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Regional

Region X EMS

Under review166 dose entries27 drugs3 documentsILeffective 2026-05-2596% machine-parsed of 166

An undated version is under review. The figures below are from the current listed document.

Drugs and doses27

A–C Adenosine, Albuterol, Amiodarone, Aspirin, Atropine5

Adenosine

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 6 mg IV not captured standing page 20
Other peds 0.1 mg/kg IV not captured standing pages 81, 82
SVT adult 6 mg IV not captured standing pages 20, 81, 82
SVT peds 0.1 mg/kg IV not captured standing pages 20, 81, 82

Albuterol

IndicationPopulationDoseRouteRepeatStandingSource
Asthma / bronchospasm adult 2.5 mg NEB not captured standing pages 30, 36, 86, 92, 102
Crush injury adult 2.5 mg NEB not captured standing page 59
Other adult 2.5 mg NEB not captured standing page 30
Other adult 2.5 mg NEB not captured standing page 30
Other peds 2.5 mg NEB not captured standing page 86
Other peds 2.5 mg NEB not captured standing pages 111, 112, 113
Other peds 2.5 mg NEB not captured standing page 86

Amiodarone

IndicationPopulationDoseRouteRepeatStandingSource
Cardiac arrest adult 300 mg IV/IO not captured standing page 125
Cardiac arrest peds 5 mg/kg IV/IO not captured standing page 125
Other adult 150 mg IV/IO not captured standing page 24
Other adult 150 mg IV/IO not captured standing page 125
Other peds 5 mg/kg IV/IO not captured standing page 111
Other peds 5 mg/kg IV/IO not captured standing page 112
Other peds 5 mg/kg IV/IO not captured standing page 113
Other peds 5 mg/kg IV/IO not captured standing page 114
Other peds 5 mg/kg IV/IO not captured standing page 125
Wide-complex tachycardia adult 150 mg IV not captured standing pages 21, 81, 82
Wide-complex tachycardia peds 5 mg/kg IV not captured standing pages 21, 81, 82
VF / pulseless VT adult 300 mg IV/IO not captured standing pages 24, 84
VF / pulseless VT peds 5 mg/kg IV/IO not captured standing pages 24, 84

Aspirin

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 324 mg PO not captured standing page 16

Atropine

IndicationPopulationDoseRouteRepeatStandingSource
Beta-blocker / calcium-channel-blocker overdose adult 1 mg IV/IO not captured standing page 43
Beta-blocker / calcium-channel-blocker overdose adult 1 mg IV/IO not captured standing page 44
Bradycardia adult 1 mg IV/IO not captured standing pages 18, 79, 128
Bradycardia peds 0.02 mg/kg IV/IO not captured standing pages 18, 79, 128
Other adult 2 mg IM not captured standing pages 41, 131
Other adult 2–4 mg IM not captured standing pages 41, 131
Other peds 0.05 mg/kg IM not captured standing pages 41, 131
Other peds 0.05 mg/kg IM not captured standing pages 41, 131
D–F Dextrose, Diphenhydramine, Epinephrine, Etomidate, Fentanyl5

Dextrose

IndicationPopulationDoseRouteRepeatStandingSource
Hypoglycemia adult 25 g IV/IO not captured standing pages 38, 95, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122
Hypoglycemia peds 0.5 g/kg IV/IO not captured standing pages 38, 95, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122
Hypoglycemia peds 0.5 g/kg IV/IO not captured standing page 95

