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Region One Metropolitan Ambulance Council (MAC)

Name: Region One Metropolitan Ambulance Council (MAC) EMS protocol doses
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May be outdated141 dose entries39 drugs2 documentsNew Orleans, LAeffective 2024-03-01100% machine-parsed of 141

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Drugs and doses39

A–C Adenosine, Albuterol, Amiodarone, Aspirin, Atropine, Buprenorphine, Calcium Chloride, Calcium Gluconate, Cefepime9

Adenosine

Indication	Population	Dose	Route	Repeat	Standing	Source
Narrow-complex tachycardia	adult	6–12 mg	IV/IO	not captured	standing	page 224
Narrow-complex tachycardia	peds	0.1 mg/kg	IV/IO	not captured	standing	page 224
Wide-complex tachycardia	peds	0.1 mg/kg	IV	not captured	standing	page 224

Albuterol

Indication	Population	Dose	Route	Repeat	Standing	Source
Asthma / bronchospasm	adult	5 mg	NEB	not captured	standing	page 225
Asthma / bronchospasm	peds	2.5 mg	NEB	not captured	standing	page 225
Other	adult	5 mg	NEB	not captured	standing	page 225

Amiodarone

Indication	Population	Dose	Route	Repeat	Standing	Source
Post-ROSC care	adult	150 mg	IV/IO	not captured	standing	page 226
Wide-complex tachycardia	adult	150 mg	IV/IO	not captured	standing	page 226
Wide-complex tachycardia	peds	5 mg/kg	IV/IO	not captured	standing	page 226
VF / pulseless VT	adult	300 mg	IV/IO	not captured	standing	page 226
VF / pulseless VT	peds	5 mg/kg	IV/IO	not captured	standing	page 226

Aspirin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	160–325 mg	PO	not captured	standing	page 228

Atropine

Indication	Population	Dose	Route	Repeat	Standing	Source
Bradycardia	adult	1 mg	IV/IO	not captured	standing	page 229
Bradycardia	peds	0.02 mg/kg	IV/IO	not captured	standing	page 229
Organophosphate poisoning	adult	2 mg	IV/IO	not captured	standing	page 229
Organophosphate poisoning	peds	0.02 mg/kg	IV/IO	not captured	standing	page 229
RSI induction	peds	0.02 mg/kg	IV/IO	not captured	standing	page 229

Buprenorphine

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	8–16 mg	PO	not captured	standing	page 230

Calcium Chloride

Indication	Population	Dose	Route	Repeat	Standing	Source
Beta-blocker / calcium-channel-blocker overdose	adult	500–1000 mg	IV/IO	not captured	standing	page 231
Cardiac arrest	adult	1 g	IV/IO	not captured	standing	page 231
Cardiac arrest	peds	20 mg/kg	IV/IO	not captured	standing	page 231
Crush injury	adult	1 g	IV/IO	not captured	standing	page 231
Trauma / hemorrhage	adult	2 g	IV/IO	not captured	standing	page 231

Calcium Gluconate

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	4 mL	NEB	not captured	standing	page 197
Other	peds	4 mL	NEB	not captured	standing	page 197

Cefepime

Indication	Population	Dose	Route	Repeat	Standing	Source
Sepsis	adult	2 g	IV	not captured	standing	page 61
Sepsis	peds	50 mg/kg	IV	not captured	standing	page 61

D–F Dexamethasone, Dextrose, Diazepam, Diltiazem, Diphenhydramine, Droperidol, Epinephrine, Etomidate, Fentanyl9

Dexamethasone

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	16 mg	IV/IO/IM/PO	not captured	standing	page 58
Anaphylaxis	peds	0.6 mg/kg	IV/IO/IM/PO	not captured	standing	page 58
Asthma / bronchospasm	adult	16 mg	IV/IO/IM/PO	not captured	standing	page 59
Asthma / bronchospasm	peds	0.6 mg/kg	IV/IO/IM/PO	not captured	standing	page 59
Croup	adult	16 mg	IV/IO/IM/PO	not captured	standing	page 163
Croup	peds	0.6 mg/kg	IV/IO/IM/PO	not captured	standing	page 163

