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Rappahannock EMS Council

Name: Rappahannock EMS Council EMS protocol doses
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May be outdated111 dose entries32 drugs1 documentFredericksburg, VAeffective 2022-08-17100% machine-parsed of 111

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Drugs and doses32

A–C Adenosine, Albuterol, Amiodarone, Aspirin, Atropine, Calcium Chloride6

Adenosine

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	6 mg	IV/IO	not captured	standing	pages 41, 42, 113 · source
Other	peds	0.1 mg/kg	IV/IO	not captured	standing	pages 41, 42, 113 · source

Albuterol

Indication	Population	Dose	Route	Repeat	Standing	Source
Cyanide poisoning	adult	2.5 mg	NEB	not captured	standing	pages 105, 106 · source
Cyanide poisoning	peds	2.5 mg	NEB	not captured	standing	pages 105, 106 · source
Hyperkalemia	adult	10–20 mg	NEB	not captured	standing	pages 35, 69, 114, 120 · source
Other	adult	2.5 mg	NEB	not captured	standing	pages 59, 114 · source
Other	peds	2.5 mg	NEB	not captured	standing	pages 59, 114 · source

Amiodarone

Indication	Population	Dose	Route	Repeat	Standing	Source
Cardiac arrest	adult	300 mg	IV/IO	not captured	standing	pages 34, 36, 37, 115 · source
Cardiac arrest	peds	5 mg/kg	IV/IO	not captured	standing	pages 34, 36, 37, 115 · source
Wide-complex tachycardia	adult	150 mg	IV	not captured	standing	pages 34, 41, 115, 116 · source

Aspirin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	324 mg	PO	not captured	standing	pages 53, 117 · source

Atropine

Indication	Population	Dose	Route	Repeat	Standing	Source
Bradycardia	adult	1 mg	IV/IO	not captured	standing	pages 39, 40, 118 · source
Bradycardia	peds	0.02 mg/kg	IV/IO	not captured	standing	pages 39, 40, 118 · source
Organophosphate poisoning	adult	2 mg	IV/IO/IM	not captured	standing	pages 81, 118 · source
Organophosphate poisoning	peds	0.04 mg/kg	IV/IO/IM	not captured	standing	pages 81, 118 · source

Calcium Chloride

Indication	Population	Dose	Route	Repeat	Standing	Source
Beta-blocker / calcium-channel-blocker overdose	adult	1 g	IV/IO	not captured	standing	page 120 · source
Hyperkalemia	adult	1 g	IV/IO	not captured	standing	pages 35, 120 · source
Hyperkalemia	peds	20 mg/kg	IV/IO	not captured	standing	pages 35, 120 · source

D–F Dextrose, Diltiazem, Diphenhydramine, Dopamine, Epinephrine, Etomidate, Fentanyl, Furosemide8

Dextrose

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypoglycemia	adult	100 mL	IV/IO	not captured	standing	pages 52, 60, 121 · source
Hypoglycemia	peds	5 mL/kg	IV/IO	not captured	standing	pages 52, 60, 121 · source

Diltiazem

Indication	Population	Dose	Route	Repeat	Standing	Source
Atrial fibrillation with RVR	adult	0.25 mg/kg	IV/IO	not captured	standing	pages 43, 99, 122 · source

Diphenhydramine

Indication	Population	Dose	Route	Repeat	Standing	Source
Dystonic reaction	adult	25 mg	IV/IO/IM	not captured	standing	pages 51, 123 · source
Other	adult	25 mg	IV/IO/IM	not captured	standing	pages 45, 123 · source
Other	adult	25–50 mg	IV/IO/IM	not captured	standing	pages 51, 123 · source
Other	peds	1 mg/kg	IV/IO/IM	not captured	standing	pages 51, 123 · source
Other	peds	1 mg/kg	IV/IO/IM	not captured	standing	pages 45, 123 · source

Dopamine

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypotension / shock	adult	5–20 mcg/kg	IV/IO	not captured	standing	pages 39, 51, 53, 55, 124 · source

Epinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	0.3 mg	IM	not captured	standing	pages 51, 125 · source
Anaphylaxis	adult	0.3 mg	IV	not captured	standing	pages 51, 125 · source
Anaphylaxis	peds	0.01 mg/kg	IM	not captured	standing	pages 51, 125 · source
Bradycardia	adult	2–10 mcg	IV/IO	not captured	standing	pages 39, 40, 125, 127 · source
Bradycardia	peds	0.01 mg/kg	IV/IO	not captured	standing	pages 39, 40, 125, 127 · source
Cardiac arrest	adult	1 mg	IV/IO	not captured	standing	pages 36, 37, 125 · source
Cardiac arrest	peds	0.01 mg/kg	IV/IO	not captured	standing	pages 36, 37, 125 · source
CHF / pulmonary edema	adult	5–20 mcg	IV/IO	not captured	standing	pages 58, 125 · source
Head injury / TBI	adult	5–20 mcg	IV/IO	not captured	standing	pages 68, 125 · source
Other	adult	0.3 mg	IM	not captured	standing	pages 59, 125 · source
Other	adult	3 mL	NEB	not captured	standing	pages 59, 125 · source
Other	peds	0.01 mg/kg	IM	not captured	standing	pages 59, 125 · source
Other	peds	3 mL	NEB	not captured	standing	pages 59, 125 · source

