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Statewide

Tennessee Emergency Medical Services

May be outdated139 dose entries39 drugs1 documentTNeffective 2024-01-01100% machine-parsed of 139

The current listed document is more than 24 months old and may be outdated.

Drugs and doses39

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

Acetaminophen

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 325–1000 mg PO not captured standing page 143 · source
Other peds 10–15 mg/kg PO not captured standing page 143 · source

Adenosine

IndicationPopulationDoseRouteRepeatStandingSource
SVT adult 12 mg IV not captured standing pages 22, 27 · source
SVT peds 0.1 mg/kg IV not captured standing pages 22, 27 · source

Albuterol

IndicationPopulationDoseRouteRepeatStandingSource
CHF / pulmonary edema adult 2.5 mg NEB not captured standing page 45 · source
Crush injury adult 5 mg NEB not captured standing page 139 · source
Respiratory distress adult 2.5 mg NEB not captured standing pages 59, 210 · source
Respiratory distress peds 2.5 mg NEB not captured standing pages 59, 210 · source

Amiodarone

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 300 mg IV not captured standing page 28 · source
Other peds 5 mg/kg IV not captured standing page 28 · source
Wide-complex tachycardia adult 150–300 mg IV/IO not captured standing pages 21, 27 · source
Wide-complex tachycardia peds 5 mg/kg IV/IO not captured standing pages 21, 27 · source
VF / pulseless VT adult 300 mg IV/IO not captured standing page 25 · source
VF / pulseless VT peds 5 mg/kg IV/IO not captured standing page 25 · source

Aspirin

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 324 mg PO not captured standing pages 16, 18 · source

Atropine

IndicationPopulationDoseRouteRepeatStandingSource
Bradycardia adult 0.5 mg IV not captured standing page 15 · source
Bradycardia peds 0.02 mg/kg IV not captured standing page 15 · source
Nerve agent exposure peds 0.05 mg/kg IV/IO/IM not captured standing page 39 · source

Calcium Chloride

IndicationPopulationDoseRouteRepeatStandingSource
Crush injury adult 1 g IV not captured standing page 140 · source
Crush injury peds 20 mg/kg IV not captured standing page 140 · source
Hyperkalemia adult 500 mg IV not captured standing pages 20, 24, 25 · source
Hyperkalemia peds 20 mg/kg IV not captured standing pages 20, 24, 25 · source
Tricyclic overdose adult 500 mg IV not captured standing pages 20, 24, 25 · source
Tricyclic overdose peds 20 mg/kg IV not captured standing pages 20, 24, 25 · source

Calcium Gluconate

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 2.5 g TOP not captured standing page 130 · source
D–F Dextrose, Diazepam, Diltiazem, Dimercaprol, Diphenhydramine, Droperidol, Epinephrine7

Dextrose

IndicationPopulationDoseRouteRepeatStandingSource
Crush injury adult 25 g IV not captured standing page 139 · source
Crush injury peds 0.5 g/kg IV not captured standing page 139 · source
Hypoglycemia adult 12.5–25 g IV not captured standing pages 56, 64, 204, 210, 211 · source
Hypoglycemia peds 2 mL/kg IV not captured standing pages 56, 64, 204, 210, 211 · source

Diazepam

IndicationPopulationDoseRouteRepeatStandingSource
Agitation peds 0.1 mg/kg IV not captured standing page 40 · source
Procedural sedation adult 2–5 mg IV not captured standing pages 22, 23, 27 · source
Procedural sedation peds 0.1 mg/kg IV not captured standing pages 22, 23, 27 · source
Seizure adult 2–5 mg IV/IO not captured standing pages 31, 32, 39, 60, 61 · source
Seizure peds 0.1 mg/kg IV/IO not captured standing pages 31, 32, 39, 60, 61 · source
Seizure peds 0.2–0.5 mg/kg PR not captured standing page 61 · source

Diltiazem

IndicationPopulationDoseRouteRepeatStandingSource
Atrial fibrillation with RVR adult 0.25 mg/kg IV not captured standing page 148 · source

Dimercaprol

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 3 mg/kg IM not captured standing page 128 · source

Diphenhydramine

IndicationPopulationDoseRouteRepeatStandingSource
Anaphylaxis adult 25–50 mg IV/IM not captured standing pages 46, 210 · source
Anaphylaxis peds 1 mg/kg IV/IM not captured standing pages 46, 210 · source
Dystonic reaction adult 25 mg IV/IM not captured standing page 121 · source

Droperidol

IndicationPopulationDoseRouteRepeatStandingSource
Agitation adult 5 mg IV/IM not captured standing page 146 · source
Nausea / vomiting adult 0.625–2.5 mg IV/IM not captured standing page 146 · source
Nausea / vomiting peds 0.015–0.1 mg/kg IV/IM not captured standing page 146 · source

