Statewide

West Virginia Department of Health, Office of Emergency Medical Services

Name: West Virginia Department of Health, Office of Emergency Medical Services EMS protocol doses
Creator: ProtoQuiz
License: https://protoquiz.com/census/data-license/

Current140 dose entries42 drugs5 documentsWVeffective 2026-04-01100% machine-parsed of 140

Drugs and doses42

A–C Acetaminophen, Adenosine, Albuterol, Amiodarone, Aspirin, Atropine, Calcium Chloride, Cefazolin8

Acetaminophen

Indication	Population	Dose	Route	Repeat	Standing	Source
Fever	adult	15 mg/kg	PO	not captured	standing	page 103
Fever	peds	15 mg/kg	PO	not captured	standing	page 103
Mild to moderate pain	adult	15 mg/kg	IV	not captured	standing	page 75
Mild to moderate pain	peds	15 mg/kg	IV	not captured	standing	page 75

Adenosine

Indication	Population	Dose	Route	Repeat	Standing	Source
Narrow-complex tachycardia	adult	6 mg	IV	not captured	standing	pages 49, 51, 212
Narrow-complex tachycardia	peds	0.1 mg/kg	IV	not captured	standing	pages 49, 51, 212

Albuterol

Indication	Population	Dose	Route	Repeat	Standing	Source
Asthma / bronchospasm	adult	2.5 mg	NEB	not captured	standing	page 63
Asthma / bronchospasm	peds	2.5 mg	NEB	not captured	standing	page 63
Hyperkalemia	adult	10 mg	NEB	not captured	standing	page 111

Amiodarone

Indication	Population	Dose	Route	Repeat	Standing	Source
Post-ROSC care	adult	150 mg	IV/IO	not captured	standing	page 59
Wide-complex tachycardia	adult	150 mg	IV	not captured	standing	pages 49, 51
Wide-complex tachycardia	peds	5 mg/kg	IV	not captured	standing	pages 49, 51
VF / pulseless VT	adult	300 mg	IV/IO	not captured	standing	pages 45, 47
VF / pulseless VT	peds	5 mg/kg	IV/IO	not captured	standing	pages 45, 47

Aspirin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	324 mg	PO	not captured	standing	page 41

Atropine

Indication	Population	Dose	Route	Repeat	Standing	Source
Bradycardia	adult	1 mg	IV/IO	not captured	standing	pages 53, 55, 216
Bradycardia	peds	0.02 mg/kg	IV/IO	not captured	standing	pages 53, 55, 216
Nerve agent exposure	adult	2 mg	IV/IM	not captured	standing	pages 153, 216
Nerve agent exposure	peds	0.02 mg/kg	IV/IM	not captured	standing	pages 153, 216
Other	adult	2 mg	IV	not captured	standing	pages 95, 216
Other	peds	2 mg	IV	not captured	standing	pages 95, 216

Calcium Chloride

Indication	Population	Dose	Route	Repeat	Standing	Source
Beta-blocker / calcium-channel-blocker overdose	adult	1 g	IV/IO	not captured	standing	page 94
Beta-blocker / calcium-channel-blocker overdose	peds	20 mg/kg	IV/IO	not captured	standing	page 94
Hyperkalemia	adult	1 g	IV/IO	not captured	standing	pages 111, 113
Hyperkalemia	peds	20 mg/kg	IV/IO	not captured	standing	pages 111, 113
Other	adult	1 g	IV	not captured	standing	page 186
Other	peds	20 mg/kg	IV	not captured	standing	page 186

Cefazolin

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	2 g	IV	not captured	standing	page 27
Other	peds	30 mg/kg	IV	not captured	standing	page 27
Trauma / hemorrhage	adult	2 g	IV	not captured	standing	page 27
Trauma / hemorrhage	peds	30 mg/kg	IV	not captured	standing	page 27

D–F Dexamethasone, Dextrose, Diltiazem, Diphenhydramine, Droperidol, Epinephrine, Etomidate, Fentanyl, Furosemide9

