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County

Spokane County EMS

Under review168 dose entries40 drugs1 documentSpokane, WAeffective 2022-07-01100% machine-parsed of 168

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

The current listed document is more than 24 months old and may be outdated.

Drugs and doses40

A–C Acetaminophen, Activated Charcoal, Adenosine, Albuterol, Amiodarone, Aspirin, Atropine, Calcium Gluconate8

Acetaminophen

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 1000 mg IV not captured standing page 331
Other adult 650 mg PO not captured standing page 331
Other peds 15 mg/kg IV not captured standing page 331

Activated Charcoal

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 50 g PO not captured standing page 333
Other peds 1 g/kg PO not captured standing page 333

Adenosine

IndicationPopulationDoseRouteRepeatStandingSource
SVT adult 6 mg IV not captured standing page 334
SVT peds 0.1 mg/kg IV not captured standing page 334

Albuterol

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 2.5 mg NEB not captured standing page 335
Other adult 5 mg NEB not captured standing page 335
Other peds 2.5 mg NEB not captured standing page 335
Other peds 2.5 mg NEB not captured standing page 335

Amiodarone

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 150 mg IV not captured standing page 336
Other adult 150 mg IV not captured standing page 336
Other adult 300 mg IV/IO not captured standing page 336
Other peds 5 mg/kg IV/IO not captured standing page 336
Other peds 5 mg/kg IV not captured standing page 336
Other peds 5 mg/kg IV not captured standing page 336

Aspirin

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 160–325 mg PO not captured standing page 332

Atropine

IndicationPopulationDoseRouteRepeatStandingSource
Bradycardia adult 1 mg IV/IO not captured standing page 337
Bradycardia peds 0.02 mg/kg IV/IO not captured standing page 337
Nerve agent exposure peds 0.05–0.1 mg/kg IV/IO/IM not captured standing page 337

Calcium Gluconate

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 20 mL IV/IO not captured standing page 338
Other adult 20 mL IV/IO not captured standing page 338
Other adult 20 mL IV/IO not captured standing page 338
D–F Dextrose, Diazepam, Diltiazem, Diphenhydramine, Droperidol, Epinephrine, Etomidate, Fentanyl8

Dextrose

IndicationPopulationDoseRouteRepeatStandingSource
Hypoglycemia adult 25 g IV/IO not captured standing pages 329, 330
Hypoglycemia peds 5 mL/kg IV/IO not captured standing pages 329, 330

Diazepam

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 5–10 mg IV/IM not captured standing page 339
Other peds 0.2–0.5 mg/kg IV/IM not captured standing page 339

Diltiazem

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 5–15 mg IV not captured standing page 340

Diphenhydramine

IndicationPopulationDoseRouteRepeatStandingSource
Allergic reaction adult 25–50 mg IV/IM not captured standing page 341
Allergic reaction adult 25–50 mg IV/IM not captured standing page 341
Allergic reaction peds 1 mg/kg IV/IM not captured standing page 341
Allergic reaction peds 1 mg/kg IV/IM not captured standing page 341
Anaphylaxis adult 50 mg IV/IO not captured standing page 341
Anaphylaxis peds 1 mg/kg IV/IO not captured standing page 341

Droperidol

IndicationPopulationDoseRouteRepeatStandingSource
Nausea / vomiting adult 0.625–1.25 mg IV/IO/IM not captured standing page 342
Nausea / vomiting peds 0.01 mg/kg IV/IO/IM not captured standing page 342
Other adult 5–10 mg IV/IO/IM not captured standing page 342
Other peds 0.1 mg/kg IV/IO/IM not captured standing page 342