Diphenhydramine

IndicationPopulationDoseRouteRepeatStandingSource
Anaphylaxis adult 50 mg IV/IO not captured standing pages 36, 92, 93, 130
Anaphylaxis adult 50 mg IM not captured standing pages 36, 92, 93, 130
Anaphylaxis peds 1 mg/kg IV/IO not captured standing pages 36, 92, 93, 130
Anaphylaxis peds 1 mg/kg IM not captured standing pages 36, 92, 93, 130
Other adult 25 mg IV not captured standing pages 36, 93, 130
Other adult 25 mg IM not captured standing pages 36, 93, 130
Other adult 25 mg IV not captured standing pages 36, 93, 130
Other adult 50 mg IV/IO not captured standing pages 36, 92, 130
Other adult 50 mg IV not captured standing pages 36, 92
Other peds 1 mg/kg IV not captured standing pages 36, 93, 130
Other peds 1 mg/kg IM not captured standing pages 36, 93, 130
Other peds 1 mg/kg IV/IO not captured standing pages 36, 92, 130
Other peds 1 mg/kg IV not captured standing pages 36, 92
Other peds 1 mg/kg IV not captured standing pages 36, 93, 130

Epinephrine

IndicationPopulationDoseRouteRepeatStandingSource
Allergic reaction adult 0.3 mg IM not captured standing page 36
Asthma / bronchospasm adult 0.3 mg IM not captured standing page 30
Asthma / bronchospasm peds 0.01 mg/kg IM not captured standing page 86
Bradycardia peds 0.01 mg/kg IV/IO not captured standing page 79
Other adult 0.3 mg IM not captured standing page 30
Other peds 0.01 mg/kg IM not captured standing page 92
Other peds 0.01 mg/kg IV/IO not captured standing page 79
Other peds 0.01 mg/kg IM not captured standing page 86
Other peds 0.01 mg/kg IM not captured standing page 92

Etomidate

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 0.3 mg/kg IV/IO not captured standing pages 112, 113, 114, 115, 116, 117, 118, 134, 154
Other peds 0.3 mg/kg IV/IO not captured standing pages 112, 113, 114, 115, 116, 117, 118, 134, 154
RSI induction adult 0.3 mg/kg IV/IO not captured standing pages 134, 154
RSI induction peds 0.3 mg/kg IV/IO not captured standing pages 134, 154

Fentanyl

IndicationPopulationDoseRouteRepeatStandingSource
Mild to moderate pain adult 1 mcg/kg IV/IO/IM/IN not captured standing pages 16, 17, 18, 20, 21, 48, 57, 58, 63, 65, 70, 81, 82, 98, 109, 135
Mild to moderate pain peds 1 mcg/kg IV/IO/IM/IN not captured standing pages 16, 17, 18, 20, 21, 48, 57, 58, 63, 65, 70, 81, 82, 98, 109, 135
G–L Glucagon, Hydralazine, Hydroxocobalamin, Ipratropium, Ketamine, Lidocaine6

Glucagon

IndicationPopulationDoseRouteRepeatStandingSource
Beta-blocker / calcium-channel-blocker overdose adult 1 mg IV not captured standing pages 43, 136
Hypoglycemia adult 1 mg IM/IN not captured standing pages 38, 95, 136
Hypoglycemia peds 0.5 mg IM/IN not captured standing pages 38, 95, 136
Hypoglycemia peds 1 mg IM/IN not captured standing pages 38, 95, 136
Other adult 1 mg IM/IN not captured standing pages 38, 136
Other adult 1 mg IV/IO not captured standing pages 43, 136
Other peds 0.5 mg IM/IN not captured standing pages 95, 136
Other peds 0.5 mg IM/IN not captured standing pages 111, 112, 113, 114, 115, 116
Other peds 1 mg IM/IN not captured standing pages 95, 136

Hydralazine

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 5 mg IV/IO not captured standing pages 78, 138
Other adult 5 mg IV not captured standing pages 78, 138

Hydroxocobalamin

IndicationPopulationDoseRouteRepeatStandingSource
Cyanide poisoning adult 5 g IV not captured standing page 177
Other adult 5 g IV not captured standing page 177

