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Stevens County Emergency Medical Services

Name: Stevens County Emergency Medical Services EMS protocol doses
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May be outdated145 dose entries33 drugs1 documentWAeffective 2021-06-01100% machine-parsed of 145

The current listed document is more than 24 months old and may be outdated.

Drugs and doses33

A–C Acetaminophen, Albuterol, Amiodarone, Aspirin, Atropine, Calcium Gluconate6

Acetaminophen

Indication	Population	Dose	Route	Repeat	Standing	Source
Mild to moderate pain	adult	650–1000 mg	PO	not captured	standing	page 46
Mild to moderate pain	peds	15 mg/kg	PO	not captured	standing	page 46
Seizure	peds	20 mg/kg	PO	not captured	standing	page 69

Albuterol

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	2.5 mg	NEB	not captured	standing	page 48
Anaphylaxis	peds	2.5 mg	NEB	not captured	standing	page 48
Asthma / bronchospasm	adult	2.5 mg	NEB	not captured	standing	page 75
Asthma / bronchospasm	adult	2.5 mg	NEB	not captured	standing	page 75
Asthma / bronchospasm	peds	2.5 mg	NEB	not captured	standing	page 75
Asthma / bronchospasm	peds	2.5 mg	NEB	not captured	standing	page 75
COPD	adult	2.5 mg	NEB	not captured	standing	page 77

Amiodarone

Indication	Population	Dose	Route	Repeat	Standing	Source
Cardiac arrest	adult	300 mg	IV/IO	not captured	standing	page 40
Cardiac arrest	peds	5 mg/kg	IV/IO	not captured	standing	page 40
Wide-complex tachycardia	adult	150 mg	IV	not captured	standing	page 42
Wide-complex tachycardia	peds	5 mg/kg	IV	not captured	standing	page 42

Aspirin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	324 mg	PO	not captured	standing	page 36

Atropine

Indication	Population	Dose	Route	Repeat	Standing	Source
Bradycardia	adult	1 mg	IV	not captured	standing	page 34
Bradycardia	adult	1 mg	IV	not captured	standing	page 108
Bradycardia	peds	0.02 mg/kg	IV	not captured	standing	page 34
Bradycardia	peds	0.02 mg/kg	IV	not captured	standing	page 108
Organophosphate poisoning	adult	1–5 mg	IV	not captured	standing	page 163
Organophosphate poisoning	peds	0.05 mg/kg	IV	not captured	standing	page 163

Calcium Gluconate

Indication	Population	Dose	Route	Repeat	Standing	Source
Beta-blocker / calcium-channel-blocker overdose	adult	1–2 g	IV	not captured	standing	page 67
Hyperkalemia	adult	1–2 g	IV	not captured	standing	page 164

D–F Dextrose, Diltiazem, Diphenhydramine, Epinephrine, Fentanyl5

Dextrose

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypoglycemia	adult	25 g	IV	not captured	standing	page 59
Hypoglycemia	adult	25 g	IO	not captured	standing	page 59
Hypoglycemia	peds	0.5–1 g/kg	IV	not captured	standing	page 59
Hypoglycemia	peds	0.5–1 g/kg	IO	not captured	standing	page 59

Diltiazem

Indication	Population	Dose	Route	Repeat	Standing	Source
Atrial fibrillation with RVR	adult	0.25 mg/kg	IV	not captured	standing	page 42
Atrial fibrillation with RVR	adult	0.25 mg/kg	IV	not captured	standing	page 42
SVT	adult	0.25 mg/kg	IV	not captured	standing	page 42

