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Sierra – Sacramento Valley EMS Agency

Name: Sierra – Sacramento Valley EMS Agency EMS protocol doses
Creator: ProtoQuiz
License: https://protoquiz.com/census/data-license/

Current87 dose entries24 drugs5 documentsCAeffective 2026-04-01100% machine-parsed of 87

Drugs and doses24

A–C Acetaminophen, Activated Charcoal, Adenosine, Albuterol, Amiodarone, Atropine, Calcium Chloride7

Acetaminophen

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	1 g	IV/IO	not captured	standing	page 26
Mild to moderate pain	adult	1 g	IV/IO	not captured	standing	page 30
Mild to moderate pain	adult	1 g	IV/IO	not captured	standing	page 30
Severe pain	adult	1 g	IV/IO	not captured	standing	page 30

Activated Charcoal

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	50 g	PO	not captured	standing	page 23

Adenosine

Indication	Population	Dose	Route	Repeat	Standing	Source
Narrow-complex tachycardia	adult	6 mg	IV/IO	not captured	standing	page 5

Albuterol

Indication	Population	Dose	Route	Repeat	Standing	Source
Asthma / bronchospasm	adult	5 mg	NEB	not captured	standing	page 20
Asthma / bronchospasm	adult	5 mg	NEB	not captured	standing	page 41
Burns	adult	5 mg	NEB	not captured	standing	page 50
Hyperkalemia	adult	5 mg	NEB	not captured	standing	page 46
Other	adult	5 mg	NEB	not captured	standing	page 20

Amiodarone

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	150 mg	IV/IO	not captured	standing	page 5
Narrow-complex tachycardia	adult	150 mg	IV/IO	not captured	standing	page 5
VF / pulseless VT	adult	300 mg	IV/IO	not captured	standing	page 2

Atropine

Indication	Population	Dose	Route	Repeat	Standing	Source
Bradycardia	adult	1 mg	IV/IO	not captured	standing	pages 4, 24
Nerve agent exposure	adult	2 mg	IV/IO/IM	not captured	standing	page 18
Nerve agent exposure	adult	4 mg	IV/IO/IM	not captured	standing	page 18
Nerve agent exposure	adult	6 mg	IV/IO/IM	not captured	standing	page 18
Organophosphate poisoning	adult	2 mg	IV/IO	not captured	standing	pages 14, 24

Calcium Chloride

Indication	Population	Dose	Route	Repeat	Standing	Source
Beta-blocker / calcium-channel-blocker overdose	adult	10 mL	IV/IO	not captured	standing	page 24
Hyperkalemia	adult	1 g	IV/IO	not captured	standing	page 46
Other	adult	10 mL	IV/IO	not captured	standing	page 14

D–F Dextrose, Diphenhydramine, Epinephrine, Fentanyl4

Dextrose

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypoglycemia	adult	10–25 g	IV/IO	not captured	standing	pages 8, 25, 32
Other	adult	10–25 g	IV/IO	not captured	standing	pages 8, 25, 32

Diphenhydramine

Indication	Population	Dose	Route	Repeat	Standing	Source
Allergic reaction	adult	50 mg	IV/IM/PO	not captured	standing	page 20
Allergic reaction	adult	50 mg	IV/IM/PO	not captured	standing	page 20
Anaphylaxis	adult	50 mg	IV/IO/IM	not captured	standing	page 20
Dystonic reaction	adult	50 mg	IV/IM	not captured	standing	page 21
Other	adult	50 mg	IV/IO/IM	not captured	standing	page 21

Epinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	0.3 mg	IM	not captured	standing	pages 19, 20
Anaphylaxis	peds	0.01 mg/kg	IM	not captured	standing	pages 19, 20
Asthma / bronchospasm	adult	0.3 mg	IM	not captured	standing	pages 40, 41
Asthma / bronchospasm	peds	0.01 mg/kg	IM	not captured	standing	pages 40, 41
Hypotension / shock	adult	1 mL	IV/IO	not captured	standing	pages 3, 4, 26
Other	adult	0.5 mL	NEB	not captured	standing	page 38
Other	adult	1 mL	IV/IO	not captured	standing	page 20

Fentanyl

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	25–50 mcg	IV/IO	not captured	standing	page 5
Other	adult	25–50 mcg	IV/IO/IM/IN	not captured	standing	page 30
Other	adult	50–100 mcg	IV/IO/IM/IN	not captured	standing	page 30
Mild to moderate pain	adult	25–50 mcg	IV/IO/IM/IN	not captured	standing	page 30
Mild to moderate pain	adult	50–100 mcg	IV/IO/IM/IN	not captured	standing	page 30
Procedural sedation	adult	25–50 mcg	IV/IO	not captured	standing	page 4