Epinephrine

IndicationPopulationDoseRouteRepeatStandingSource
Anaphylaxis adult 0.3 mg IM not captured standing pages 343, 344
Anaphylaxis peds 0.01 mg/kg IM not captured standing pages 343, 344
Asthma / bronchospasm adult 0.3 mg IM not captured standing pages 343, 344
Asthma / bronchospasm peds 0.01 mg/kg IM not captured standing pages 343, 344
Asystole / PEA adult 1 mg IV/IO not captured standing pages 343, 344
Asystole / PEA peds 0.01 mg/kg IV/IO not captured standing pages 343, 344
Bradycardia adult 2–10 mcg IV/IO not captured standing pages 343, 344
Hypotension / shock peds 0.1–1 mcg/kg IV/IO not captured standing pages 343, 344
VF / pulseless VT adult 1 mg IV/IO not captured standing pages 343, 344
VF / pulseless VT peds 0.01 mg/kg IV/IO not captured standing pages 343, 344

Etomidate

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 0.3 mg/kg IV/IO not captured standing page 345
Other peds 0.3 mg/kg IV/IO not captured standing page 345
Procedural sedation adult 0.1 mg/kg IV/IO not captured standing page 345
Procedural sedation peds 0.1 mg/kg IV/IO not captured standing page 345

Fentanyl

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 1 mcg/kg IV/IO/IM not captured standing page 346
Severe pain adult 0.5–1 mcg/kg IV/IO/IM not captured standing page 346
Severe pain adult 1.5 mcg/kg IN not captured standing page 346
Severe pain peds 0.5 mcg/kg IV/IO/IM not captured standing page 346
Severe pain peds 1.5 mcg/kg IN not captured standing page 346
G–L Glucagon, Heparin, Hydroxocobalamin, Ibuprofen, Ipratropium, Ketamine, Lidocaine, Lorazepam8

Glucagon

IndicationPopulationDoseRouteRepeatStandingSource
Beta-blocker / calcium-channel-blocker overdose adult 3–10 mg IV/IO not captured standing page 347
Beta-blocker / calcium-channel-blocker overdose adult 3–10 mg IV/IO not captured standing page 347
Hypoglycemia adult 1 mg IM/SQ not captured standing page 347
Hypoglycemia peds 0.05 mg/kg IM/SQ not captured standing page 347

Heparin

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 5000 unit IV not captured standing page 348
ACS / chest pain adult 5000 unit IV not captured standing page 348
Other adult 5000 unit IV not captured standing page 348
Other adult 5000 unit IV not captured standing page 348

Hydroxocobalamin

IndicationPopulationDoseRouteRepeatStandingSource
Cyanide poisoning adult 5 g IV not captured standing pages 349, 350
Cyanide poisoning peds 70 mg/kg IV not captured standing pages 349, 350

Ibuprofen

IndicationPopulationDoseRouteRepeatStandingSource
Fever adult 400 mg PO not captured standing page 351
Fever peds 10 mg/kg PO not captured standing page 351
Mild to moderate pain adult 400 mg PO not captured standing page 351
Mild to moderate pain peds 10 mg/kg PO not captured standing page 351

Ipratropium

IndicationPopulationDoseRouteRepeatStandingSource
Asthma / bronchospasm adult 500 mcg NEB not captured standing page 352
Asthma / bronchospasm adult 500 mcg NEB not captured standing page 352
Asthma / bronchospasm peds 500 mcg NEB not captured standing page 352
Asthma / bronchospasm peds 500 mcg NEB not captured standing page 352
Other adult 500 mcg NEB not captured standing page 352
Other adult 500 mcg NEB not captured standing page 352
Other adult 500 mcg NEB not captured standing page 352
Other peds 500 mcg NEB not captured standing page 352
Other peds 500 mcg NEB not captured standing page 352
Other peds 500 mcg NEB not captured standing page 352

