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Region One Metropolitan Ambulance Council

Name: Region One Metropolitan Ambulance Council EMS protocol doses
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May be outdated140 dose entries35 drugs1 documentNew Orleans, LAeffective 2021-03-01100% machine-parsed of 140

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Drugs and doses35

A–C Adenosine, Albuterol, Amiodarone, Aspirin, Atropine, Calcium Chloride, Calcium Gluconate7

Adenosine

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	peds	0.1 mg/kg	IV	not captured	standing	page 187
Narrow-complex tachycardia	adult	6–12 mg	IV/IO	not captured	standing	page 187
Wide-complex tachycardia	peds	0.1 mg/kg	IV	not captured	standing	page 187

Albuterol

Indication	Population	Dose	Route	Repeat	Standing	Source
Asthma / bronchospasm	adult	5 mg	NEB	not captured	standing	page 188
Asthma / bronchospasm	peds	2.5 mg	NEB	not captured	standing	page 188
Other	adult	5 mg	NEB	not captured	standing	page 188

Amiodarone

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	300 mg	IV/IO	not captured	standing	page 189
Other	peds	5 mg/kg	IV/IO	not captured	standing	page 189
Post-ROSC care	adult	150 mg	IV/IO	not captured	standing	page 189
Wide-complex tachycardia	adult	150 mg	IV/IO	not captured	standing	page 189

Aspirin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	160–325 mg	PO	not captured	standing	page 191

Atropine

Indication	Population	Dose	Route	Repeat	Standing	Source
Bradycardia	adult	1 mg	IV/IO	not captured	standing	page 192
Bradycardia	peds	0.02 mg/kg	IV/IO	not captured	standing	page 192
Organophosphate poisoning	adult	2 mg	IV/IO	not captured	standing	page 192
Organophosphate poisoning	peds	0.02 mg/kg	IV/IO	not captured	standing	page 192

Calcium Chloride

Indication	Population	Dose	Route	Repeat	Standing	Source
Cardiac arrest	adult	1 g	IV/IO	not captured	standing	page 193
Cardiac arrest	peds	20 mg/kg	IV/IO	not captured	standing	page 193
Crush injury	adult	1 g	IV/IO	not captured	standing	page 193
Other	adult	500–1000 mg	IV/IO	not captured	standing	page 193
Trauma / hemorrhage	adult	2 g	IV/IO	not captured	standing	page 193

Calcium Gluconate

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	4 mL	NEB	not captured	standing	page 194

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

Dexamethasone

Indication	Population	Dose	Route	Repeat	Standing	Source
Asthma / bronchospasm	adult	16 mg	IV/IO/IM/PO	not captured	standing	pages 44, 136
Asthma / bronchospasm	peds	0.6 mg/kg	IV/IO/IM/PO	not captured	standing	pages 44, 136
Croup	peds	0.6 mg/kg	IV/IO/IM/PO	not captured	standing	page 134

Dextrose

Indication	Population	Dose	Route	Repeat	Standing	Source
Cardiac arrest	peds	1 mL/kg	IV/IO	not captured	standing	page 142
Hypoglycemia	adult	12.5 g	IV/IO	not captured	standing	pages 48, 49, 141, 142

Diazepam

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	5 mg	IV/IM	not captured	standing	pages 51, 197
Hyperactive delirium	adult	10 mg	IV/IM	not captured	standing	pages 52, 197
Post-intubation sedation	adult	5 mg	IV/IM	not captured	standing	pages 41, 197
Seizure	adult	5 mg	IV/IO/IM	not captured	standing	pages 41, 50, 142, 197
Seizure	peds	0.2 mg/kg	IV/IO/IM	not captured	standing	pages 41, 50, 142, 197

Diltiazem

Indication	Population	Dose	Route	Repeat	Standing	Source
Narrow-complex tachycardia	adult	10 mg	IV/IO	not captured	standing	pages 87, 198

