Regional
Region 1 Emergency Medical Services
Drugs and doses36
A–C Acetaminophen, Adenosine, Albuterol, Amiodarone, Aspirin, Atropine, Calcium Gluconate7
Acetaminophen
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Fever | adult | 500–650 mg | PO | not captured | standing | pages 85, 180, 181, 182 · source |
| Fever | peds | 15 mg/kg | PO | not captured | standing | pages 85, 180, 181, 182 · source |
| Mild to moderate pain | adult | 500–650 mg | PO | not captured | standing | pages 180, 181, 182 · source |
| Mild to moderate pain | peds | 15 mg/kg | PO | not captured | standing | pages 180, 181, 182 · source |
Adenosine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 6 mg | IV | not captured | standing | pages 112, 113, 114, 201 · source |
| Other | peds | 0.1 mg/kg | IV | not captured | standing | pages 112, 113, 114, 201 · source |
| SVT | adult | 6 mg | IV | not captured | standing | pages 112, 114, 201 · source |
| SVT | peds | 0.1 mg/kg | IV | not captured | standing | pages 112, 114, 201 · source |
Albuterol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 2.5 mg | NEB | not captured | standing | pages 17, 18, 19, 175, 176, 181, 182, 183, 184, 202 · source |
| Allergic reaction | peds | 2.5 mg | NEB | not captured | standing | pages 17, 18, 19, 175, 176, 181, 182, 183, 184, 202 · source |
| Hyperkalemia | adult | 2.5 mg | NEB | not captured | standing | pages 58, 89, 175, 176, 181, 182, 183, 184, 202 · source |
| Hyperkalemia | peds | 2.5 mg | NEB | not captured | standing | pages 58, 89, 175, 176, 181, 182, 183, 184, 202 · source |
| Other | adult | 2.5 mg | NEB | not captured | standing | pages 17, 18, 19, 32, 52, 71, 125, 128, 131, 134, 137, 140, 143, 146, 149, 152, 155, 175, 176, 181, 182, 183, 184, 202 · source |
| Other | peds | 2.5 mg | NEB | not captured | standing | pages 17, 18, 19, 32, 52, 71, 125, 128, 131, 134, 137, 140, 143, 146, 149, 152, 155, 175, 176, 181, 182, 183, 184, 202 · source |
Amiodarone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Wide-complex tachycardia | adult | 150 mg | IV/IO | not captured | standing | pages 39, 42, 113, 114, 204 · source |
| Wide-complex tachycardia | adult | 150 mg | IV/IO | not captured | standing | pages 39, 42, 113, 114, 204 · source |
| Wide-complex tachycardia | peds | 5 mg/kg | IV/IO | not captured | standing | pages 39, 42, 113, 114, 204 · source |
| Wide-complex tachycardia | peds | 5 mg/kg | IV/IO | not captured | standing | pages 39, 42, 113, 114, 204 · source |
| VF / pulseless VT | adult | 300 mg | IV/IO | not captured | standing | pages 39, 42, 124, 130, 133, 136, 139, 142, 145, 148, 151, 154, 204 · source |
| VF / pulseless VT | adult | 300 mg | IV/IO | not captured | standing | pages 39, 42, 124, 130, 133, 136, 139, 142, 145, 148, 151, 154, 204 · source |
| VF / pulseless VT | peds | 5 mg/kg | IV/IO | not captured | standing | pages 39, 42, 124, 130, 133, 136, 139, 142, 145, 148, 151, 154, 204 · source |
| VF / pulseless VT | peds | 5 mg/kg | IV/IO | not captured | standing | pages 39, 42, 124, 130, 133, 136, 139, 142, 145, 148, 151, 154, 204 · source |
Aspirin
Atropine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Bradycardia | adult | 1 mg | IV/IO | not captured | standing | pages 31, 124, 127, 130, 133, 136, 139, 142, 145, 148, 151, 154, 175, 206 · source |
| Bradycardia | peds | 0.02 mg/kg | IV/IO | not captured | standing | pages 31, 124, 127, 130, 133, 136, 139, 142, 145, 148, 151, 154, 175, 206 · source |
| Nerve agent exposure | adult | 2 mg | IV/IO | not captured | standing | pages 21, 206 · source |
| Organophosphate poisoning | adult | 2 mg | IV/IO | not captured | standing | pages 21, 175, 206 · source |
| Other | adult | 1 mg | IV/IO | not captured | standing | pages 54, 169, 170, 171, 172, 173, 174 · source |
| RSI induction | peds | 0.02 mg/kg | IV/IO | not captured | standing | page 206 · source |
Calcium Gluconate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Beta-blocker / calcium-channel-blocker overdose | adult | 1 g | IV/IO | not captured | standing | pages 117, 208 · source |
| Hyperkalemia | adult | 1 g | IV/IO | not captured | standing | pages 20, 21, 39, 42, 53, 58, 120, 124, 127, 130, 133, 136, 139, 142, 145, 148, 151, 154, 208 · source |
| Hyperkalemia | peds | 60 mg/kg | IV/IO | not captured | standing | pages 20, 21, 39, 42, 53, 58, 120, 124, 127, 130, 133, 136, 139, 142, 145, 148, 151, 154, 208 · source |
| Other | adult | 1 g | IV/IO | not captured | standing | page 208 · source |
| Other | adult | 1 g | IV/IO | not captured | standing | page 208 · source |