Dextrose

Indication	Population	Dose	Route	Repeat	Standing	Source
Cardiac arrest	peds	1 mL/kg	IV/IO	not captured	standing	page 162
Hypoglycemia	adult	12.5 g	IV/IO	not captured	standing	page 64
Hypoglycemia	peds	2 mL/kg	IV/IO	not captured	standing	page 64

Diazepam

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	5 mg	IV/IM	not captured	standing	page 67
Hyperactive delirium	adult	4 mg	IV/IM	not captured	standing	page 68
Post-intubation sedation	adult	5 mg	IV/IM	not captured	standing	page 56
Seizure	adult	5 mg	IV/IO/IM	not captured	standing	page 66
Seizure	peds	0.2 mg/kg	IV/IO/IM	not captured	standing	page 66

Diltiazem

Indication	Population	Dose	Route	Repeat	Standing	Source
Narrow-complex tachycardia	adult	10 mg	IV/IO	not captured	standing	page 109

Diphenhydramine

Indication	Population	Dose	Route	Repeat	Standing	Source
Allergic reaction	adult	50 mg	IV/IM	not captured	standing	page 58
Allergic reaction	peds	1 mg/kg	IV/IM	not captured	standing	page 58
Other	adult	25–50 mg	IV/IO/IM	not captured	standing	page 63
Other	peds	1–2 mg/kg	IV/IO/IM	not captured	standing	page 63

Droperidol

Indication	Population	Dose	Route	Repeat	Standing	Source
Hyperactive delirium	adult	5 mg	IM	not captured	standing	page 68
Nausea / vomiting	adult	1.25 mg	IV	not captured	standing	page 69
RSI induction	adult	1.25 mg	IV	not captured	standing	page 55

Epinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	0.3 mg	IM	not captured	standing	page 58
Anaphylaxis	adult	1 mL	IV/IO	not captured	standing	page 58
Anaphylaxis	peds	0.15 mg	IM	not captured	standing	page 58
Asthma / bronchospasm	adult	0.3 mg	IM	not captured	standing	page 59
Asthma / bronchospasm	peds	0.15 mg	IM	not captured	standing	page 59
Bradycardia	adult	1 mL	IV/IO	not captured	standing	page 108
Bradycardia	peds	0.01 mg/kg	IV/IO	not captured	standing	page 108
Cardiac arrest	adult	1 mg	IV/IO	not captured	standing	page 106
Cardiac arrest	adult	1 mg	IV/IO	not captured	standing	page 73
Cardiac arrest	peds	0.01 mg/kg	IV/IO	not captured	standing	page 106
CHF / pulmonary edema	adult	2–20 mcg	IV/IO	not captured	standing	page 111
Croup	peds	3 mg	NEB	not captured	standing	page 163
Neonatal resuscitation	peds	0.01–0.03 mg/kg	IV/IO	not captured	standing	page 175

Etomidate

Indication	Population	Dose	Route	Repeat	Standing	Source
RSI induction	adult	0.3 mg/kg	IV/IO	not captured	standing	page 243

Fentanyl

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	25–50 mcg	IV/IO/IM/IN	not captured	standing	page 110
Nausea / vomiting	adult	25–50 mcg	IV/IO/IM/IN	not captured	standing	page 69
Mild to moderate pain	adult	1 mcg/kg	IV/IM/IN	not captured	standing	page 69
Mild to moderate pain	adult	25–50 mcg	IV/IM	not captured	standing	page 135
Mild to moderate pain	peds	1 mcg/kg	IV/IM/IN	not captured	standing	page 69
Mild to moderate pain	peds	1 mcg/kg	IV/IM	not captured	standing	page 135
Post-intubation sedation	adult	25–50 mcg	IV/IO	not captured	standing	page 56