Dexamethasone

Indication	Population	Dose	Route	Repeat	Standing	Source
Respiratory distress	adult	10 mg	IV/IO/IM	not captured	standing	pages 63, 65
Respiratory distress	peds	0.6 mg/kg	IV/IO/IM	not captured	standing	pages 63, 65
Stridor	adult	0.6 mg/kg	IV/IO/IM	not captured	standing	pages 63, 65
Stridor	peds	0.6 mg/kg	IV/IO/IM	not captured	standing	pages 63, 65

Dextrose

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypoglycemia	adult	50 mL	IV/IO	q 1 minute	standing	pages 87, 89, 90
Hypoglycemia	adult	25 g	IV	not captured	standing	page 87
Hypoglycemia	peds	5 mL/kg	IV/IO	not captured	standing	pages 87, 89, 90

Diltiazem

Indication	Population	Dose	Route	Repeat	Standing	Source
Atrial fibrillation with RVR	adult	0.25 mg/kg	IV	not captured	standing	page 220
Atrial fibrillation with RVR	adult	0.25 mg/kg	IV	not captured	standing	page 220
SVT	adult	0.25 mg/kg	IV	not captured	standing	page 220

Diphenhydramine

Indication	Population	Dose	Route	Repeat	Standing	Source
Allergic reaction	adult	25 mg	IM	not captured	standing	page 117
Allergic reaction	adult	25 mg	IV/IO	not captured	standing	page 117
Allergic reaction	peds	1 mg/kg	IM	not captured	standing	page 117
Allergic reaction	peds	1 mg/kg	IV/IO	not captured	standing	page 117
Dystonic reaction	adult	25 mg	IV/IM	not captured	standing	page 97

Droperidol

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	5 mg	IM	not captured	standing	page 97
Nausea / vomiting	adult	1.25 mg	IV/IO	not captured	standing	page 99
Nausea / vomiting	adult	2.5 mg	IM	not captured	standing	page 99

Epinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	0.5 mg	IM	not captured	standing	pages 117, 119, 224, 225
Anaphylaxis	peds	0.15 mg	IM	not captured	standing	pages 117, 119, 224, 225
Bradycardia	adult	1 mcg	IV/IO	not captured	standing	pages 53, 55, 227
Bradycardia	peds	0.01 mg/kg	IV/IO	not captured	standing	pages 53, 55, 227
Cardiac arrest	adult	1 mg	IV/IO	not captured	standing	pages 45, 47, 227
Cardiac arrest	peds	0.01 mg/kg	IV/IO	not captured	standing	pages 45, 47, 227
Respiratory distress	adult	0.3 mg	IM	not captured	standing	pages 63, 65, 224, 225

Etomidate

Indication	Population	Dose	Route	Repeat	Standing	Source
RSI induction	adult	0.3 mg/kg	IV/IO	not captured	standing	page 74

Fentanyl

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	1 mcg/kg	IV	not captured	standing	pages 42, 57
Mild to moderate pain	adult	1 mcg/kg	IV/IO/IM/IN	not captured	standing	page 75
Mild to moderate pain	peds	1 mcg/kg	IV/IO/IM/IN	not captured	standing	page 75
Post-intubation sedation	adult	1 mcg/kg	IV	not captured	standing	pages 61, 74
Procedural sedation	adult	1 mcg/kg	IV	not captured	standing	page 53

Furosemide

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	40 mg	IV/IO	not captured	standing	pages 67, 231

G–L Glucagon, Heparin, Hydralazine, Hydroxocobalamin, Hypertonic Saline, Ipratropium, Ketamine, Ketorolac, Lidocaine9

Glucagon

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	1 mg	IV/IO/IM	not captured	standing	page 232
Beta-blocker / calcium-channel-blocker overdose	adult	1 mg	IV/IO/IM	not captured	standing	page 232
Hypoglycemia	adult	1 mg	IM	not captured	standing	page 87
Hypoglycemia	peds	0.5 mg	IM	not captured	standing	page 87

Heparin

Indication	Population	Dose	Route	Repeat	Standing	Source
STEMI	adult	60 unit/kg	IV	not captured	standing	pages 41, 254

Hydralazine

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	10 mg	IV	not captured	standing	pages 43, 133, 134, 233
Other	adult	5 mg	IM	not captured	standing	pages 133, 134, 233