Diphenhydramine

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	50 mg	IV/IO/IM	not captured	standing	pages 43, 199
Anaphylaxis	peds	1 mg/kg	IV/IO/IM	not captured	standing	pages 43, 199
Other	adult	25–50 mg	IV/IO/IM	not captured	standing	pages 47, 199
Other	adult	50 mg	IV/IM	not captured	standing	pages 43, 199
Other	peds	1 mg/kg	IV/IM	not captured	standing	pages 43, 199
Other	peds	1–2 mg/kg	IV/IO/IM	not captured	standing	pages 47, 199

Dopamine

Indication	Population	Dose	Route	Repeat	Standing	Source
CHF / pulmonary edema	adult	5–20 mcg/kg	IV/IO	not captured	standing	pages 89, 200
Hypotension / shock	adult	5–20 mcg/kg	IV/IO	not captured	standing	pages 45, 200

Epinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	0.3–0.5 mg	IM	not captured	standing	pages 43, 137, 201, 202
Anaphylaxis	peds	0.15 mg	IM	not captured	standing	pages 43, 137, 201, 202
Asthma / bronchospasm	adult	0.3–0.5 mg	IM	not captured	standing	pages 44, 136, 201, 202
Asthma / bronchospasm	peds	0.15 mg	IM	not captured	standing	pages 44, 136, 201, 202
Bradycardia	peds	0.01 mg/kg	IV/IO	not captured	standing	pages 86, 139, 201, 202
Cardiac arrest	adult	1 mg	IV/IO	not captured	standing	pages 84, 133, 201, 202
Cardiac arrest	peds	0.01 mg/kg	IV/IO	not captured	standing	pages 84, 133, 201, 202
CHF / pulmonary edema	adult	2–20 mcg	IV/IO	not captured	standing	pages 89, 201

Etomidate

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	0.3 mg/kg	IV/IO	not captured	standing	pages 173, 204

Fentanyl

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	25–50 mcg	IV/IO/IM/IN	not captured	standing	pages 88, 205
Other	adult	25–50 mcg	IV/IO/IM/IN	not captured	standing	pages 53, 205
Other	adult	25–50 mcg	IM	not captured	standing	pages 111, 205
Other	adult	25–50 mcg	IV	not captured	standing	pages 111, 144, 205
Other	peds	1 mcg/kg	IV	not captured	standing	pages 111, 144, 205
Other	peds	1–2 mcg/kg	IN	not captured	standing	pages 144, 205
Post-intubation sedation	adult	25–50 mcg	IV/IO	not captured	standing	pages 41, 205

G–L Hydroxycobalamin, Ipratropium, Ketamine, Lidocaine, Lorazepam5

Hydroxycobalamin

Indication	Population	Dose	Route	Repeat	Standing	Source
Cyanide poisoning	adult	5 g	IV/IO	not captured	standing	pages 165, 206
Cyanide poisoning	peds	70 mg/kg	IV/IO	not captured	standing	pages 165, 206

Ipratropium

Indication	Population	Dose	Route	Repeat	Standing	Source
Asthma / bronchospasm	adult	0.5 mg	NEB	not captured	standing	pages 44, 136, 207
Asthma / bronchospasm	peds	0.5 mg	NEB	not captured	standing	pages 44, 136, 207

Ketamine

Indication	Population	Dose	Route	Repeat	Standing	Source
Bradycardia	adult	1 mg/kg	IV/IO/IM	not captured	standing	pages 86, 208
Cardiac arrest	adult	1 mg/kg	IV/IO	not captured	standing	pages 84, 208
Hyperactive delirium	adult	2 mg/kg	IV	not captured	standing	pages 52, 208
Hyperactive delirium	adult	4 mg/kg	IM	not captured	standing	pages 52, 208
Other	adult	25 mg	IV/IO	not captured	standing	pages 111, 208
Other	adult	50 mg	IM/IN	not captured	standing	pages 111, 208
Other	peds	0.5 mg/kg	IM/IN	not captured	standing	pages 111, 208
Post-intubation sedation	adult	2 mg/kg	IV/IO	not captured	standing	pages 41, 208
RSI induction	adult	2 mg/kg	IV/IO	not captured	standing	pages 173, 208
RSI induction	adult	2 mg/kg	IV/IO	not captured	standing	pages 173, 208