G–L Hydroxycobalamin, Ipratropium, Ketamine, Ketorolac, Lidocaine, Lorazepam6

Hydroxycobalamin

Indication	Population	Dose	Route	Repeat	Standing	Source
Cyanide poisoning	adult	5 g	IV/IO	not captured	standing	page 195
Cyanide poisoning	peds	70 mg/kg	IV/IO	not captured	standing	page 195

Ipratropium

Indication	Population	Dose	Route	Repeat	Standing	Source
Asthma / bronchospasm	adult	0.5 mg	NEB	not captured	standing	page 59
Asthma / bronchospasm	peds	0.5 mg	NEB	not captured	standing	page 59

Ketamine

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	4 mg/kg	IM	not captured	standing	page 68
Bradycardia	adult	1 mg/kg	IV/IO/IM	not captured	standing	page 108
Hyperactive delirium	adult	4 mg/kg	IM	not captured	standing	page 68
Mild to moderate pain	peds	0.2 mg/kg	IV/IO	not captured	standing	page 135
Post-intubation sedation	adult	1 mg/kg	IV/IO/IM	not captured	standing	page 56
Narrow-complex tachycardia	adult	1 mg/kg	IV/IO/IM	not captured	standing	page 109

Ketorolac

Indication	Population	Dose	Route	Repeat	Standing	Source
Severe pain	adult	15 mg	IV/IM	not captured	standing	page 43
Severe pain	peds	0.5 mg/kg	IV/IM	not captured	standing	page 43

Lidocaine

Indication	Population	Dose	Route	Repeat	Standing	Source
Cardiac arrest	adult	1 mg/kg	IV	not captured	standing	page 251
Other	adult	20–40 mg	IO	not captured	standing	page 251

Lorazepam

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	2 mg	IV/IM	not captured	standing	page 67
Hyperactive delirium	adult	4 mg	IV/IM	not captured	standing	page 68
Post-intubation sedation	adult	2–4 mg	IV/IM	not captured	standing	page 56
Seizure	adult	2 mg	IV/IO/IM	not captured	standing	page 56
Seizure	peds	0.1 mg/kg	IV/IO/IM	not captured	standing	page 56

M–O Magnesium Sulfate, Methylprednisolone, Metoprolol, Midazolam, Morphine, Naloxone, Nitroglycerin, Norepinephrine, Ondansetron, Oral Glucose10

Magnesium Sulfate

Indication	Population	Dose	Route	Repeat	Standing	Source
Asthma / bronchospasm	adult	2 g	IV/IO	not captured	standing	page 45
Asthma / bronchospasm	peds	50 mg/kg	IV/IO	not captured	standing	page 45
Eclampsia / pre-eclampsia	adult	10 g	IM	not captured	standing	page 253
Eclampsia / pre-eclampsia	adult	4 g	IV/IO	not captured	standing	page 45
VF / pulseless VT	adult	2 g	IV/IO	not captured	standing	page 45
VF / pulseless VT	peds	50 mg/kg	IV/IO	not captured	standing	page 45

Methylprednisolone

Indication	Population	Dose	Route	Repeat	Standing	Source
Adrenal crisis	adult	125 mg	IV/IO/IM	not captured	standing	page 41
Anaphylaxis	adult	125 mg	IV/IO/IM	not captured	standing	page 58
Anaphylaxis	peds	2 mg/kg	IV/IO/IM	not captured	standing	page 58
Asthma / bronchospasm	adult	125 mg	IV/IO/IM	not captured	standing	page 59
Asthma / bronchospasm	peds	2 mg/kg	IV/IO/IM	not captured	standing	page 59

Metoprolol

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

Midazolam

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	2.5–5 mg	IV/IM/IN	not captured	standing	page 67
Bradycardia	adult	2.5–5 mg	IV/IO/IN	not captured	standing	page 108
CHF / pulmonary edema	adult	2.5 mg	IV/IO/IM	not captured	standing	page 111
Hyperactive delirium	adult	5 mg	IM	not captured	standing	page 68
Post-intubation sedation	adult	5 mg	IV/IO/IM	not captured	standing	page 56
Seizure	adult	10 mg	IM	not captured	standing	page 66
Seizure	adult	2.5 mg	IV/IO/IM	not captured	standing	page 66
Seizure	peds	0.1 mg/kg	IV/IO/IM	not captured	standing	page 66
Seizure	peds	0.2 mg/kg	IM	not captured	standing	page 66
Narrow-complex tachycardia	adult	2.5–5 mg	IV/IO/IN	not captured	standing	page 109