Diphenhydramine

Indication	Population	Dose	Route	Repeat	Standing	Source
Allergic reaction	adult	25–50 mg	PO	not captured	standing	page 48
Allergic reaction	adult	25–50 mg	IV/IO/IM	not captured	standing	page 49
Allergic reaction	peds	1–2 mg/kg	PO	not captured	standing	page 48
Allergic reaction	peds	1–2 mg/kg	IV/IO/IM	not captured	standing	page 49
Anaphylaxis	adult	25–50 mg	PO	not captured	standing	page 48
Anaphylaxis	adult	25–50 mg	IV/IO/IM	not captured	standing	page 49
Anaphylaxis	peds	1–2 mg/kg	PO	not captured	standing	page 48
Anaphylaxis	peds	1–2 mg/kg	IV/IO/IM	not captured	standing	page 49
Dystonic reaction	adult	25–50 mg	PO	not captured	standing	page 166
Dystonic reaction	adult	25–50 mg	IV/IM	not captured	standing	page 166

Epinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	0.3–0.5 mg	IM	not captured	standing	page 48
Anaphylaxis	adult	0.3–0.5 mg	IV/IO	not captured	standing	page 49
Anaphylaxis	peds	0.01 mg/kg	IM	not captured	standing	page 48
Asthma / bronchospasm	adult	0.3–0.5 mg	IM	not captured	standing	page 76
Asthma / bronchospasm	adult	0.3–0.5 mg	IV	not captured	standing	page 76
Asthma / bronchospasm	peds	0.01 mg/kg	IM	not captured	standing	page 76
Bradycardia	adult	2–10 mcg	IV/IO	not captured	standing	page 34
Cardiac arrest	adult	1 mg	IV/IO	not captured	standing	page 40
Cardiac arrest	peds	0.01 mg/kg	IV/IO	not captured	standing	page 40

Fentanyl

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	1 mcg/kg	IV	not captured	standing	page 37
ACS / chest pain	peds	1 mcg/kg	IV	not captured	standing	page 37
Mild to moderate pain	adult	2 mcg/kg	IN	not captured	standing	page 116
Mild to moderate pain	adult	50–100 mcg	IV/IO/IM	not captured	standing	page 116
Mild to moderate pain	peds	1 mcg/kg	IV/IO/IM	not captured	standing	page 116
RSI induction	adult	1–3 mcg/kg	IV	not captured	standing	page 107
RSI induction	peds	1 mcg/kg	IV	not captured	standing	page 107

G–L Glucagon, Ipratropium, Ketamine, Ketorolac, Lidocaine, Lorazepam6

Glucagon

Indication	Population	Dose	Route	Repeat	Standing	Source
Beta-blocker / calcium-channel-blocker overdose	adult	2 mg	IV	not captured	standing	page 67
Beta-blocker / calcium-channel-blocker overdose	adult	2 mg	IV	not captured	standing	page 67
Beta-blocker / calcium-channel-blocker overdose	peds	0.1 mg/kg	IV	not captured	standing	page 67
Beta-blocker / calcium-channel-blocker overdose	peds	0.1 mg/kg	IV	not captured	standing	page 67
Cardiogenic shock	adult	2 mg	IV	not captured	standing	page 35
Hypotension / shock	adult	2 mg	IV	not captured	standing	page 62

Ipratropium

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	2.5 mL	NEB	not captured	standing	page 48
Anaphylaxis	peds	2.5 mL	NEB	not captured	standing	page 48
Asthma / bronchospasm	adult	2.5 mL	NEB	not captured	standing	page 75
Asthma / bronchospasm	adult	2.5 mL	NEB	not captured	standing	page 75
Asthma / bronchospasm	peds	2.5 mL	NEB	not captured	standing	page 75
Asthma / bronchospasm	peds	2.5 mL	NEB	not captured	standing	page 75
COPD	adult	2.5 mL	NEB	not captured	standing	page 77

Ketamine

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	250 mg	IM	not captured	standing	page 51
Mild to moderate pain	adult	15 mg	IV	not captured	standing	page 119
RSI induction	adult	1–2 mg/kg	IV	not captured	standing	page 106