Lidocaine

Indication	Population	Dose	Route	Repeat	Standing	Source
Cardiac arrest	adult	1 mg/kg	IV	not captured	standing	pages 84, 209
Other	adult	20–40 mg	IO	not captured	standing	page 209

Lorazepam

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	2 mg	IV	not captured	standing	pages 51, 210
Hyperactive delirium	adult	4 mg	IV/IM	not captured	standing	pages 52, 210
Post-intubation sedation	adult	2–4 mg	IV/IM	not captured	standing	pages 41, 210
Seizure	adult	2 mg	IV/IO/IM	not captured	standing	pages 50, 142, 210
Seizure	peds	0.1 mg/kg	IV/IO/IM	not captured	standing	pages 50, 142, 210

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	pages 31, 44, 211
Asthma / bronchospasm	peds	50 mg/kg	IV/IO	not captured	standing	pages 31, 44, 211
Cardiac arrest	adult	2 g	IV/IO	not captured	standing	page 211
Cardiac arrest	peds	50 mg/kg	IV/IO	not captured	standing	page 211
Eclampsia / pre-eclampsia	adult	10 g	IM	not captured	standing	pages 50, 59, 211
Eclampsia / pre-eclampsia	adult	4 g	IV/IO	not captured	standing	pages 31, 59, 211
VF / pulseless VT	adult	1–2 g	IV/IO	not captured	standing	pages 31, 87, 138, 211
VF / pulseless VT	peds	50 mg/kg	IV/IO	not captured	standing	pages 31, 87, 138, 211

Methylprednisolone

Indication	Population	Dose	Route	Repeat	Standing	Source
Adrenal crisis	adult	125 mg	IV/IO/IM	not captured	standing	pages 29, 213
Allergic reaction	adult	125 mg	IV/IO/IM	not captured	standing	pages 43, 213
Anaphylaxis	adult	125 mg	IV/IO/IM	not captured	standing	pages 43, 213
Anaphylaxis	peds	2 mg/kg	IV/IO/IM	not captured	standing	pages 43, 213
Asthma / bronchospasm	adult	125 mg	IV/IO/IM	not captured	standing	pages 44, 136, 213
Asthma / bronchospasm	peds	2 mg/kg	IV/IO/IM	not captured	standing	pages 44, 136, 213

Metoprolol

Indication	Population	Dose	Route	Repeat	Standing	Source
Narrow-complex tachycardia	adult	5 mg	IV/IO	not captured	standing	pages 87, 214

Midazolam

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	2.5–5 mg	IV/IM/IN	not captured	standing	pages 51, 215
CHF / pulmonary edema	adult	2.5 mg	IV/IO/IM	not captured	standing	pages 89, 215
Hyperactive delirium	adult	5 mg	IV/IM	not captured	standing	pages 52, 215
Post-intubation sedation	adult	5 mg	IV/IO/IM	not captured	standing	pages 41, 215
Procedural sedation	adult	2.5–5 mg	IV/IO/IN	not captured	standing	pages 86, 215
Procedural sedation	adult	2.5–5 mg	IV/IO/IN	not captured	standing	pages 87, 215
Seizure	adult	10 mg	IM	not captured	standing	pages 50, 215
Seizure	adult	2.5 mg	IV/IO	not captured	standing	pages 50, 215
Seizure	peds	0.1 mg/kg	IV/IO	not captured	standing	pages 50, 215
Seizure	peds	0.2 mg/kg	IM	not captured	standing	pages 50, 215

Morphine

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	2–4 mg	IV/IO/IM	not captured	standing	pages 88, 217
Other	adult	2–4 mg	IV/IO/IM	not captured	standing	pages 111, 144, 217
Other	peds	0.1 mg/kg	IV/IO/IM	not captured	standing	pages 111, 144, 217

