Medication Dosages
What is the adult dosing for TXA?
2 gm IV/IO over 1-2 minutes
Which medication was added to the 2025 GMVEMSC in regards to polymorphic ventricular tachycardia?
What hospital destination type was added as preference for drowning arrest patients
Closest facility
For the purpose of transporting to appropriate behavioral health treatment facilities, patients are considered “pediatric” if they are less than ___ years old.
18
What IO site was added for 2025 protocol?
Distal Femur
What is the geriatric half dose for Ketamine during Sedate to Intubate/RSI?
You do not use half dosing for sedation purposes
What is the Epinephrine dose for pediatric patients in arrest?
(1:10,000) 0.01 mg/kg IV/IO
What capnography reading should providers attempt to achieve while ventilating ICP patients?
30 mmHG EtCO2
Apparent Life Threatening Event (ALTE) was changed to what?
Brief Resolved Unexplained Event (BRUE)
In what part of the MARCH assessment are airway adjuncts placed?
A (Airway)
What cardiac rhythm is an indication for Magnesium Sulfate?
Polymorphic Ventricular Tachycardia WITH or WITHOUT a pulse
What cardiac intervention was added in 2025 for unstable polymorphic ventricular tachycardia?
unsynchronized cardioversion
TXA will benefit patients the most if given within what timeframe?
1 hour
What is the Amiodarone dose for pediatrics in arrest?
5mg/kg IV/IO
What physician name does KHN request providers to use for ACE Alerts?
Dr. White
What is the TXA indication and dosing that requires the provider to call medical control?
Uncontrolled post-partum hemorrhage
2 gm IV/IO over 1-2 minutes
What type of heart block is NOT a contraindication for Magnesium Sulfate?
First Degree
List all contraindication of mechanical CPR listed under protocol section 3004
Injury or MOI to neck
Injury or MOI to thoracic cavity
Injury or MOI to abdominal cavity
When is TXA given to pediatric patients?
What is the dose?
In pediatric patients with uncontrolled bleeding from a recent tonsillectomy
Less than 25 kg: 250 mg, nebulized with O2 flowing at 8-10 LPM
25 kg or greater: 500 mg, nebulized with O2 flowing at 8-10 LPM
Tranexamic Acid works primarily by inhibiting what bodily function?
Fibrinolysis
What is the Magnesium Sulfate indication and dosing that requires the provider to call medical control?
Seizing pregnant/postpartum
4 gm (whole bag) with macro-drip tubing over 20 min
After the third defibrillation in pediatric ventricular arrests, what medication may be given and what dose?
(Not Amiodarone)
Lidocaine 1.0 mg/kg IV or IO (max first dose 100 mg)
List all signs of cerebral herniation listed under protocol section 3013
Decreased Mental Status
Dilated or Unresponsive Pupils
Bradycardia
Hypertension
Posturing
Pediatric patients may assist be given honey (assist the caregiver) for ingesting what substance?
How old must the pediatric patient be?
Lithium Ion Batteries (Button Batteries)
12 months old or older
What is the expected MAP of an LVAD patient?
65-90 mmHG