Ketamine

IndicationPopulationDoseRouteRepeatStandingSource
Hyperactive delirium adult 4 mg/kg IM not captured standing pages 204, 353
Hyperactive delirium peds 4 mg/kg IM not captured standing pages 204, 353
Other adult 2 mg/kg IV/IO not captured standing page 353
Other peds 1 mg/kg IV/IO not captured standing page 353
Mild to moderate pain adult 0.2 mg/kg IV/IO not captured standing page 353
Mild to moderate pain peds 0.2 mg/kg IV/IO not captured standing page 353
Post-intubation sedation adult 1 mg/kg IV/IO not captured standing page 353
Post-intubation sedation peds 1 mg/kg IV/IO not captured standing page 353

Lidocaine

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 0.5–0.75 mg/kg IV/IO not captured standing pages 355, 356
Other adult 20–40 mg IV/IO not captured standing pages 355, 356
Other peds 0.25–0.5 mg/kg IV/IO not captured standing pages 355, 356
Other peds 1 mg/kg IV/IO not captured standing pages 355, 356
Wide-complex tachycardia adult 0.5–0.75 mg/kg IV/IO not captured standing pages 355, 356
Wide-complex tachycardia peds 1 mg/kg IV/IO not captured standing pages 355, 356
VF / pulseless VT adult 1–1.5 mg/kg IV/IO not captured standing pages 355, 356
VF / pulseless VT peds 1 mg/kg IV/IO not captured standing pages 355, 356

Lorazepam

IndicationPopulationDoseRouteRepeatStandingSource
Nerve agent exposure adult 4 mg IV/IM not captured standing page 216
Organophosphate poisoning adult 4 mg IV/IM not captured standing page 216
Seizure adult 1–2 mg IV/IM not captured standing page 357
Seizure adult 1–2 mg IO not captured standing page 357
Seizure peds 0.1 mg/kg IV/IM not captured standing page 357
Seizure peds 0.1 mg/kg IO not captured standing page 357
M–O Magnesium Sulfate, Methylprednisolone, Midazolam, Morphine, Naloxone, Nitroglycerin, Norepinephrine, Ondansetron, Oral Glucose Gel9

Magnesium Sulfate

IndicationPopulationDoseRouteRepeatStandingSource
Asthma / bronchospasm adult 2 g IV/IO not captured standing page 358
Asthma / bronchospasm peds 50 mg/kg IV/IO not captured standing page 358
Other adult 4 g IV/IO not captured standing page 358
Other adult 4 g IM not captured standing page 358
VF / pulseless VT adult 2 g IV/IO not captured standing page 358
VF / pulseless VT adult 2 g IV/IO not captured standing page 358
VF / pulseless VT peds 50 mg/kg IV/IO not captured standing page 358
VF / pulseless VT peds 50 mg/kg IV/IO not captured standing page 358

Methylprednisolone

IndicationPopulationDoseRouteRepeatStandingSource
Asthma / bronchospasm adult 125 mg IV/IO not captured standing page 359
Asthma / bronchospasm peds 2 mg/kg IV/IO not captured standing page 359
COPD adult 125 mg IV/IO not captured standing page 359
COPD peds 2 mg/kg IV/IO not captured standing page 359

Midazolam

IndicationPopulationDoseRouteRepeatStandingSource
Hyperactive delirium adult 5 mg IV/IO/IM/IN not captured standing page 360
Hyperactive delirium peds 0.1 mg/kg IV/IO/IM/IN not captured standing page 360
Other adult 2.5 mg IV/IO/IM/IN not captured standing page 360
Other adult 5 mg IV/IO/IM/IN not captured standing page 360
Other peds 0.1 mg/kg IV/IO/IM/IN not captured standing page 360
Other peds 0.1 mg/kg IV/IO/IM/IN not captured standing page 360
Procedural sedation adult 5 mg IV/IO/IM/IN not captured standing page 360
Procedural sedation adult 5 mg IV/IO/IM/IN not captured standing page 360
Procedural sedation peds 0.1 mg/kg IV/IO/IM/IN not captured standing page 360
Procedural sedation peds 0.1 mg/kg IV/IO/IM/IN not captured standing page 360
Seizure adult 5 mg IV/IO/IM/IN not captured standing page 360
Seizure peds 0.1 mg/kg IV/IO/IM/IN not captured standing page 360

