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State Board of Emergency Medical, Fire, and Transportation Services

Name: State Board of Emergency Medical, Fire, and Transportation Services EMS protocol doses
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Current115 dose entries42 drugs2 documentsOHeffective 2026-06-17100% machine-parsed of 115

Drugs and doses42

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

Acetaminophen

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	15 mg/kg	IV/PO	not captured	standing	pages 62, 185 · source
Other	peds	15 mg/kg	IV/PO	not captured	standing	pages 62, 185 · source

Adenosine

Indication	Population	Dose	Route	Repeat	Standing	Source
Narrow-complex tachycardia	adult	6 mg	IV	not captured	standing	pages 13, 14, 17, 18, 19 · source
Narrow-complex tachycardia	peds	0.1 mg/kg	IV	not captured	standing	pages 13, 14, 17, 18, 19 · source

Albuterol

Indication	Population	Dose	Route	Repeat	Standing	Source
Asthma / bronchospasm	adult	2.5 mg	NEB	not captured	standing	pages 72, 74, 77, 187 · source
Asthma / bronchospasm	peds	1.25 mg	NEB	not captured	standing	pages 72, 74, 77, 187 · source

Amiodarone

Indication	Population	Dose	Route	Repeat	Standing	Source
Wide-complex tachycardia	adult	150 mg	IV	not captured	standing	pages 14, 15, 19, 20 · source
VF / pulseless VT	adult	300 mg	IV/IO	not captured	standing	pages 28, 31 · source
VF / pulseless VT	adult	300 mg	IV/IO	not captured	standing	pages 28, 31 · source
VF / pulseless VT	peds	5 mg/kg	IV/IO	not captured	standing	pages 28, 31 · source
VF / pulseless VT	peds	5 mg/kg	IV/IO	not captured	standing	pages 28, 31 · source

Aspirin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	160–325 mg	PO	not captured	standing	pages 36, 38, 39, 189 · source

Atropine

Indication	Population	Dose	Route	Repeat	Standing	Source
Asystole / PEA	adult	1 mg	IV	not captured	standing	page 191 · source
Bradycardia	adult	1 mg	IV	not captured	standing	pages 13, 16, 190, 191 · source
Bradycardia	peds	0.02 mg/kg	IV	not captured	standing	pages 13, 16, 190, 191 · source
Organophosphate poisoning	adult	1 mg	IV	not captured	standing	page 191 · source
Organophosphate poisoning	adult	2 mg	IM	not captured	standing	page 191 · source

Calcium Chloride

Indication	Population	Dose	Route	Repeat	Standing	Source
Beta-blocker / calcium-channel-blocker overdose	adult	1 g	IV	not captured	standing	page 194 · source
Trauma / hemorrhage	adult	1 g	IV	not captured	standing	pages 133, 138, 194 · source

Calcium Gluconate

Indication	Population	Dose	Route	Repeat	Standing	Source
Beta-blocker / calcium-channel-blocker overdose	adult	3 g	IV	not captured	standing	page 195 · source
Other	adult	2.5 g	NEB	not captured	standing	pages 124, 195 · source
Trauma / hemorrhage	adult	3 g	IV	not captured	standing	pages 133, 138, 195 · source

D–F Dexamethasone, Dextrose, Diazepam, Diphenhydramine, Dopamine, Epinephrine, Fentanyl, Furosemide8

Dexamethasone

Indication	Population	Dose	Route	Repeat	Standing	Source
Adrenal crisis	adult	0.6 mg/kg	IV/IM	not captured	standing	page 83 · source

Dextrose

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypoglycemia	adult	50 mL	IV	not captured	standing	pages 10, 49, 50, 51, 196, 197, 198 · source

Diazepam

Indication	Population	Dose	Route	Repeat	Standing	Source
Procedural sedation	adult	2–5 mg	IV	not captured	standing	pages 13, 16 · source
Procedural sedation	adult	2–5 mg	IV	not captured	standing	pages 14, 15, 17, 18, 19, 20 · source
Seizure	adult	2–5 mg	PR	not captured	standing	page 199 · source
Seizure	adult	5 mg	IV	not captured	standing	pages 79, 80, 199 · source
Seizure	peds	0.2–0.3 mg/kg	IV	not captured	standing	pages 79, 80, 199 · source
Seizure	peds	0.5 mg/kg	PR	not captured	standing	page 199 · source

Diphenhydramine

Indication	Population	Dose	Route	Repeat	Standing	Source
Allergic reaction	adult	25–50 mg	IV/IM	not captured	standing	pages 72, 82, 83, 84, 200 · source
Allergic reaction	peds	1 mg/kg	IV/IM	not captured	standing	pages 72, 82, 83, 84, 200 · source

Dopamine

Indication	Population	Dose	Route	Repeat	Standing	Source
Bradycardia	adult	5–20 mcg/kg	IV	not captured	standing	pages 13, 16 · source
Cardiogenic shock	adult	2–20 mcg/kg	IV	not captured	standing	pages 37, 83, 201 · source
Hypotension / shock	adult	2–20 mcg/kg	IV	not captured	standing	pages 37, 83, 201 · source

Epinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	0.3 mg	IM	not captured	standing	pages 71, 73, 81, 82, 84 · source
Anaphylaxis	adult	0.3 mg	SQ	not captured	standing	pages 82, 84 · source
Anaphylaxis	adult	0.5 mg	IV	not captured	standing	pages 73, 83, 84 · source
Anaphylaxis	peds	0.01 mg/kg	IM	not captured	standing	pages 71, 73, 81, 82, 84 · source
Anaphylaxis	peds	0.01 mg/kg	SQ	not captured	standing	pages 82, 84 · source
Bradycardia	adult	2–10 mcg	IV	not captured	standing	page 13 · source
Cardiac arrest	adult	1 mg	IV/IO	not captured	standing	pages 27, 28, 31, 32 · source
Cardiac arrest	adult	2 mg	ET	not captured	standing	pages 29, 31, 32 · source
Cardiac arrest	peds	0.01 mg/kg	IV/IO	not captured	standing	pages 27, 28, 31, 32 · source
Cardiogenic shock	adult	0.05–0.3 mcg/kg	IV	not captured	standing	pages 37, 83, 84 · source

Fentanyl

Indication	Population	Dose	Route	Repeat	Standing	Source
Mild to moderate pain	adult	1 mcg/kg	IV/IM	not captured	standing	pages 63, 91, 204 · source
Mild to moderate pain	adult	1 mcg/kg	IN	not captured	standing	page 63 · source
Mild to moderate pain	peds	1 mcg/kg	IV/IM	not captured	standing	pages 63, 91, 204 · source

Furosemide

Indication	Population	Dose	Route	Repeat	Standing	Source
CHF / pulmonary edema	adult	1 mg/kg	IV	not captured	standing	pages 75, 77, 205 · source

G–L Glucagon, Hydralazine, Hydrocortisone Succinate, Hydromorphone, Hypertonic Saline, Ibuprofen, Ketamine, Ketorolac, Labetalol, Lidocaine10

Glucagon

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypoglycemia	adult	1 mg	IM	not captured	standing	pages 10, 49, 50, 51, 206 · source
Hypoglycemia	peds	0.5–1 mg	IM	not captured	standing	pages 10, 49, 50, 51, 206 · source

Hydralazine

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	5 mg	IV	not captured	standing	pages 45, 46, 48 · source
Other	adult	5 mg	IM	not captured	standing	pages 45, 46, 48 · source

Hydrocortisone Succinate

Indication	Population	Dose	Route	Repeat	Standing	Source
Adrenal crisis	adult	2 mg/kg	IV/IM	not captured	standing	page 83 · source

Hydromorphone

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	0.015 mg/kg	IV/IO/IM	not captured	standing	page 63 · source
Other	peds	0.015 mg/kg	IV/IO/IM	not captured	standing	page 63 · source

Hypertonic Saline

Indication	Population	Dose	Route	Repeat	Standing	Source
Head injury / TBI	adult	3–5 mL/kg	IV	not captured	standing	page 140 · source

Ibuprofen

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	10 mg/kg	PO	not captured	standing	pages 62, 208 · source
Other	peds	10 mg/kg	PO	not captured	standing	pages 62, 208 · source

Ketamine

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	2 mg/kg	IV	not captured	standing	pages 68, 209 · source
Other	peds	0.5 mg/kg	IN	not captured	standing	pages 62, 209 · source
Other	peds	1 mg/kg	IV	not captured	standing	pages 68, 209 · source
Other	peds	3 mg/kg	IM	not captured	standing	pages 68, 209 · source
Severe pain	adult	0.25 mg/kg	IV/IO/IM	not captured	standing	pages 63, 209 · source
Severe pain	peds	0.25 mg/kg	IV/IO/IM	not captured	standing	pages 63, 209 · source

Ketorolac

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	15 mg	IV	not captured	standing	pages 62, 210 · source
Other	adult	30 mg	IM	not captured	standing	pages 62, 210 · source
Other	peds	0.5 mg/kg	IV	not captured	standing	pages 62, 210 · source
Other	peds	1 mg/kg	IM	not captured	standing	pages 62, 210 · source

Labetalol

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	20 mg	IV	not captured	standing	pages 45, 46, 48 · source

Lidocaine

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	1 mg/kg	IV	not captured	standing	page 211 · source
VF / pulseless VT	adult	1–1.5 mg/kg	IV/IO	not captured	standing	page 28 · source
VF / pulseless VT	peds	1 mg/kg	IV/IO/ET	not captured	standing	page 211 · source

M–O Magnesium Sulfate, Mannitol, Methylprednisolone, Midazolam, Misoprostol, Morphine, Naloxone, Nifedipine, Nitroglycerin, Norepinephrine, Oxytocin11

Magnesium Sulfate

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	4 g	IV	not captured	standing	pages 45, 46, 48 · source
VF / pulseless VT	adult	1–2 g	IV/IO	not captured	standing	page 28 · source