Ipratropium

IndicationPopulationDoseRouteRepeatStandingSource
Allergic reaction adult 0.5 mg NEB not captured standing pages 36, 92, 139
Allergic reaction peds 0.5 mg NEB not captured standing pages 36, 92, 139
Asthma / bronchospasm adult 0.5 mg NEB not captured standing pages 30, 139
Asthma / bronchospasm adult 0.5 mg NEB not captured standing pages 86, 139
Asthma / bronchospasm peds 0.5 mg NEB not captured standing pages 30, 139
Asthma / bronchospasm peds 0.5 mg NEB not captured standing pages 86, 139
Other adult 0.5 mg NEB not captured standing pages 92, 139
Other peds 0.5 mg NEB not captured standing pages 92, 139

Ketamine

IndicationPopulationDoseRouteRepeatStandingSource
Agitation peds 4 mg/kg IM not captured standing pages 14, 15, 46, 47
Other adult 23 mg IV/IO not captured standing pages 33, 34
Other adult 45 mg IV/IO not captured standing pages 33, 34
Other adult 90 mg IV/IO not captured standing pages 33, 34
Other adult 100 mg IV/IO not captured standing pages 33, 34
Other adult 25 mg IV/IO not captured standing pages 33, 34
Other adult 50 mg IV/IO not captured standing pages 33, 34
Other peds 0.5 mg/kg IV/IO not captured standing pages 88, 89, 140
Other peds 1 mg/kg IV/IO not captured standing pages 88, 89, 140
Post-intubation sedation peds 0.5 mg/kg IV/IO not captured standing pages 33, 34, 88, 89, 140
RSI induction peds 1 mg/kg IV/IO not captured standing pages 33, 34, 88, 89, 140

Lidocaine

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 1 mg/kg IO not captured standing pages 143, 162
Other peds 0.5 mg/kg not captured not captured standing page 112
Other peds 0.5 mg/kg not captured not captured standing page 113
Other peds 0.5 mg/kg not captured not captured standing page 114
Other peds 0.5 mg/kg not captured not captured standing page 115
Other peds 0.5 mg/kg not captured not captured standing page 116
Other peds 0.5 mg/kg not captured not captured standing page 117
Other peds 0.5 mg/kg not captured not captured standing page 118
Other peds 0.5 mg/kg IO not captured standing pages 143, 162
Mild to moderate pain adult 1 mg/kg IO not captured standing pages 143, 162
Mild to moderate pain peds 0.5 mg/kg IO not captured standing pages 143, 162
M–O Magnesium Sulfate, Midazolam, Naloxone, Nerve Agent Antidote Kit, Nitroglycerin, Ondansetron, Oral Glucose7

Magnesium Sulfate

IndicationPopulationDoseRouteRepeatStandingSource
Asthma / bronchospasm adult 2 g IV not captured standing pages 30, 144
Asthma / bronchospasm peds 25 mg/kg IV not captured standing pages 30, 144
Other adult 2 g IV not captured standing page 30
Other adult 2 g IV/IO not captured standing page 144
Other adult 4 g IV not captured standing pages 78, 145
Other peds 25 mg/kg IV/IO not captured standing page 144
Wide-complex tachycardia adult 2 g IV not captured standing pages 21, 84, 144
Wide-complex tachycardia peds 25 mg/kg IV not captured standing pages 21, 84, 144
VF / pulseless VT peds 25 mg/kg IV not captured standing pages 24, 84, 144

Midazolam

IndicationPopulationDoseRouteRepeatStandingSource
Agitation adult 2 mg IV/IO/IM/IN not captured standing pages 14, 15, 46
Other adult 2 mg IV/IO not captured standing pages 17, 20, 21, 81, 82
Other peds 0.2 mg/kg IV/IO not captured standing pages 17, 20, 21, 81, 82
Procedural sedation adult 2–2.5 mg IV/IO not captured standing page 18
Seizure adult 10 mg IM not captured standing pages 49, 99, 146
Seizure adult 2 mg IV/IO/IN not captured standing pages 49, 99, 146
Seizure peds 0.2 mg/kg IM not captured standing pages 49, 99, 146
Seizure peds 0.2 mg/kg IV/IO/IN not captured standing pages 49, 99, 146