D–F Dexamethasone, Dextrose, Diazepam, Diphenhydramine, Epinephrine, Etomidate, Fentanyl7
Dexamethasone
Dextrose
Diazepam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 0.2 mg/kg | IV/IO/IM | not captured | standing | pages 194, 211 · source |
| Other | peds | 0.2 mg/kg | IV/IO/IM | not captured | standing | pages 194, 211 · source |
| Status epilepticus | adult | 0.2 mg/kg | IV/IO | not captured | standing | pages 194, 211 · source |
| Status epilepticus | peds | 0.2 mg/kg | IV/IO | not captured | standing | pages 194, 211 · source |
Diphenhydramine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 25–50 mg | IV/IM | not captured | standing | pages 176, 212 · source |
| Allergic reaction | peds | 1 mg/kg | IV/IM | not captured | standing | pages 176, 212 · source |
| Other | adult | 25–50 mg | IV/IM | not captured | standing | page 212 · source |
| Other | peds | 1 mg/kg | IV/IM | not captured | standing | page 212 · source |
Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 0.3 mg | IM | not captured | standing | pages 213, 214 · source |
| Asthma / bronchospasm | peds | 0.01 mg/kg | IM | not captured | standing | pages 213, 214 · source |
| Cardiac arrest | adult | 1 mg | IV/IO | not captured | standing | pages 20, 213, 214 · source |
| Cardiac arrest | peds | 0.01 mg/kg | IV/IO | not captured | standing | pages 20, 213, 214 · source |
| Cardiogenic shock | adult | 5 mcg | IV/IO | not captured | standing | pages 176, 234 · source |
| Other | adult | 0.3 mg | IM | not captured | standing | pages 17, 18, 19, 213, 214 · source |
| Other | peds | 0.01 mg/kg | IM | not captured | standing | pages 17, 18, 19, 213, 214 · source |
| Other | peds | 0.01 mg/kg | IV/IO | not captured | standing | page 214 · source |
| Stridor | peds | 0.01 mg/kg | IM | not captured | standing | pages 213, 214 · source |
Etomidate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 0.2 mg/kg | IV/IO | not captured | standing | page 217 · source |
| Other | peds | 0.2–0.4 mg/kg | IV/IO | not captured | standing | page 217 · source |
| RSI induction | adult | 0.2 mg/kg | IV/IO | not captured | standing | pages 169, 170, 171, 172, 173, 174 · source |
| RSI induction | peds | 0.3 mg/kg | IV/IO | not captured | standing | pages 169, 170, 171, 172, 173, 174 · source |
Fentanyl
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 1 mcg/kg | IV/IO/IM/IN | not captured | standing | page 218 · source |
| ACS / chest pain | peds | 1 mcg/kg | IV/IO/IM/IN | not captured | standing | page 218 · source |
| Other | adult | 1 mcg/kg | IV/IO/IM/IN | not captured | standing | page 218 · source |
| Other | peds | 1 mcg/kg | IV/IO/IM/IN | not captured | standing | page 218 · source |
| Severe pain | adult | 1 mcg/kg | IV/IO/IM/IN | not captured | standing | page 218 · source |
| Severe pain | peds | 1 mcg/kg | IV/IO/IM/IN | not captured | standing | page 218 · source |
G–L Glucagon, Ipratropium, Ketamine, Ketorolac, Lidocaine5
Glucagon
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Beta-blocker / calcium-channel-blocker overdose | adult | 2–4 mg | IV/IO | not captured | standing | page 219 · source |
| Beta-blocker / calcium-channel-blocker overdose | peds | 0.1 mg/kg | IV/IO | not captured | standing | page 219 · source |
| Hypoglycemia | adult | 1 mg | IM | not captured | standing | page 219 · source |
| Hypoglycemia | peds | 0.1 mg/kg | IM | not captured | standing | page 219 · source |
Ipratropium
Ketamine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 4 mg/kg | IM | not captured | standing | pages 58, 177, 221 · source |
| Other | adult | 1.5 mg/kg | IV/IO | not captured | standing | pages 54, 177, 221 · source |
| Mild to moderate pain | adult | 0.25 mg/kg | IV/IO/IM | not captured | standing | pages 67, 177, 221 · source |
Ketorolac
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Severe pain | adult | 15 mg | IV/IO/IM | not captured | standing | pages 67, 177, 222 · source |
Lidocaine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1 mg/kg | IV/IO/ET | not captured | standing | page 223 · source |
| Other | adult | 1 mg/kg | IV/IO | not captured | standing | page 223 · source |
| Other | adult | 1 mg/kg | IV/IO | not captured | standing | page 223 · source |
| Other | adult | 1 mg/kg | IV/IO | not captured | standing | page 223 · source |
| Other | adult | 1 mg/kg | IV/IO | not captured | standing | page 223 · source |
| Other | adult | 20–40 mg | IV/IO | not captured | standing | pages 63, 223 · source |
| Other | peds | 0.5 mg/kg | IV/IO | not captured | standing | pages 63, 223 · source |
