oxytocin9

Magnesium Sulfate

Indication	Population	Dose	Route	Repeat	Standing	Source
VF / pulseless VT	adult	2 g	IV/IO	not captured	standing	pages 26, 31
VF / pulseless VT	peds	25–50 mg/kg	IV/IO	not captured	standing	pages 26, 31

Methylprednisolone

Indication	Population	Dose	Route	Repeat	Standing	Source
Allergic reaction	peds	2 mg/kg	IV	not captured	standing	page 60
Asthma / bronchospasm	peds	2 mg/kg	IV	not captured	standing	page 62

Midazolam

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	0.05 mg/kg	IM	not captured	standing	page 168
Nausea / vomiting	adult	1 mg	IV/IO	not captured	standing	page 161
Other	adult	1–5 mg	IV/IO	not captured	standing	pages 46, 68
Other	peds	0.05 mg/kg	IV/IO	not captured	standing	pages 46, 68
Procedural sedation	adult	1–5 mg	IV/IO	not captured	standing	page 81
Procedural sedation	adult	1–5 mg	IV/IO	not captured	standing	pages 86, 89, 91, 93
Procedural sedation	peds	0.05 mg/kg	IV/IO	not captured	standing	pages 86, 89, 91, 93
Seizure	adult	0.1 mg/kg	IV/IO	not captured	standing	pages 155, 182
Seizure	adult	5–10 mg	IM	not captured	standing	pages 155, 182
Seizure	peds	0.1 mg/kg	IV/IO	not captured	standing	pages 155, 182
Seizure	peds	0.2 mg/kg	IM	not captured	standing	pages 155, 182
Seizure	peds	0.3 mg/kg	IN	not captured	standing	pages 155, 182

Morphine

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	2–5 mg	IV	not captured	standing	page 73
Other	adult	2–5 mg	IV/IO/IM	not captured	standing	page 104
Other	peds	0.1 mg/kg	IV/IO/IM	not captured	standing	page 104

Naloxone

Indication	Population	Dose	Route	Repeat	Standing	Source
Opioid overdose	adult	0.4 mg	IV/IO	not captured	standing	pages 131, 133, 135, 137
Opioid overdose	adult	2 mg	IM/IN	not captured	standing	pages 131, 133, 135, 137
Opioid overdose	peds	0.1 mg/kg	IV/IO	not captured	standing	pages 131, 133, 135, 137
Opioid overdose	peds	0.1 mg/kg	IM/IN	not captured	standing	pages 131, 133, 135, 137

Nitroglycerin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	0.4 mg	SL	not captured	standing	pages 73, 75
CHF / pulmonary edema	adult	0.4 mg	SL	not captured	standing	pages 77, 78
CHF / pulmonary edema	adult	200 mcg	IV/IO	not captured	standing	page 79

Norepinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypotension / shock	adult	0.05–0.5 mcg/kg	IV/IO	not captured	standing	pages 44, 46, 99, 101, 145, 147
Hypotension / shock	peds	0.05–0.5 mcg/kg	IV/IO	not captured	standing	pages 44, 46, 99, 101, 145, 147

Ondansetron

Indication	Population	Dose	Route	Repeat	Standing	Source
Nausea / vomiting	adult	4 mg	IV/IO/IM	not captured	standing	pages 161, 162
Nausea / vomiting	peds	0.15 mg/kg	IV/IO/IM	not captured	standing	pages 161, 162

Oxytocin

Indication	Population	Dose	Route	Repeat	Standing	Source
Obstetric hemorrhage	adult	10–20 unit	IV	not captured	standing	pages 163, 164

P–R Pralidoxime, Procainamide2

Pralidoxime

Indication	Population	Dose	Route	Repeat	Standing	Source
Nerve agent exposure	adult	600 mg	IM	not captured	standing	page 182
Nerve agent exposure	peds	600 mg	IM	not captured	standing	page 182

Procainamide

Indication	Population	Dose	Route	Repeat	Standing	Source
Wide-complex tachycardia	peds	15 mg/kg	IV/IO	not captured	standing	pages 92, 94

S–Z Sodium Bicarbonate, Sodium Thiosulfate, Terbutaline, Tetracaine, Tranexamic Acid, Verapamil6

Sodium Bicarbonate

Indication	Population	Dose	Route	Repeat	Standing	Source
Cardiac arrest	adult	1 mEq/kg	IV/IO	not captured	standing	pages 26, 31
Cardiac arrest	peds	1 mEq/kg	IV/IO	not captured	standing	pages 26, 31
Crush injury	adult	1 mEq/kg	IV/IO	not captured	standing	page 109
Crush injury	peds	1 mEq/kg	IV/IO	not captured	standing	page 109
Hyperkalemia	adult	1 mEq/kg	IV/IO	not captured	standing	pages 26, 31
Hyperkalemia	peds	1 mEq/kg	IV/IO	not captured	standing	pages 26, 31
Tricyclic overdose	adult	1–2 mEq/kg	IV/IO	not captured	standing	pages 32, 94, 178
Tricyclic overdose	peds	1–2 mEq/kg	IV/IO	not captured	standing	pages 32, 94, 178

Sodium Thiosulfate

Indication	Population	Dose	Route	Repeat	Standing	Source
Cyanide poisoning	adult	12.5 g	IV/IO	not captured	standing	pages 179, 180
Cyanide poisoning	peds	1.6 mL/kg	IV/IO	not captured	standing	pages 179, 180

Terbutaline

Indication	Population	Dose	Route	Repeat	Standing	Source
Asthma / bronchospasm	adult	0.25 mg	IM	not captured	standing	page 62

Tetracaine

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	1–2 drop	OPH	not captured	standing	pages 116, 175, 177
Other	peds	1–2 drop	OPH	not captured	standing	pages 116, 175, 177

Tranexamic Acid

Indication	Population	Dose	Route	Repeat	Standing	Source
Obstetric hemorrhage	adult	1 g	IV/IO	not captured	standing	pages 125, 126
Other	adult	1 g	IV/IO	not captured	standing	pages 125, 126

Verapamil

Indication	Population	Dose	Route	Repeat	Standing	Source
Narrow-complex tachycardia	adult	5 mg	IV/IO	not captured	standing	pages 86, 87

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Pennsylvania Department of Health, Bureau of Emergency Medical Services, United States EMS Protocol Census. 157 dose entries, effective 2024-03-31.

https://protoquiz.com/census/agencies/pennsylvania-department-of-health-bureau-of-emergency-medical-services/

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