Hydroxocobalamin

Indication	Population	Dose	Route	Repeat	Standing	Source
Cyanide poisoning	adult	5 g	IV	not captured	standing	pages 95, 234
Cyanide poisoning	peds	70 mg/kg	IV	not captured	standing	pages 95, 234

Hypertonic Saline

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	250 mL	IV/IO	not captured	standing	page 31
Other	peds	3 mL/kg	IV/IO	not captured	standing	page 31

Ipratropium

Indication	Population	Dose	Route	Repeat	Standing	Source
Asthma / bronchospasm	adult	0.5 mg	NEB	not captured	standing	page 63
Asthma / bronchospasm	peds	0.5 mg	NEB	not captured	standing	page 63

Ketamine

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	1 mg/kg	IV/IO	not captured	standing	page 97
Agitation	adult	2 mg/kg	IM	not captured	standing	page 97
Mild to moderate pain	adult	0.2 mg/kg	IV/IO	not captured	standing	page 76
Mild to moderate pain	peds	0.2 mg/kg	IV/IO	not captured	standing	page 76
Post-intubation sedation	adult	2 mg/kg	IV/IO	not captured	standing	page 74
Seizure	adult	1 mg/kg	IV/IO	not captured	standing	page 83
Seizure	adult	2 mg/kg	IM	not captured	standing	page 83
Seizure	peds	1 mg/kg	IV/IO	not captured	standing	page 83
Seizure	peds	2 mg/kg	IM	not captured	standing	page 83

Ketorolac

Indication	Population	Dose	Route	Repeat	Standing	Source
Mild to moderate pain	adult	15 mg	IV/IM	not captured	standing	pages 75, 105
Mild to moderate pain	peds	0.5 mg/kg	IV/IM	not captured	standing	pages 75, 105

Lidocaine

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	40 mg	IO	not captured	standing	pages 166, 238
Other	peds	0.5 mg/kg	IO	not captured	standing	pages 166, 238
Post-ROSC care	adult	1 g	IV/IO	not captured	standing	page 59
Wide-complex tachycardia	adult	0.5–0.75 mg/kg	IV/IO	not captured	standing	pages 49, 51
Wide-complex tachycardia	peds	1 mg/kg	IV/IO	not captured	standing	pages 49, 51
VF / pulseless VT	adult	1.5 mg/kg	IV/IO	not captured	standing	pages 45, 47
VF / pulseless VT	peds	1 mg/kg	IV/IO	not captured	standing	pages 45, 47

M–O Magnesium Sulfate, Metoprolol, Midazolam, Morphine, Naloxone, Nitroglycerin, Ondansetron, Oral Glucose, Oxytocin9

Magnesium Sulfate

Indication	Population	Dose	Route	Repeat	Standing	Source
Eclampsia / pre-eclampsia	adult	4 g	IV/IM	not captured	standing	pages 133, 135, 239
Other	adult	4 g	IV/IM	not captured	standing	pages 133, 134, 239
Respiratory distress	adult	2 g	IV/IO	not captured	standing	pages 63, 65, 239
Respiratory distress	peds	50 mg/kg	IV/IO	not captured	standing	pages 63, 65, 239
VF / pulseless VT	adult	2 g	IV	not captured	standing	pages 45, 239

Metoprolol

Indication	Population	Dose	Route	Repeat	Standing	Source
Atrial fibrillation with RVR	adult	15 mg	IV	not captured	standing	page 49
Atrial fibrillation with RVR	adult	15 mg	IV	not captured	standing	page 49
SVT	adult	15 mg	IV	not captured	standing	page 49

Midazolam

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	5 mg	IV/IO/IM/IN	not captured	standing	pages 97, 98
Alcohol withdrawal	adult	2 mg	IV/IO/IM	not captured	standing	page 94
Alcohol withdrawal	adult	5 mg	IN	not captured	standing	page 94
Other	adult	2 mg	IV	not captured	standing	page 94
Post-intubation sedation	adult	2 mg	IV/IO/IM	not captured	standing	pages 61, 74
Seizure	adult	0.1 mg/kg	IV/IO	not captured	standing	pages 83, 85
Seizure	adult	0.2 mg/kg	IM/IN	not captured	standing	pages 83, 85
Seizure	peds	0.1 mg/kg	IV/IO	not captured	standing	pages 83, 85
Seizure	peds	0.2 mg/kg	IM/IN	not captured	standing	pages 83, 85