| Other | peds | 1 mg/kg | IV/IO/ET | not captured | standing | page 223 · source |
| Other | peds | 1 mg/kg | IV/IO | not captured | standing | page 223 · source |
| Other | peds | 1 mg/kg | IV/IO | not captured | standing | page 223 · source |
| Other | peds | 1 mg/kg | IV/IO | not captured | standing | page 223 · source |
| Other | peds | 1 mg/kg | IV/IO | not captured | standing | page 223 · source |
| RSI induction | adult | 1 mg/kg | IV/IO | not captured | standing | pages 169, 223 · source |
| RSI induction | peds | 1 mg/kg | IV/IO | not captured | standing | pages 169, 223 · source |
M–O Magnesium Sulfate, Methylprednisolone, Metoclopramide, Midazolam, Naloxone, Nitroglycerin, Norepinephrine, Ondansetron, Oral Glucose9
Magnesium Sulfate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Eclampsia / pre-eclampsia | adult | 2 g | IV/IO | not captured | standing | pages 178, 189, 190, 225 · source |
| Other | adult | 2 g | IV/IO | not captured | standing | pages 178, 189, 190, 225 · source |
| Other | adult | 2 g | IV/IO | not captured | standing | pages 178, 189, 190, 225 · source |
| Wide-complex tachycardia | adult | 2 g | IV/IO | not captured | standing | pages 178, 189, 190, 225 · source |
Methylprednisolone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 125 mg | IV/IO/IM | not captured | standing | pages 178, 228 · source |
| Anaphylaxis | adult | 125 mg | IV/IO/IM | not captured | standing | pages 17, 18, 19, 178, 228 · source |
| Other | adult | 125 mg | IV/IO/IM | not captured | standing | pages 178, 228 · source |
| Other | adult | 125 mg | IV/IO/IM | not captured | standing | pages 178, 228 · source |
Metoclopramide
Midazolam
Naloxone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Opioid overdose | adult | 0.4–2 mg | IV/IO/IM/IN | not captured | standing | pages 179, 232 · source |
Nitroglycerin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 0.5–2 inch | TOP | not captured | standing | pages 45, 180 · source |
| CHF / pulmonary edema | adult | 0.5–2 inch | TOP | not captured | standing | pages 45, 180 · source |
| CHF / pulmonary edema | adult | 0.8 mg | SL | not captured | standing | pages 179, 233 · source |
| Other | adult | 0.4 mg | SL | not captured | standing | pages 179, 233 · source |
Norepinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypotension / shock | adult | 5 mcg | IV/IO | not captured | standing | pages 188, 234 · source |
Ondansetron
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | adult | 4 mg | IV/IO/IM/PO/ODT | not captured | standing | page 235 · source |
P–R Pralidoxime, Prochlorperazine, Racemic Epinephrine, Rocuronium4
Pralidoxime
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Organophosphate poisoning | adult | 600 mg | IM | not captured | standing | pages 226, 227 · source |
Prochlorperazine
Racemic Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | peds | 0.5 mL/kg | NEB | not captured | standing | pages 71, 238 · source |
S–Z Sodium Bicarbonate, Succinylcholine, Tranexamic Acid, Vecuronium4
Sodium Bicarbonate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | adult | 1 mEq/kg | IV/IO | not captured | standing | pages 21, 39, 192, 240 · source |
| Cardiac arrest | peds | 1 mEq/kg | IV/IO | not captured | standing | pages 21, 39, 192, 240 · source |
| Hyperkalemia | adult | 1 mEq/kg | IV/IO | not captured | standing | pages 21, 39, 240 · source |
| Hyperkalemia | peds | 1 mEq/kg | IV/IO | not captured | standing | pages 21, 39, 240 · source |
| Other | adult | 1 mEq/kg | IV/IO | not captured | standing | pages 21, 39, 240 · source |
| Other | adult | 1 mEq/kg | IV/IO | not captured | standing | pages 21, 39, 240 · source |
| Other | adult | 1 mEq/kg | IV/IO | not captured | standing | pages 21, 39, 240 · source |
| Other | peds | 1 mEq/kg | IV/IO | not captured | standing | pages 21, 39, 240 · source |
| Other | peds | 1 mEq/kg | IV/IO | not captured | standing | pages 21, 39, 240 · source |
| Other | peds | 1 mEq/kg | IV/IO | not captured | standing | pages 21, 39, 240 · source |
| Tricyclic overdose | adult | 1 mEq/kg | IV/IO | not captured | standing | pages 21, 39, 240 · source |
| Tricyclic overdose | peds | 1 mEq/kg | IV/IO | not captured | standing | pages 21, 39, 240 · source |
Succinylcholine
Tranexamic Acid
Cite this
Region 1 Emergency Medical Services, United States EMS Protocol Census. 136 dose entries, effective 2025-01-01.
https://protoquiz.com/census/agencies/region-1-emergency-medical-services/
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