Etomidate

Indication	Population	Dose	Route	Repeat	Standing	Source
Procedural sedation	adult	0.3 mg/kg	IV/IO	not captured	standing	pages 46, 128 · source
Procedural sedation	peds	0.3 mg/kg	IV/IO	not captured	standing	pages 46, 128 · source
RSI induction	adult	0.3 mg/kg	IV/IO	not captured	standing	pages 79, 128 · source
RSI induction	peds	0.3 mg/kg	IV/IO	not captured	standing	pages 79, 128 · source

Fentanyl

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	2 mcg/kg	IV/IM/IN	not captured	standing	pages 69, 129 · source
Agitation	peds	2 mcg/kg	IV/IM/IN	not captured	standing	pages 69, 129 · source
Burns	adult	1–2 mcg/kg	IV/IM/IN	not captured	standing	pages 66, 129 · source
Burns	peds	1–3 mcg/kg	IV/IM/IN	not captured	standing	pages 66, 129 · source
Other	adult	1–1.5 mcg/kg	IV	not captured	standing	pages 69, 129 · source
Other	peds	1–1.5 mcg/kg	IV	not captured	standing	pages 69, 129 · source
Mild to moderate pain	adult	0.5–1 mcg/kg	IV/IM/IN	not captured	standing	pages 49, 129 · source
Mild to moderate pain	peds	0.5–1 mcg/kg	IV/IM/IN	not captured	standing	pages 49, 129 · source

Furosemide

Indication	Population	Dose	Route	Repeat	Standing	Source
CHF / pulmonary edema	adult	0.5 mg/kg	IV	not captured	standing	pages 58, 131 · source

G–L Glucagon, Hydroxocobalamin, Ipratropium, Ketamine, Ketorolac, Lidocaine6

Glucagon

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	1 mg	IM/SQ	not captured	standing	pages 52, 60, 132 · source

Hydroxocobalamin

Indication	Population	Dose	Route	Repeat	Standing	Source
Cyanide poisoning	adult	5 g	IV	not captured	standing	pages 35, 66, 105, 106, 133 · source
Cyanide poisoning	peds	70 mg/kg	IV	not captured	standing	pages 35, 66, 105, 106, 133 · source

Ipratropium

Indication	Population	Dose	Route	Repeat	Standing	Source
Cyanide poisoning	adult	0.5 mg	NEB	not captured	standing	pages 105, 106 · source
Cyanide poisoning	peds	0.5 mg	NEB	not captured	standing	pages 105, 106 · source
Other	adult	0.5 mg	NEB	not captured	standing	pages 59, 119 · source
Other	peds	0.5 mg	NEB	not captured	standing	pages 59, 119 · source

Ketamine

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	1–2 mg/kg	IV	not captured	standing	pages 46, 69, 134 · source
Agitation	adult	2 mg/kg	IM	not captured	standing	pages 46, 69, 134 · source
Agitation	peds	1–2 mg/kg	IV	not captured	standing	pages 46, 69, 134 · source
Agitation	peds	2–4 mg/kg	IM	not captured	standing	pages 46, 69, 134 · source
Mild to moderate pain	adult	0.25–0.5 mg/kg	IV	not captured	standing	pages 49, 66, 134 · source
Mild to moderate pain	peds	0.25–0.5 mg/kg	IV	not captured	standing	pages 49, 66, 134 · source
RSI induction	adult	2 mg/kg	IV	not captured	standing	pages 79, 134 · source

Ketorolac

Indication	Population	Dose	Route	Repeat	Standing	Source
Mild to moderate pain	adult	30 mg	IV/IO/IM	not captured	standing	pages 49, 135 · source
Mild to moderate pain	peds	0.5 mg/kg	IV/IO/IM	not captured	standing	pages 49, 135 · source

Lidocaine

Indication	Population	Dose	Route	Repeat	Standing	Source
Cardiac arrest	adult	1–1.5 mg/kg	IV/IO	not captured	standing	pages 34, 36, 37, 136 · source
Cardiac arrest	peds	1 mg/kg	IV/IO	not captured	standing	pages 34, 36, 37, 136 · source
Other	adult	1–1.5 mg/kg	IV/IO	not captured	standing	pages 34, 136, 137 · source
Other	adult	20–40 mg	IO	not captured	standing	pages 80, 136 · source
Other	peds	0.5 mg/kg	IO	not captured	standing	pages 80, 136 · source

M–O Magnesium Sulfate, Methylprednisolone, Metoprolol, Midazolam, Naloxone, Nitroglycerin, Ondansetron7