Morphine

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	4 mg	IV/IO/IM	not captured	standing	page 75
Other	peds	0.1 mg/kg	IV/IO/IM	not captured	standing	page 75

Naloxone

Indication	Population	Dose	Route	Repeat	Standing	Source
Opioid overdose	adult	0.4 mg (max 2 mg)	IV	not captured	standing	pages 91, 93
Opioid overdose	adult	2 mg	IM	not captured	standing	pages 91, 93
Opioid overdose	adult	2 mg	IN	not captured	standing	pages 91, 93

Nitroglycerin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	0.4 mg	SL	not captured	standing	page 41
CHF / pulmonary edema	adult	0.4 mg	SL	not captured	standing	page 67
Other	adult	0.4 mg	SL	not captured	standing	page 43

Ondansetron

Indication	Population	Dose	Route	Repeat	Standing	Source
Nausea / vomiting	adult	4 mg	IV/IO/IM	not captured	standing	pages 99, 101, 246
Nausea / vomiting	adult	4 mg	ODT	not captured	standing	page 246
Nausea / vomiting	peds	2 mg	IV/IO/IM	not captured	standing	pages 99, 101, 246

Oral Glucose

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypoglycemia	adult	15 g	PO	not captured	standing	page 87
Hypoglycemia	peds	15 g	PO	not captured	standing	page 87

Oxytocin

Indication	Population	Dose	Route	Repeat	Standing	Source
Obstetric hemorrhage	adult	10 unit	IM	not captured	standing	pages 137, 248
Obstetric hemorrhage	adult	20 unit	IV	not captured	standing	pages 137, 248

P–R Pralidoxime, Rocuronium2

Pralidoxime

Indication	Population	Dose	Route	Repeat	Standing	Source
Nerve agent exposure	adult	600 mg	IV/IO/IM	not captured	standing	page 153
Nerve agent exposure	peds	25–50 mg/kg	IV/IO/IM	not captured	standing	page 153

Rocuronium

Indication	Population	Dose	Route	Repeat	Standing	Source
RSI induction	adult	1.5 mg/kg	IV/IO	not captured	standing	page 74

S–Z Sodium Bicarbonate, Succinylcholine, Tetracaine, Tranexamic Acid, Unfractioned Heparin5

Sodium Bicarbonate

Indication	Population	Dose	Route	Repeat	Standing	Source
Hyperkalemia	adult	1 mEq/kg	IV/IO	not captured	standing	pages 111, 113
Hyperkalemia	peds	1 mEq/kg	IV/IO	not captured	standing	pages 111, 113
Tricyclic overdose	adult	50 mEq	IV/IO	not captured	standing	page 95
Tricyclic overdose	peds	50 mEq	IV/IO	not captured	standing	page 95

Succinylcholine

Indication	Population	Dose	Route	Repeat	Standing	Source
RSI induction	adult	1.5 mg/kg	IV	not captured	standing	pages 74, 250

Tetracaine

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	2 drop	TOP	not captured	standing	pages 37, 169, 252

Tranexamic Acid

Indication	Population	Dose	Route	Repeat	Standing	Source
Head injury / TBI	adult	2 g	IV	not captured	standing	page 17
Head injury / TBI	peds	15 mg/kg	IV	not captured	standing	page 17
Trauma / hemorrhage	adult	2 g	IV	not captured	standing	page 17
Trauma / hemorrhage	peds	15 mg/kg	IV	not captured	standing	page 17

Unfractioned Heparin

Indication	Population	Dose	Route	Repeat	Standing	Source
STEMI	adult	60 unit/kg	IV	not captured	standing	page 41

Cite this

West Virginia Department of Health, Office of Emergency Medical Services, United States EMS Protocol Census. 140 dose entries, effective 2026-04-01.

https://protoquiz.com/census/agencies/west-virginia-department-of-health-office-of-emergency-medical-services/

Outdated or wrong? Fix or remove it All West Virginia agencies Methodology Data license Study these protocols in the app

The census is free and not for sale. Only public agencies are named.