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Tri County Emergency Medical Services, Inc.

Name: Tri County Emergency Medical Services, Inc. EMS protocol doses
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May be outdated128 dose entries31 drugs1 documentTXeffective 2023-09-01100% machine-parsed of 128

The current listed document is more than 24 months old and may be outdated.

Drugs and doses31

A–C Adenosine, Albuterol, Amiodarone, Aspirin, Atropine, Clonidine6

Adenosine

Indication	Population	Dose	Route	Repeat	Standing	Source
SVT	adult	6 mg	IV	not captured	standing	pages 15, 150
SVT	peds	0.1 mg/kg	IV	not captured	standing	pages 15, 150

Albuterol

Indication	Population	Dose	Route	Repeat	Standing	Source
Asthma / bronchospasm	adult	2.5 mg	NEB	not captured	standing	page 16
Asthma / bronchospasm	adult	2.5 mg	NEB	not captured	standing	pages 16, 137
Asthma / bronchospasm	peds	0.05 mg/kg	NEB	not captured	standing	page 16
Asthma / bronchospasm	peds	0.15 mg/kg	NEB	not captured	standing	pages 16, 137
COPD	adult	2.5 mg	NEB	not captured	standing	page 16
Other	adult	2.5 mg	NEB	not captured	standing	page 16

Amiodarone

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	150 mg	IV/IO	not captured	standing	page 17
Other	adult	300 mg	IV/IO	not captured	standing	pages 17, 80, 138
Other	peds	5 mg/kg	IV/IO	not captured	standing	pages 17, 80, 138
Other	peds	5 mg/kg	IV/IO	not captured	standing	page 17

Aspirin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	324 mg	PO	not captured	standing	pages 18, 72

Atropine

Indication	Population	Dose	Route	Repeat	Standing	Source
Bradycardia	adult	0.5–1 mg	IV/IO	not captured	standing	pages 19, 74, 140
Bradycardia	peds	0.02 mg/kg	IV/IO	not captured	standing	pages 19, 74, 140
Organophosphate poisoning	adult	1–2 mg	IV	not captured	standing	page 19
Organophosphate poisoning	peds	0.05 mg/kg	IV	not captured	standing	page 146
Other	adult	2 mg	IV	not captured	standing	page 19

Clonidine

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	0.1 mg	PO	not captured	standing	pages 20, 94

D–F Dextrose, Diltiazem, Diphenhydramine, Dopamine, Epinephrine, Etomidate, Fentanyl, Furosemide8

Dextrose

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypoglycemia	adult	25 g	IV	not captured	standing	pages 21, 88
Hypoglycemia	peds	0.5 g/kg	IV	not captured	standing	pages 21, 88
Other	peds	1–2 mL/kg	IV/IO	not captured	standing	page 136
Other	peds	2–4 mL/kg	IV/IO	not captured	standing	page 136
Other	peds	2–4 mL/kg	IV/IO	not captured	standing	page 136

Diltiazem

Indication	Population	Dose	Route	Repeat	Standing	Source
Atrial fibrillation with RVR	adult	0.25 mg/kg	IV	not captured	standing	pages 22, 23
Other	adult	0.25 mg/kg	IV	not captured	standing	pages 22, 23
Other	adult	0.25 mg/kg	IV	not captured	standing	pages 22, 23
SVT	adult	0.25 mg/kg	IV	not captured	standing	pages 22, 23

Diphenhydramine

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	25–50 mg	IV/IM	not captured	standing	page 24
Anaphylaxis	peds	1–2 mg/kg	IV/IM	not captured	standing	page 24
Dystonic reaction	adult	25–50 mg	IV/IM	not captured	standing	page 24
Dystonic reaction	peds	1–2 mg/kg	IV/IM	not captured	standing	page 24
Other	adult	25–50 mg	IV/IM	not captured	standing	page 24
Other	peds	1–2 mg/kg	IV/IM	not captured	standing	page 24

Dopamine

Indication	Population	Dose	Route	Repeat	Standing	Source
Cardiogenic shock	adult	2–5 mcg/kg	IV	not captured	standing	page 25
Cardiogenic shock	peds	2–5 mcg/kg	IV	not captured	standing	page 25
Hypotension / shock	adult	2–5 mcg/kg	IV	not captured	standing	page 25
Hypotension / shock	peds	2–5 mcg/kg	IV	not captured	standing	page 25
Other	adult	2–5 mcg/kg	IV	not captured	standing	page 25
Other	adult	2–5 mcg/kg	IV	not captured	standing	page 25
Other	peds	2–5 mcg/kg	IV	not captured	standing	page 25
Other	peds	2–5 mcg/kg	IV	not captured	standing	page 25
Sepsis	adult	2–5 mcg/kg	IV	not captured	standing	page 25
Sepsis	peds	2–5 mcg/kg	IV	not captured	standing	page 25

Epinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	0.5 mg	IM	not captured	standing	page 27
Anaphylaxis	adult	0.5 mg	SQ	not captured	standing	page 27
Anaphylaxis	adult	0.5 mg	IV	not captured	standing	page 27
Asthma / bronchospasm	adult	0.3–0.5 mg	IM	not captured	standing	page 27
Asthma / bronchospasm	adult	0.5 mg	IV	not captured	standing	page 27
Asthma / bronchospasm	peds	0.01 mg/kg	IM	not captured	standing	page 27
Cardiac arrest	adult	0.5–1 mg	SL	not captured	standing	page 27
Cardiac arrest	adult	0.5–1 mg	IV/IO	not captured	standing	pages 26, 27
Cardiac arrest	adult	1–2 mg	ET	not captured	standing	page 26
Cardiac arrest	peds	0.01 mg/kg	IV/IO	not captured	standing	pages 26, 27

Etomidate

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	0.3 mg/kg	IV	not captured	standing	page 28
Other	peds	0.3 mg/kg	IV	not captured	standing	page 28

Fentanyl

Indication	Population	Dose	Route	Repeat	Standing	Source
Mild to moderate pain	adult	50–100 mcg	IV/IO/IM/IN	not captured	standing	pages 29, 108
Mild to moderate pain	peds	1–2 mcg/kg	IV/IO/IM/IN	not captured	standing	pages 29, 108

Furosemide

Indication	Population	Dose	Route	Repeat	Standing	Source
CHF / pulmonary edema	adult	40 mg	IV	not captured	standing	page 30
CHF / pulmonary edema	peds	1 mg/kg	IV	not captured	standing	page 30

G–L Haloperidol, Ipratropium, Ketamine, Labetalol, Lidocaine5

Haloperidol

Indication	Population	Dose	Route	Repeat	Standing	Source
Nausea / vomiting	adult	2.5 mg	IV/IM	not captured	standing	page 31
Other	adult	5 mg	IV/IM	not captured	standing	page 31

Ipratropium

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	0.5 mg	NEB	not captured	standing	page 33

Ketamine

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	1 mg/kg	IV/IO	not captured	standing	page 34
Other	adult	2 mg/kg	IV/IO	not captured	standing	page 34
Mild to moderate pain	adult	0.1–0.3 mg/kg	IV	not captured	standing	page 34
Mild to moderate pain	adult	0.3–0.5 mg/kg	IM	not captured	standing	page 34
Mild to moderate pain	adult	0.5 mg/kg	IN	not captured	standing	page 34
Mild to moderate pain	peds	0.1–0.2 mg/kg	IM	not captured	standing	page 34
Procedural sedation	adult	1 mg/kg	IV/IO	not captured	standing	page 34

Labetalol

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	5–10 mg	IV	not captured	standing	page 35
Other	peds	0.2–0.5 mg/kg	IV	not captured	standing	page 35

Lidocaine

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	1 mg/kg	IV	not captured	standing	page 38
Other	peds	1 mg/kg	IV	not captured	standing	page 38
VF / pulseless VT	adult	1.5 mg/kg	IV/IO	not captured	standing	pages 38, 80
VF / pulseless VT	peds	1 mg/kg	IV/IO	not captured	standing	pages 38, 80

M–O Magnesium Sulfate, Methylprednisolone, Midazolam, Morphine, Naloxone, Nitroglycerin, Norepinephrine, Ondansetron8

Magnesium Sulfate

Indication	Population	Dose	Route	Repeat	Standing	Source
Asthma / bronchospasm	adult	2 g	IV	not captured	standing	page 39
Asthma / bronchospasm	adult	3 g	IV	not captured	standing	page 39
Other	adult	2 g	IV	not captured	standing	page 39
Other	adult	2 g	IV	not captured	standing	page 39
Other	adult	2 g	IV	not captured	standing	page 39
Other	adult	4–6 g	IV	not captured	standing	page 39
Other	peds	25–50 mg/kg	IV	not captured	standing	page 39
Seizure	adult	2 g	IV	not captured	standing	page 39