Ketorolac

Indication	Population	Dose	Route	Repeat	Standing	Source
Mild to moderate pain	adult	15 mg	IV	not captured	standing	page 116
Mild to moderate pain	adult	30 mg	IM	not captured	standing	page 116

Lidocaine

Indication	Population	Dose	Route	Repeat	Standing	Source
Cardiac arrest	adult	1–1.5 mg/kg	IV/IO	not captured	standing	page 40
Cardiac arrest	peds	1 mg/kg	IV/IO	not captured	standing	page 40
Other	adult	20–50 mg	IO	not captured	standing	page 94
Wide-complex tachycardia	adult	0.5–0.75 mg/kg	IV/IO	not captured	standing	page 42

Lorazepam

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	1–2 mg	IV	not captured	standing	page 68
Agitation	adult	1–2 mg	IV	not captured	standing	page 173
Agitation	adult	1–2 mg	IM	not captured	standing	page 173
Agitation	adult	1–2 mg	IN	not captured	standing	page 173
Eclampsia / pre-eclampsia	adult	2–4 mg	IV	not captured	standing	page 65
Procedural sedation	adult	1–2 mg	IV	not captured	standing	page 121
Procedural sedation	adult	1–2 mg	IM	not captured	standing	page 140
Procedural sedation	peds	0.1 mg/kg	IV	not captured	standing	page 121
Seizure	adult	2–4 mg	IV	not captured	standing	page 65
Seizure	adult	2–4 mg	IM	not captured	standing	page 65
Seizure	peds	0.1 mg/kg	IV	not captured	standing	page 65
Seizure	peds	0.1 mg/kg	IM	not captured	standing	page 65

M–O Magnesium Sulfate, Methylprednisolone, Midazolam, Morphine, Naloxone, Nitroglycerin, Norepinephrine, Ondansetron, Oral Glucose9

Magnesium Sulfate

Indication	Population	Dose	Route	Repeat	Standing	Source
Eclampsia / pre-eclampsia	adult	2–4 g	IV	not captured	standing	page 65
Tricyclic overdose	adult	2 g	IV	not captured	standing	page 67
VF / pulseless VT	adult	2 g	IV	not captured	standing	page 40

Methylprednisolone

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	125 mg	IV	not captured	standing	page 49
Anaphylaxis	peds	1–2 mg/kg	IV	not captured	standing	page 49
Asthma / bronchospasm	adult	125 mg	IV	not captured	standing	page 75
Asthma / bronchospasm	peds	1–2 mg/kg	IV	not captured	standing	page 75
COPD	adult	125 mg	IV	not captured	standing	page 77
Croup	peds	1–2 mg/kg	IV	not captured	standing	page 79
Other	peds	1–2 mg/kg	IV	not captured	standing	page 79

Midazolam

Indication	Population	Dose	Route	Repeat	Standing	Source
Procedural sedation	adult	1–2 mg	IV/IM	not captured	standing	page 140
Procedural sedation	adult	1–5 mg	IV	not captured	standing	page 139
Procedural sedation	peds	0.5–1 mg	IV	not captured	standing	page 139
RSI induction	adult	2.5–5 mg	IV/IM	not captured	standing	page 106

Morphine

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	2–4 mg	IV	not captured	standing	page 37
Mild to moderate pain	adult	2–10 mg	IV/IO	not captured	standing	page 116
Mild to moderate pain	peds	0.1–0.2 mg/kg	IV/IO	not captured	standing	page 116

Naloxone

Indication	Population	Dose	Route	Repeat	Standing	Source
Opioid overdose	adult	0.5–2 mg	IM	not captured	standing	page 66
Opioid overdose	adult	0.5–2 mg	IV	not captured	standing	page 66
Opioid overdose	adult	0.5–2 mg	IO	not captured	standing	page 66