Epinephrine

IndicationPopulationDoseRouteRepeatStandingSource
Anaphylaxis adult 0.3–0.5 mg IM not captured standing page 46 · source
Anaphylaxis adult 0.3–0.5 mg IV/IO not captured standing page 46 · source
Anaphylaxis peds 0.01 mg/kg IM not captured standing page 46 · source
Anaphylaxis peds 0.01 mg/kg IV/IO not captured standing page 46 · source
Bradycardia adult 2–10 mcg IV not captured standing page 15 · source
Cardiac arrest adult 1 mg IV/IO not captured standing pages 15, 20, 24, 25, 26 · source
Cardiac arrest peds 0.01 mg/kg IV/IO not captured standing pages 15, 20, 24, 25, 26 · source
Croup peds 1 mg NEB not captured standing pages 50, 210 · source
Hypotension / shock peds 0.1–1 mcg/kg IV not captured standing page 28 · source
Respiratory distress adult 0.3–0.5 mg IM not captured standing page 59 · source
Respiratory distress peds 0.01 mg/kg IM not captured standing page 59 · source
G–L Glucagon, Haloperidol, Hydroxocobalamin, Ibuprofen, Insulin, Ketamine, Ketorolac, Lidocaine, Lorazepam9

Glucagon

IndicationPopulationDoseRouteRepeatStandingSource
Beta-blocker / calcium-channel-blocker overdose adult 1–2 mg IV/IM not captured standing page 15 · source
Beta-blocker / calcium-channel-blocker overdose peds 0.5–1 mg IV/IM not captured standing page 15 · source
Hypoglycemia adult 1–2 mg IM not captured standing pages 60, 64 · source
Hypoglycemia peds 0.5–1 mg IM not captured standing pages 60, 64 · source

Haloperidol

IndicationPopulationDoseRouteRepeatStandingSource
Agitation adult 5 mg IM not captured standing page 147 · source

Hydroxocobalamin

IndicationPopulationDoseRouteRepeatStandingSource
Cyanide poisoning adult 5 g IV not captured standing pages 126, 144 · source

Ibuprofen

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 400–800 mg PO not captured standing page 142 · source
Other adult 600 mg PO not captured standing page 160 · source
Other peds 10 mg/kg PO not captured standing page 160 · source
Other peds 5–10 mg/kg PO not captured standing page 142 · source

Insulin

IndicationPopulationDoseRouteRepeatStandingSource
Crush injury adult 10 unit IV not captured standing page 139 · source
Crush injury peds 0.2 unit/kg IV not captured standing page 139 · source

Ketamine

IndicationPopulationDoseRouteRepeatStandingSource
Agitation adult 1.5–2 mg/kg IV not captured standing page 205 · source
Agitation peds 1.5–2 mg/kg IV not captured standing page 205 · source
Mild to moderate pain adult 0.1–0.3 mg/kg IV not captured standing pages 205, 208 · source
Mild to moderate pain peds 0.1–0.3 mg/kg IV not captured standing pages 205, 208 · source
RSI induction adult 1–2 mg/kg IV not captured standing page 206 · source
RSI induction peds 1–2 mg/kg IV not captured standing page 206 · source
Seizure adult 1 mg/kg IV/IM not captured standing page 206 · source
Seizure peds 1 mg/kg IV/IM not captured standing page 206 · source

Ketorolac

IndicationPopulationDoseRouteRepeatStandingSource
Severe pain adult 10–30 mg IV/IM not captured standing page 143 · source

Lidocaine

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 1–1.5 mg/kg IV/IO not captured standing page 141 · source
Other adult 1–1.5 mg/kg IV/IO not captured standing page 141 · source
Other peds 0.5 mg/kg IV/IO not captured standing page 141 · source
Other peds 0.5 mg/kg IV/IO not captured standing page 141 · source

Lorazepam

IndicationPopulationDoseRouteRepeatStandingSource
Seizure adult 1–2 mg IV not captured standing pages 31, 32, 39, 60, 61 · source
Seizure adult 2–4 mg IM not captured standing pages 31, 39, 60 · source
Seizure peds 0.1 mg/kg IV not captured standing pages 31, 32, 39, 60, 61 · source
M–O Magnesium Sulfate, Methylene Blue, Methylergonovine, Methylprednisolone, Midazolam, Misoprostol, Naloxone, Nitroglycerin, Ondansetron, Oxytocin10

Magnesium Sulfate

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 6 g IV not captured standing page 98 · source
Respiratory distress adult 1–2 g IV not captured standing page 59 · source
VF / pulseless VT adult 1–2 g IV not captured standing pages 23, 24, 25 · source

Methylene Blue

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 1–2 mg/kg IV not captured standing page 136 · source

Methylergonovine

IndicationPopulationDoseRouteRepeatStandingSource
Obstetric hemorrhage adult 0.2 mg IM not captured standing page 91 · source

Methylprednisolone

IndicationPopulationDoseRouteRepeatStandingSource
Anaphylaxis adult 62.5–125 mg IV not captured standing pages 46, 211 · source
Respiratory distress adult 62.5–125 mg IV not captured standing pages 59, 211 · source