Methylprednisolone

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	125 mg	IV/IM	not captured	standing	pages 48, 59, 127
Anaphylaxis	peds	1–2 mg/kg	IV/IM	not captured	standing	pages 48, 59, 127
Asthma / bronchospasm	adult	125 mg	IV/IM	not captured	standing	pages 48, 69
Asthma / bronchospasm	peds	1–2 mg/kg	IV/IM	not captured	standing	pages 48, 69
Hypotension / shock	adult	125 mg	IV/IM	not captured	standing	page 48
Hypotension / shock	peds	1–2 mg/kg	IV/IM	not captured	standing	page 48

Midazolam

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	0.1 mg/kg	IV	not captured	standing	page 40
Other	adult	2 mg	IM	not captured	standing	pages 89, 115
Other	peds	0.1 mg/kg	IV	not captured	standing	page 40
Procedural sedation	adult	2–2.5 mg	IV/IO/IM/IN	not captured	standing	page 8
Seizure	peds	0.2–0.3 mg/kg	IN	not captured	standing	pages 40, 118

Morphine

Indication	Population	Dose	Route	Repeat	Standing	Source
CHF / pulmonary edema	adult	2 mg	IV	not captured	standing	pages 41, 85
Mild to moderate pain	adult	2 mg	IV	not captured	standing	pages 41, 72, 108
Mild to moderate pain	peds	0.1–0.2 mg/kg	IV/IM	not captured	standing	pages 41, 108

Naloxone

Indication	Population	Dose	Route	Repeat	Standing	Source
Opioid overdose	adult	0.4 mg	IV/IO/IM/IN/ET	not captured	standing	pages 42, 72, 84, 146
Opioid overdose	adult	1 mg	IN	not captured	standing	page 42

Nitroglycerin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	0.4 mg	SL	not captured	standing	pages 43, 72, 94
CHF / pulmonary edema	adult	0.8 mg	SL	not captured	standing	pages 43, 85

Norepinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	4 mcg	IV	not captured	standing	page 37
Other	peds	0.1 mcg/kg	IV	not captured	standing	page 37

Ondansetron

Indication	Population	Dose	Route	Repeat	Standing	Source
Nausea / vomiting	adult	4–8 mg	IV	not captured	standing	pages 45, 124
Nausea / vomiting	adult	4–8 mg	ODT	not captured	standing	page 45
Nausea / vomiting	peds	0.1 mg/kg	IV	not captured	standing	pages 45, 124
Nausea / vomiting	peds	4 mg	ODT	not captured	standing	page 45

P–R Rocuronium1

Rocuronium

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	1 mg/kg	IV	not captured	standing	pages 46, 64, 67, 68
Other	peds	1 mg/kg	IV	not captured	standing	pages 46, 64, 67, 68

S–Z Sodium Bicarbonate, Terbutaline, Tranexamic Acid3

Sodium Bicarbonate

Indication	Population	Dose	Route	Repeat	Standing	Source
Asthma / bronchospasm	adult	1 mEq/kg	IV	not captured	standing	page 47
Asthma / bronchospasm	peds	2 mEq/kg	IV	not captured	standing	page 47
Hyperkalemia	adult	1 mEq/kg	IV	not captured	standing	page 47
Hyperkalemia	peds	2 mEq/kg	IV	not captured	standing	page 47
Hypotension / shock	adult	1 mEq/kg	IV	not captured	standing	page 47
Hypotension / shock	peds	2 mEq/kg	IV	not captured	standing	page 47
Other	adult	1 mEq/kg	IV	not captured	standing	page 47
Other	adult	1 mEq/kg	IV	not captured	standing	page 47
Other	adult	1 mEq/kg	IV	not captured	standing	page 47
Other	peds	2 mEq/kg	IV	not captured	standing	page 47
Other	peds	2 mEq/kg	IV	not captured	standing	page 47
Other	peds	2 mEq/kg	IV	not captured	standing	page 47

Terbutaline

Indication	Population	Dose	Route	Repeat	Standing	Source
Asthma / bronchospasm	adult	0.25 mg	SQ	not captured	standing	page 49
Asthma / bronchospasm	adult	0.25 mg	SQ	not captured	standing	pages 49, 69
COPD	adult	0.25 mg	SQ	not captured	standing	page 49
Other	adult	0.25 mg	SQ	not captured	standing	pages 49, 69

Tranexamic Acid

Indication	Population	Dose	Route	Repeat	Standing	Source
Trauma / hemorrhage	adult	1 g	IV	not captured	standing	pages 50, 101, 103
Trauma / hemorrhage	adult	1 g	IV	not captured	standing	page 50

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Tri County Emergency Medical Services, Inc., United States EMS Protocol Census. 128 dose entries, effective 2023-09-01.

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

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