Mannitol

Indication	Population	Dose	Route	Repeat	Standing	Source
Head injury / TBI	adult	1 g/kg	IV	not captured	standing	page 140 · source

Methylprednisolone

Indication	Population	Dose	Route	Repeat	Standing	Source
Adrenal crisis	adult	2 mg/kg	IV	not captured	standing	pages 83, 212 · source
Asthma / bronchospasm	adult	125 mg	IV/IM	not captured	standing	page 212 · source

Midazolam

Indication	Population	Dose	Route	Repeat	Standing	Source
Eclampsia / pre-eclampsia	adult	10 mg	IM	not captured	standing	page 46 · source
Eclampsia / pre-eclampsia	adult	2–5 mg	IV	not captured	standing	page 46 · source
Other	adult	2–5 mg	IN	not captured	standing	pages 67, 68 · source
Other	peds	0.1 mg/kg	IN	not captured	standing	pages 67, 68 · source
Procedural sedation	adult	2–5 mg	IV	not captured	standing	pages 13, 16 · source
Procedural sedation	adult	2–5 mg	IV	not captured	standing	pages 14, 15, 17, 18, 19, 20 · source
Seizure	adult	2–5 mg	IV/IM/IN	not captured	standing	pages 79, 80 · source
Seizure	peds	0.1 mg/kg	IV/IM/IN	not captured	standing	pages 79, 80 · source

Misoprostol

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	600–1000 mg	PO/SL	not captured	standing	page 42 · source

Morphine

Indication	Population	Dose	Route	Repeat	Standing	Source
Mild to moderate pain	adult	5 mg	IV	not captured	standing	pages 37, 38, 39, 63, 77, 91, 214 · source
Mild to moderate pain	peds	0.1 mg/kg	IV	not captured	standing	pages 37, 38, 39, 63, 77, 91, 214 · source
Mild to moderate pain	peds	0.1 mg/kg	IM	not captured	standing	page 63 · source

Naloxone

Indication	Population	Dose	Route	Repeat	Standing	Source
Opioid overdose	adult	0.4 mg	IM	not captured	standing	pages 9, 10, 11, 215, 216 · source
Opioid overdose	adult	2 mg	IN	not captured	standing	pages 9, 10, 11, 215, 216 · source
Opioid overdose	adult	2 mg	IV	not captured	standing	pages 10, 216 · source
Opioid overdose	adult	2 mg	NEB	not captured	standing	pages 10, 216 · source
Opioid overdose	adult	2 mg	IO	not captured	standing	pages 10, 216 · source
Opioid overdose	adult	2 mg	IM	not captured	standing	pages 10, 216 · source
Opioid overdose	adult	2 mg	SQ	not captured	standing	pages 10, 216 · source
Opioid overdose	adult	2 mg	ET	not captured	standing	pages 10, 216 · source
Opioid overdose	peds	0.1 mg/kg	IV	not captured	standing	pages 10, 216 · source

Nifedipine

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	10 mg	PO	not captured	standing	pages 45, 48 · source

Nitroglycerin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	0.4 mg	SL	not captured	standing	pages 36, 37, 38, 39, 217 · source
CHF / pulmonary edema	adult	0.4 mg	SL	not captured	standing	pages 73, 75, 217 · source

Norepinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Bradycardia	adult	0.02–0.04 mcg/kg	IV	not captured	standing	page 219 · source
Other	adult	0.05–0.5 mcg/kg	IV	not captured	standing	pages 83, 219 · source

Oxytocin

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	10 unit	IM	not captured	standing	page 42 · source
Other	adult	20 unit	IV	not captured	standing	page 42 · source

P–R Procainamide1

Procainamide

Indication	Population	Dose	Route	Repeat	Standing	Source
Wide-complex tachycardia	adult	20–50 mg	IV	not captured	standing	pages 14, 15, 19, 20 · source

S–Z Sodium Bicarbonate, Tetracaine, Tranexamic Acid, Vasopressin4

Sodium Bicarbonate

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	1 mEq/kg	IV/IO	not captured	standing	pages 28, 31, 223 · source
Other	adult	25 mEq	IV	not captured	standing	page 68 · source
Other	peds	1 mEq/kg	IV/IO	not captured	standing	pages 28, 31, 223 · source

Tetracaine

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	2 drop	OPH	not captured	standing	pages 53, 54 · source

Tranexamic Acid

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	1 g	IV	not captured	standing	page 42 · source
Trauma / hemorrhage	adult	1 g	IV	not captured	standing	pages 91, 95, 133, 137, 138, 224 · source
Trauma / hemorrhage	peds	15 mg/kg (max 1 g)	IV	not captured	standing	pages 91, 95, 133, 137, 138, 224 · source

Vasopressin

Indication	Population	Dose	Route	Repeat	Standing	Source
VF / pulseless VT	adult	40 unit	IV	not captured	standing	page 225 · source

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State Board of Emergency Medical, Fire, and Transportation Services, United States EMS Protocol Census. 115 dose entries, effective 2026-06-17.

https://protoquiz.com/census/agencies/state-board-of-emergency-medical-fire-and-transportation-services/

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