Midazolam

IndicationPopulationDoseRouteRepeatStandingSource
Agitation adult 2–5 mg IN not captured standing pages 114, 117 · source
Agitation peds 0.1 mg/kg IN not captured standing pages 114, 117 · source
Agitation peds 0.1 mg/kg IV not captured standing page 40 · source
Procedural sedation adult 2–5 mg IV not captured standing pages 22, 23, 27 · source
Procedural sedation peds 0.1 mg/kg IV not captured standing pages 22, 23, 27 · source
Seizure adult 2–5 mg IV/IO/IM not captured standing pages 31, 39, 60 · source
Seizure peds 0.2 mg/kg IM not captured standing pages 32, 39, 61 · source
Seizure peds 0.3 mg/kg IN not captured standing pages 32, 39, 61 · source

Misoprostol

IndicationPopulationDoseRouteRepeatStandingSource
Obstetric hemorrhage adult 400 mcg BUC/PR not captured standing page 91 · source

Naloxone

IndicationPopulationDoseRouteRepeatStandingSource
Bradycardia adult 0.4–2 mg IV/IM/IN not captured standing page 14 · source
Cardiac arrest peds 0.1 mg/kg IV/IO/IM/IN not captured standing page 20 · source
Hypothermia adult 0.4 mg IV/IO/IM/IN not captured standing page 35 · source
Hypothermia peds 0.1 mg/kg IV/IO/IM/IN not captured standing page 35 · source
Opioid overdose adult 0.4 mg IV/IM/IN not captured standing page 167 · source
Opioid overdose peds 0.1 mg/kg IV/IM/IN not captured standing page 167 · source
Other adult 0.4–2 mg IV/IO/IM/IN not captured standing page 31 · source
Other adult 0.4–2 mg IV/IO/IM/IN not captured standing page 64 · source
Other peds 0.1 mg/kg IV/IO/IM/IN not captured standing page 31 · source
Other peds 0.1 mg/kg IV/IO/IM/IN not captured standing page 64 · source
Seizure adult 0.4–2 mg IV/IO/IM/IN not captured standing page 60 · source
Seizure peds 0.1 mg/kg IV/IO/IM/IN not captured standing page 60 · source

Nitroglycerin

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 0.4 mg SL not captured standing pages 16, 17, 18 · source
CHF / pulmonary edema adult 0.4 mg SL not captured standing page 45 · source
Other adult 0.4 mg SL not captured standing page 55 · source

Ondansetron

IndicationPopulationDoseRouteRepeatStandingSource
Nausea / vomiting adult 2–4 mg IV not captured standing pages 44, 211 · source
Nausea / vomiting adult 8 mg PO not captured standing page 44 · source
Nausea / vomiting peds 0.15 mg/kg IV not captured standing pages 44, 211 · source
Nausea / vomiting peds 4 mg PO not captured standing page 44 · source

Oxytocin

IndicationPopulationDoseRouteRepeatStandingSource
Obstetric hemorrhage adult 10 unit IM not captured standing page 91 · source
Obstetric hemorrhage adult 30–40 unit IV not captured standing page 91 · source
P–R Pralidoxime1

Pralidoxime

IndicationPopulationDoseRouteRepeatStandingSource
Organophosphate poisoning adult 600 mg IV not captured standing page 138 · source
Organophosphate poisoning adult 600 mg IM not captured standing page 138 · source
Organophosphate poisoning peds 15 mg/kg IV not captured standing page 138 · source
Organophosphate poisoning peds 15 mg/kg IM not captured standing page 138 · source
Other adult 20–50 mg/kg IV not captured standing page 138 · source
Other adult 600 mg IM not captured standing page 138 · source
Other peds 15 mg/kg IM not captured standing page 138 · source
Other peds 20–50 mg/kg IV not captured standing page 138 · source
S–Z Sodium Bicarbonate, Sodium Nitrite, Tetracaine, Tranexamic Acid4

Sodium Bicarbonate

IndicationPopulationDoseRouteRepeatStandingSource
Crush injury adult 50 mEq IV not captured standing page 139 · source
Crush injury peds 1 mEq/kg IV not captured standing page 139 · source
Hyperkalemia adult 1 mEq/kg IV/IO not captured standing pages 20, 24, 25 · source
Hyperkalemia peds 1 mEq/kg IV/IO not captured standing pages 20, 24, 25 · source
Other adult 1–2 mEq/kg IV/IO not captured standing pages 20, 24, 25 · source
Tricyclic overdose adult 1 mEq/kg IV/IO not captured standing pages 20, 24, 25 · source
Tricyclic overdose peds 1 mEq/kg IV/IO not captured standing pages 20, 24, 25 · source

Sodium Nitrite

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 300 mg IV not captured standing page 132 · source

Tetracaine

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 2 drop OPH not captured standing page 122 · source
Other adult 2 drop OPH not captured standing page 134 · source

Tranexamic Acid

IndicationPopulationDoseRouteRepeatStandingSource
Trauma / hemorrhage adult 2 g IV not captured standing page 143 · source
Trauma / hemorrhage peds 20 mg/kg IV not captured standing page 143 · source
Cite this

Tennessee Emergency Medical Services, United States EMS Protocol Census. 139 dose entries, effective 2024-01-01.

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

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