Magnesium Sulfate

Indication	Population	Dose	Route	Repeat	Standing	Source
Asthma / bronchospasm	adult	50 mg/kg	IV	not captured	standing	pages 59, 138, 139 · source
Asthma / bronchospasm	peds	50 mg/kg	IV	not captured	standing	pages 59, 138, 139 · source
Eclampsia / pre-eclampsia	adult	2–4 g	IV/IO	not captured	standing	pages 61, 139 · source
Other	adult	1–2 g	IV/IO	not captured	standing	pages 35, 138 · source
Other	peds	25–50 mg/kg	IV/IO	not captured	standing	pages 35, 138 · source

Methylprednisolone

Indication	Population	Dose	Route	Repeat	Standing	Source
Allergic reaction	adult	125 mg	IV	not captured	standing	pages 51, 59, 140 · source
Allergic reaction	peds	2 mg/kg	IV	not captured	standing	pages 51, 59, 140 · source
Respiratory distress	adult	125 mg	IV	not captured	standing	pages 59, 140 · source
Respiratory distress	peds	2 mg/kg	IV	not captured	standing	pages 59, 140 · source

Metoprolol

Indication	Population	Dose	Route	Repeat	Standing	Source
Atrial fibrillation with RVR	adult	5 mg	IV/IO	not captured	standing	pages 43, 99, 143 · source

Midazolam

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	2–5 mg	IV/IO/IM/IN	not captured	standing	pages 45, 46, 141 · source
Agitation	peds	0.1 mg/kg	IV/IO/IM/IN	not captured	standing	pages 45, 46, 141 · source
Other	adult	0.1 mg/kg	IV/IO/IM/IN	not captured	standing	pages 79, 141 · source
Other	adult	2 mg	IV/IN	not captured	standing	pages 61, 141 · source
Other	adult	2–5 mg	IV/IO/IM/IN	not captured	standing	pages 69, 141 · source
Other	peds	0.1 mg/kg	IV/IO/IM/IN	not captured	standing	pages 69, 141 · source
Procedural sedation	peds	0.1 mg/kg	IV/IO/IM/IN	not captured	standing	pages 45, 46, 141 · source
Seizure	adult	2–5 mg	IV/IO/IM/IN	not captured	standing	pages 60, 141 · source
Seizure	peds	0.1 mg/kg	IV/IO/IM/IN	not captured	standing	pages 60, 141 · source

Naloxone

Indication	Population	Dose	Route	Repeat	Standing	Source
Opioid overdose	adult	0.5 mg	IV/IO/IM/IN/NEB	not captured	standing	pages 57, 144 · source
Opioid overdose	peds	0.1 mg/kg	IV/IO/IM/IN/NEB	not captured	standing	pages 57, 144 · source

Nitroglycerin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	0.4 mg	SL	not captured	standing	pages 53, 145 · source
CHF / pulmonary edema	adult	0.4 mg	SL	not captured	standing	pages 58, 145 · source

Ondansetron

Indication	Population	Dose	Route	Repeat	Standing	Source
Nausea / vomiting	adult	4 mg	IV/IO/IM	not captured	standing	pages 55, 56, 146 · source
Nausea / vomiting	peds	2 mg	IV/IO/IM	not captured	standing	pages 55, 56, 146 · source

P–R Pralidoxime, Rocuronium2

Pralidoxime

Indication	Population	Dose	Route	Repeat	Standing	Source
Organophosphate poisoning	adult	600 mg	IM	not captured	standing	pages 81, 147 · source

Rocuronium

Indication	Population	Dose	Route	Repeat	Standing	Source
RSI induction	adult	1 mg/kg	IV/IO	not captured	standing	page 79 · source
RSI induction	peds	1 mg/kg	IV/IO	not captured	standing	page 79 · source

S–Z Sodium Bicarbonate, Tranexamic Acid, Vecuronium3

Sodium Bicarbonate

Indication	Population	Dose	Route	Repeat	Standing	Source
Crush injury	adult	100 mEq	IV	not captured	standing	pages 69, 148 · source
Hyperkalemia	adult	50–100 mEq	IV	not captured	standing	pages 35, 148 · source
Hyperkalemia	peds	1–2 mEq/kg	IV	not captured	standing	pages 35, 148 · source
Tricyclic overdose	adult	50–100 mEq	IV	not captured	standing	pages 35, 148 · source
Tricyclic overdose	peds	1–2 mEq/kg	IV	not captured	standing	pages 35, 148 · source

Tranexamic Acid

Indication	Population	Dose	Route	Repeat	Standing	Source
Trauma / hemorrhage	adult	2 g	IV/IO	not captured	standing	pages 65, 149 · source
Traumatic arrest	adult	2 g	IV/IO	not captured	standing	pages 64, 149 · source

Vecuronium

Indication	Population	Dose	Route	Repeat	Standing	Source
RSI induction	adult	0.1 mg/kg	IV/IO	not captured	standing	pages 79, 150 · source
RSI induction	peds	0.1 mg/kg	IV/IO	not captured	standing	pages 79, 150 · source

Cite this

Rappahannock EMS Council, United States EMS Protocol Census. 111 dose entries, effective 2022-08-17.

https://protoquiz.com/census/agencies/rappahannock-ems-council/

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