Naloxone

IndicationPopulationDoseRouteRepeatStandingSource
Other peds 0.1 mg/kg IM/IN not captured standing pages 45, 97, 147
Other peds 0.1 mg/kg IV/IO not captured standing pages 45, 97, 147
Mild to moderate pain adult 2 mg IM/IN not captured standing pages 48, 98
Mild to moderate pain adult 2 mg IV/IO not captured standing pages 48, 98
Mild to moderate pain peds 0.1 mg/kg IM/IN not captured standing pages 48, 98
Mild to moderate pain peds 0.1 mg/kg IV/IO not captured standing pages 48, 98

Nerve Agent Antidote Kit

IndicationPopulationDoseRouteRepeatStandingSource
Nerve agent exposure adult 2–4 mg IM not captured standing page 131
Other adult 2.1 mg IM not captured standing page 131

Nitroglycerin

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 0.4 mg SL not captured standing page 16
CHF / pulmonary edema adult 1.2 mg SL not captured standing page 32

Ondansetron

IndicationPopulationDoseRouteRepeatStandingSource
Nausea / vomiting adult 4 mg IV not captured standing pages 40, 96, 150
Nausea / vomiting adult 4 mg PO not captured standing pages 40, 96, 150
Nausea / vomiting peds 0.1 mg/kg IV not captured standing pages 40, 96, 150
Nausea / vomiting peds 4 mg IV not captured standing pages 40, 96, 150
Nausea / vomiting peds 4 mg PO not captured standing pages 40, 96, 150
Nausea / vomiting peds 4 mg IV/IO not captured standing page 96
Mild to moderate pain adult 4 mg IV/IO not captured standing pages 48, 98
Mild to moderate pain adult 4 mg PO not captured standing pages 48, 98
Mild to moderate pain peds 0.1 mg/kg IV/IO not captured standing pages 48, 98
Mild to moderate pain peds 4 mg IV/IO not captured standing pages 48, 98
Mild to moderate pain peds 4 mg PO not captured standing pages 48, 98

Oral Glucose

IndicationPopulationDoseRouteRepeatStandingSource
Hypoglycemia adult 15 g PO not captured standing pages 38, 95
Hypoglycemia peds 15 g PO not captured standing pages 95, 137
P–R Pralidoxime1

Pralidoxime

IndicationPopulationDoseRouteRepeatStandingSource
Organophosphate poisoning adult 600 mg IM not captured standing pages 41, 131
Organophosphate poisoning peds 10 mg/kg IM not captured standing pages 41, 131
Organophosphate poisoning peds 15 mg/kg IM not captured standing pages 41, 131
Other adult 1800 mg IM not captured standing pages 41, 131
Other adult 600 mg IM not captured standing pages 41, 131
Other peds 15 mg/kg IM not captured standing pages 41, 131
Other peds 45 mg/kg IM not captured standing pages 41, 131
S–Z Sodium Bicarbonate, Tranexamic Acid, Verapamil3

Sodium Bicarbonate

IndicationPopulationDoseRouteRepeatStandingSource
Asystole / PEA adult 50 mEq IV/IO not captured standing page 23
Beta-blocker / calcium-channel-blocker overdose adult 50 mEq IV/IO not captured standing page 43
Crush injury adult 50 mEq IV/IO not captured standing page 59
Other adult 50 mEq IV/IO not captured standing page 151
VF / pulseless VT adult 50 mEq IV/IO not captured standing page 24

Tranexamic Acid

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 1 g IV/IO not captured standing pages 73, 77, 152
Other adult 1 g IV not captured standing page 63
Trauma / hemorrhage adult 1 g IV/IO not captured standing pages 63, 152

Verapamil

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 5 mg IV not captured standing page 17
Other adult 5 mg IV/IO not captured standing page 153
SVT adult 5 mg IV not captured standing page 20
Cite this

Region X EMS, United States EMS Protocol Census. 166 dose entries, effective 2026-05-25.

https://protoquiz.com/census/agencies/region-x-ems/

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Training reference compiled from published protocols. Not a clinical order. Verify with your agency and medical director.