G–L Glucagon, Ipratropium, Ketamine, Ketorolac4

Glucagon

Indication	Population	Dose	Route	Repeat	Standing	Source
Beta-blocker / calcium-channel-blocker overdose	adult	1 mg	IV/IO	not captured	standing	page 24
Beta-blocker / calcium-channel-blocker overdose	adult	1 mg	IM/IN	not captured	standing	page 24
Beta-blocker / calcium-channel-blocker overdose	adult	1 mg	IV/IO	not captured	standing	page 24
Hypoglycemia	adult	1 mg	IM/IN	not captured	standing	pages 8, 25, 32

Ipratropium

Indication	Population	Dose	Route	Repeat	Standing	Source
Asthma / bronchospasm	adult	500 mcg	NEB	not captured	standing	page 20
Asthma / bronchospasm	adult	500 mcg	NEB	not captured	standing	page 41
Other	adult	500 mcg	NEB	not captured	standing	page 20

Ketamine

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	25 mg	IM	not captured	standing	page 30
Severe pain	adult	15–30 mg	IV/IO	not captured	standing	page 30
Severe pain	adult	50 mg	IM	not captured	standing	page 30
Severe pain	peds	25 mg	IM	not captured	standing	page 30

Ketorolac

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	15–30 mg	IV/IO/IM	not captured	standing	page 30
Mild to moderate pain	adult	15–30 mg	IV/IO/IM	not captured	standing	page 30
Mild to moderate pain	adult	15–30 mg	IV/IO/IM	not captured	standing	page 30

M–O Magnesium Sulfate, Midazolam, Naloxone, Nitroglycerin, Ondansetron, Oral Glucose6

Magnesium Sulfate

Indication	Population	Dose	Route	Repeat	Standing	Source
Asthma / bronchospasm	adult	2 g	IV	not captured	standing	page 41
Eclampsia / pre-eclampsia	adult	6 g	IV/IO	not captured	standing	page 37
Other	adult	2 g	IV/IO	not captured	standing	page 5
Other	adult	5 g	IM	not captured	standing	page 37
Narrow-complex tachycardia	adult	2 g	IV/IO	not captured	standing	page 5
VF / pulseless VT	adult	2 g	IV/IO	not captured	standing	page 2

Midazolam

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	2.5–5 mg	IV/IO	not captured	standing	page 5
Other	adult	5 mg	IV/IO	not captured	standing	page 32
Mild to moderate pain	adult	1 mg	IV/IO	not captured	standing	page 30
Procedural sedation	adult	2.5–5 mg	IV/IO	not captured	standing	page 4
Seizure	adult	10 mg	IM/IN	not captured	standing	page 34
Seizure	adult	5 mg	IV/IO	not captured	standing	page 34

Naloxone

Indication	Population	Dose	Route	Repeat	Standing	Source
Opioid overdose	adult	1–2 mg	IV/IO/IM/IN	not captured	standing	page 24
Opioid overdose	adult	2 mg	IN	not captured	standing	page 22
Opioid overdose	adult	2 mg	IN	not captured	standing	page 22

Nitroglycerin

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	0.4 mg	SL	not captured	standing	page 41
Other	adult	0.4 mg	SL	not captured	standing	page 41
Other	adult	1.2 mg	SL	not captured	standing	page 41

Ondansetron

Indication	Population	Dose	Route	Repeat	Standing	Source
Nausea / vomiting	adult	4–8 mg	IV/IO/PO	not captured	standing	page 28
Nausea / vomiting	adult	4–8 mg	PO	not captured	standing	page 28
Nausea / vomiting	adult	4–8 mg	IM	not captured	standing	page 28
Nausea / vomiting	adult	4–8 mg	IV/IO	not captured	standing	page 28

Oral Glucose

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypoglycemia	adult	15–25 g	PO	not captured	standing	pages 8, 25, 32
Other	adult	15–25 g	PO	not captured	standing	pages 8, 32

P–R Pralidoxime1

Pralidoxime

Indication	Population	Dose	Route	Repeat	Standing	Source
Nerve agent exposure	adult	1200 mg	IM	not captured	standing	page 18
Nerve agent exposure	adult	1800 mg	IM	not captured	standing	page 18
Nerve agent exposure	adult	600 mg	IM	not captured	standing	page 18

S–Z Sodium Bicarbonate, Tranexamic Acid2

Sodium Bicarbonate

Indication	Population	Dose	Route	Repeat	Standing	Source
Crush injury	adult	1 mEq/kg	IV/IO	not captured	standing	page 46
Tricyclic overdose	adult	1 mEq/kg	IV/IO	not captured	standing	page 24

Tranexamic Acid

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	1 g	IV/IO	not captured	standing	page 36
Trauma / hemorrhage	adult	2 g	IV/IO	not captured	standing	page 49

Cite this

Sierra – Sacramento Valley EMS Agency, United States EMS Protocol Census. 87 dose entries, effective 2026-04-01.

https://protoquiz.com/census/agencies/sierra-sacramento-valley-ems-agency/

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