Naloxone

Indication	Population	Dose	Route	Repeat	Standing	Source
Cardiac arrest	adult	2 mg	IV/IO	not captured	standing	pages 47, 218
Cardiac arrest	peds	1–2 mg	IV/IO	not captured	standing	pages 47, 218
Opioid overdose	adult	0.5–2 mg	IV/IO/IM	not captured	standing	pages 47, 218
Opioid overdose	adult	2–4 mg	IN	not captured	standing	pages 47, 218
Opioid overdose	peds	0.1 mg/kg	IV/IO/IM	not captured	standing	pages 47, 218
Opioid overdose	peds	0.1 mg/kg	IN	not captured	standing	pages 47, 218

Nitroglycerin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	0.4 mg	SL	not captured	standing	pages 88, 219
ACS / chest pain	adult	1 inch	TD	not captured	standing	pages 88, 219
CHF / pulmonary edema	adult	0.4 mg	SL	not captured	standing	pages 89, 219
CHF / pulmonary edema	adult	1 inch	TD	not captured	standing	pages 89, 219

Norepinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
CHF / pulmonary edema	adult	2–12 mcg	IV/IO	not captured	standing	pages 85, 89, 220
Hypotension / shock	adult	2–12 mcg	IV/IO	not captured	standing	pages 45, 85, 140, 220
Post-ROSC care	adult	2–12 mcg	IV/IO	not captured	standing	pages 85, 220

Ondansetron

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	4 mg	IV	not captured	standing	pages 88, 222
Nausea / vomiting	adult	4 mg	IV/IO/PO	not captured	standing	page 222
Nausea / vomiting	peds	2 mg	IV/IO/PO	not captured	standing	pages 143, 222
Other	adult	4 mg	IV/IO/PO	not captured	standing	pages 53, 222
Other	adult	4 mg	IV/IO/IM	not captured	standing	pages 111, 222
Other	adult	4 mg	IV/IO	not captured	standing	pages 173, 222
Post-intubation sedation	adult	4 mg	IV/IO	not captured	standing	pages 40, 222

Oral Glucose

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypoglycemia	adult	15 g	PO	not captured	standing	pages 48, 223
Hypoglycemia	peds	15 g	PO	not captured	standing	pages 48, 223

P–R Rocuronium1

Rocuronium

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	1.2 mg/kg	IV/IO	not captured	standing	pages 173, 224

S–Z Sodium Bicarbonate, Succinylcholine, Tranexamic Acid3

Sodium Bicarbonate

Indication	Population	Dose	Route	Repeat	Standing	Source
Cardiac arrest	adult	1 mEq/kg	IV/IO	not captured	standing	page 225
Hyperactive delirium	adult	100 mEq	IV/IO	not captured	standing	pages 52, 225
Hyperkalemia	adult	1 mEq/kg	IV/IO	not captured	standing	page 225
Other	adult	1 mEq/kg	IV/IO	not captured	standing	page 225
Other	adult	1 mEq/kg	IV/IO	not captured	standing	page 225
Other	adult	1–2 mEq/kg	IV/IO	not captured	standing	page 225
Other	adult	1–2 mEq/kg	IV/IO	not captured	standing	pages 47, 225
Other	peds	1 mEq/kg	IV/IO	not captured	standing	page 225
Tricyclic overdose	adult	1–2 mEq/kg	IV/IO	not captured	standing	pages 47, 225

Succinylcholine

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	2 mg/kg	IV/IO	not captured	standing	pages 173, 227

Tranexamic Acid

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	2 g	IV/IO	not captured	standing	page 228
Trauma / hemorrhage	adult	2 g	IV/IO	not captured	standing	pages 109, 228

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Region One Metropolitan Ambulance Council, United States EMS Protocol Census. 140 dose entries, effective 2021-03-01.

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