GOP
APENDICES
Adult Protocols
PED Protocols
Telemetry Options
100

If a Patient is Under 18 But is Married They Would Be

Emancipated 

100

SLAMS With a Score of ____ and Less Goes a Primary Stroke Center 

100

AMS Adult Medic Dextrose Dose 

25G IV

100

AMS Dextrose Dose is

0.5g/kg IV (Max 25G)

100

AFib/Flutter 

Crystalloid Fluid Dose 

10 mL/kg IV 

(NO MAX) 

200

Wherever the Term "Administer Oxygen" is Used Administer Oxygen Via 

NRB at 10-15 LPM

200

A Newborn Presents With an APGAR of 4 You Would

Assists Ventilations

200

Max Dose of Crystalloid Fluid for Heat Emergences is

2  Liters 

200

Place the First Clamp Once the Baby is Delivered How Many Inches Away 

8-10 Inches From the Baby

200

Initial Cardioversion Joules for Pediatric 

0.5-1 Joules/Kg

300

Medications, Treatments, or Producers That are Within the Scope of Practice of a Providers Certification Level That Differ From Its Use in a Specific Protocol  

Discretionary Orders 

300

Burn Criteria 

2nd or 3rd Degree Burns Greater Than or Equal to _____ TBSA is Burn Center Criteria

15% 

300

Midazolam Max IV Dose for Behavioral Sedation is

5MG 

300

Cardiac Arrest Amiodarone Dose is  

5mg/kg IV

300

Metoprolol 5mg slow IV push for blood pressure greater or equal to ______  

210/120 mmHg if available 

400

Age of a Infant is Defined as 

1 Month- 1 Year 

400

CPAP Exclusions Criteria is 

Respit Failure/ Need for Immediate Advanced Airway

SBP >100 

Airway Obstruction

Trauma

AND????????  


 Facial Burn 

Aspiration Risk 

Suspected Pnuemo 

Inability to Tolerate Mask 

Inadequate Mask Seal

400

Obtain an IV for Hyperglycemia if the Patient Has the Following 

BGL >300 AND ANY of the Following AMS Tachypnea Dehydration 

BGL>500 

Reading of High or Keytones 

400

Stridor Croup Epiglottis Protocol  

Dose for Dexamethasone is  

Dex 0.6mg/kg(Max 12mg)  IV IM PO

400

Stridor Croup Ped

Methylprednisolone Dose 

1mg/kg (Max 60mg) IV IM 

500

Five IN Medications Are 

Glucagon Fentanyl Lorazepam Midazolam Naloxone Ketamine Diazepam

500

Orange Tag Criteria 

(List All That Apply) 

Respit Distress 

Chest Pain 

Bleeding Controlled With Tourniquet or Hemostatic Dressing 

Infants (Age <1) That Dont Meet Red/Black Tag 

Other Clinical Conditions Prehospital Provider Considers More Urgent   


500

Hydroxocobalamin Dose is 

5G IV Over 15 Mins Repeat if Symptoms Persist 

500

Heart Rate in Neonates is Best Assessed Where 

Abdomen or Umbilical Cord 

500

Shock Adult 

Vasopressin Dose 

0.02 Units/Min Continuous IV Infusion (Max 0.04units/min) to maintain SBP >90mmHG or Map of 65 mmHg. Titrate as needed  3-5 minutes 

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