Morphine

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	2–4 mg	IV/IO/IM	not captured	standing	page 259
Mild to moderate pain	adult	2–4 mg	IV/IO/IM	not captured	standing	page 135
Mild to moderate pain	peds	0.05 mg/kg	IV/IO	not captured	standing	page 174

Naloxone

Indication	Population	Dose	Route	Repeat	Standing	Source
Opioid overdose	adult	0.5–2 mg	IV/IO/IM	not captured	standing	page 63
Opioid overdose	adult	2–4 mg	IN	not captured	standing	page 63
Opioid overdose	peds	0.1 mg/kg	IV/IO/IM	not captured	standing	page 63
Opioid overdose	peds	0.1 mg/kg	IN	not captured	standing	page 63

Nitroglycerin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	0.4 mg	SL	not captured	standing	page 110
CHF / pulmonary edema	adult	0.4 mg	SL	not captured	standing	page 111

Norepinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
CHF / pulmonary edema	adult	2–12 mcg	IV/IO	not captured	standing	page 111
Hypotension / shock	adult	2–12 mcg	IV/IO	not captured	standing	page 60
Post-ROSC care	adult	2–12 mcg	IV/IO	not captured	standing	page 107

Ondansetron

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	4 mg	IV	not captured	standing	page 110
Nausea / vomiting	adult	4 mg	IV/IO/PO	not captured	standing	page 69
Nausea / vomiting	peds	2 mg	IV/IO/PO	not captured	standing	page 69
Mild to moderate pain	adult	4 mg	IV/IO/IM	not captured	standing	page 135
RSI induction	adult	4 mg	IV/IO	not captured	standing	page 55

Oral Glucose

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypoglycemia	adult	15 g	PO	not captured	standing	page 64
Hypoglycemia	peds	15 g	PO	not captured	standing	page 64

P–R Pralidoxime, Rocuronium2

Pralidoxime

Indication	Population	Dose	Route	Repeat	Standing	Source
Organophosphate poisoning	adult	1 g	IV/IO	not captured	standing	page 196
Organophosphate poisoning	peds	15 mg/kg	IV/IO	not captured	standing	page 196

Rocuronium

Indication	Population	Dose	Route	Repeat	Standing	Source
RSI induction	adult	1.2 mg/kg	IV/IO	not captured	standing	page 204

S–Z Sodium Bicarbonate, Succinylcholine, Tranexamic Acid3

Sodium Bicarbonate

Indication	Population	Dose	Route	Repeat	Standing	Source
Cardiac arrest	adult	100 mEq	IV/IO	not captured	standing	page 68
Crush injury	adult	50 mEq	IV/IO	not captured	standing	page 139
Hyperkalemia	adult	100 mEq	IV/IO	not captured	standing	page 139
Other	adult	1 mEq/kg	IV/IO	not captured	standing	page 63
Other	adult	2.5 mL	NEB	not captured	standing	page 198
Tricyclic overdose	adult	1–2 mEq/kg	IV/IO	not captured	standing	page 63

Succinylcholine

Indication	Population	Dose	Route	Repeat	Standing	Source
RSI induction	adult	2 mg/kg	IV/IO	not captured	standing	page 204

Tranexamic Acid

Indication	Population	Dose	Route	Repeat	Standing	Source
Trauma / hemorrhage	adult	2 g	IV/IO	not captured	standing	page 76

Cite this

Region One Metropolitan Ambulance Council (MAC), United States EMS Protocol Census. 141 dose entries, effective 2024-03-01.

https://protoquiz.com/census/agencies/region-one-metropolitan-ambulance-council-mac/

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