Morphine

IndicationPopulationDoseRouteRepeatStandingSource
Severe pain adult 2–6 mg IV not captured standing page 361
Severe pain adult 5–15 mg IM not captured standing page 361
Severe pain peds 1 mg IV not captured standing page 361
Severe pain peds 1 mg IM not captured standing page 361

Naloxone

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 0.4 mg IV/IO/IM not captured standing page 362
Other peds 0.1 mg/kg IV/IO/IM not captured standing page 362
Other peds 0.1 mg/kg IN not captured standing pages 208, 362

Nitroglycerin

IndicationPopulationDoseRouteRepeatStandingSource
CHF / pulmonary edema adult 0.4 mg SL not captured standing page 363
Other adult 0.4 mg SL not captured standing page 363

Norepinephrine

IndicationPopulationDoseRouteRepeatStandingSource
Cardiogenic shock adult 2–30 mcg IV not captured standing pages 364, 365
Cardiogenic shock peds 0.05–1 mcg/kg IV not captured standing pages 364, 365
Other adult 2–30 mcg IV not captured standing pages 364, 365
Other peds 0.05–1 mcg/kg IV not captured standing pages 364, 365

Ondansetron

IndicationPopulationDoseRouteRepeatStandingSource
Nausea / vomiting adult 4 mg IV/IM not captured standing page 366
Nausea / vomiting peds 0.1 mg/kg IV/IM not captured standing page 366

Oral Glucose Gel

IndicationPopulationDoseRouteRepeatStandingSource
Hypoglycemia adult 15 g PO not captured standing page 367
Hypoglycemia peds 0.5–1 g/kg PO not captured standing page 367
P–R Pralidoxime, Racemic Epinephrine, Rocuronium3

Pralidoxime

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 600–1800 mg IV/IM not captured standing pages 371, 372
Other peds 25–50 mg/kg IV/IM not captured standing pages 371, 372

Racemic Epinephrine

IndicationPopulationDoseRouteRepeatStandingSource
Other peds 0.5 mL NEB not captured standing page 373

Rocuronium

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 1 mg/kg IV not captured standing page 374
Other peds 1 mg/kg IV not captured standing page 374
S–Z Sodium Bicarbonate, Succinylcholine, Tranexamic Acid, Vecuronium4

Sodium Bicarbonate

IndicationPopulationDoseRouteRepeatStandingSource
Crush injury adult 1 mEq/kg IV/IO not captured standing page 375
Crush injury peds 1 mEq/kg IV/IO not captured standing page 375
Hypotension / shock adult 1 mEq/kg IV/IO not captured standing page 375
Hypotension / shock peds 1 mEq/kg IV/IO not captured standing page 375
Other adult 1 mEq/kg IV/IO not captured standing page 375
Other adult 1 mEq/kg IV/IO not captured standing page 375
Other peds 1 mEq/kg IV/IO not captured standing page 375
Other peds 1 mEq/kg IV/IO not captured standing page 375

Succinylcholine

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 1.5 mg/kg IV/IO not captured standing page 376
Other adult 3 mg/kg IM not captured standing page 376
Other peds 1.5 mg/kg IV/IO not captured standing page 376
Other peds 3 mg/kg IM not captured standing page 376

Tranexamic Acid

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 1 g IV not captured standing page 377
Other adult 1 g IV not captured standing page 377
Other adult 2.5 mL IN not captured standing page 377
Other peds 15 mg/kg IV not captured standing page 377

Vecuronium

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 0.1 mg/kg IV not captured standing page 378
Other peds 0.1 mg/kg IV not captured standing page 378
Cite this

Spokane County EMS, United States EMS Protocol Census. 168 dose entries, effective 2022-07-01.

https://protoquiz.com/census/agencies/spokane-county-ems/

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