Nitroglycerin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	0.4 mg	SL	not captured	standing	page 36
CHF / pulmonary edema	adult	0.4 mg	SL	not captured	standing	page 38
CHF / pulmonary edema	adult	0.4 mg	SL	not captured	standing	page 38
CHF / pulmonary edema	adult	2 inch	TOP	not captured	standing	page 38
Other	adult	0.4 mg	SL	not captured	standing	page 176

Norepinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Beta-blocker / calcium-channel-blocker overdose	adult	2–4 mcg	IV/IO	not captured	standing	page 67
Beta-blocker / calcium-channel-blocker overdose	adult	2–4 mcg	IV/IO	not captured	standing	page 67
Cardiogenic shock	adult	2–4 mcg	IV/IO	not captured	standing	page 35
Cardiogenic shock	peds	0.1 mcg/kg	IV/IO	not captured	standing	page 35
Hypotension / shock	adult	2–4 mcg	IV/IO	not captured	standing	page 62
Hypotension / shock	peds	0.1 mcg/kg	IV/IO	not captured	standing	page 62
Tricyclic overdose	adult	2–4 mcg	IV/IO	not captured	standing	page 67

Ondansetron

Indication	Population	Dose	Route	Repeat	Standing	Source
Nausea / vomiting	adult	4–8 mg	PO	not captured	standing	page 46
Nausea / vomiting	adult	4–8 mg	IV/IO/IM/PO	not captured	standing	page 47

Oral Glucose

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypoglycemia	adult	15 g	PO	not captured	standing	page 59

P–R Racemic Epinephrine, Rocuronium2

Racemic Epinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	0.5 mL	NEB	not captured	standing	page 49
Anaphylaxis	peds	0.25–0.5 mL	NEB	not captured	standing	page 49
Asthma / bronchospasm	adult	0.25–0.5 mL	NEB	not captured	standing	page 75
Asthma / bronchospasm	adult	0.25–0.5 mL	NEB	not captured	standing	page 178
Asthma / bronchospasm	peds	0.25–0.5 mL	NEB	not captured	standing	page 75
Asthma / bronchospasm	peds	0.25–0.5 mL	NEB	not captured	standing	page 178
Croup	peds	0.25–0.5 mL	NEB	not captured	standing	page 79

Rocuronium

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	0.5 mg/kg	IV	not captured	standing	page 107
RSI induction	adult	1 mg/kg	IV	not captured	standing	page 107

S–Z Sodium Bicarbonate, Succinylcholine, Thiamine, Tranexamic Acid, Vasopressin5

Sodium Bicarbonate

Indication	Population	Dose	Route	Repeat	Standing	Source
Hyperkalemia	adult	1 mEq/kg	IV	not captured	standing	page 67
Hyperkalemia	peds	1 mEq/kg	IV	not captured	standing	page 67
Tricyclic overdose	adult	1 mEq/kg	IV	not captured	standing	page 67

Succinylcholine

Indication	Population	Dose	Route	Repeat	Standing	Source
RSI induction	adult	1–2 mg/kg	IV	not captured	standing	page 107
RSI induction	peds	1–2 mg/kg	IV	not captured	standing	page 107

Thiamine

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypoglycemia	adult	100 mg	IV	not captured	standing	page 60
Hypoglycemia	adult	100 mg	IM	not captured	standing	page 60
Hypoglycemia	peds	25 mg	IV	not captured	standing	page 60
Hypoglycemia	peds	25 mg	IM	not captured	standing	page 60

Tranexamic Acid

Indication	Population	Dose	Route	Repeat	Standing	Source
Trauma / hemorrhage	adult	1 g	IV	not captured	standing	page 84

Vasopressin

Indication	Population	Dose	Route	Repeat	Standing	Source
Cardiac arrest	adult	40 unit	IV/IO	not captured	standing	page 180

Cite this

Stevens County Emergency Medical Services, United States EMS Protocol Census. 145 dose entries, effective 2021-06-01.

https://protoquiz.com/census/agencies/stevens-county-emergency-medical-services/

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