Utah County EMS Meds

Cardiac

100

Amiodarone

A: 300, 150

P: 5mg/kg

200

Adenosine

A: 6mg, 12mg

P: 0.1mg/kg, .2mg/kg

Rapid Boluses 

300

Epi 1:10

A: 1mg

P: 0.01mg/kg

Max- 3 doses

400

Lidocaine

A: 1-1.5mg/kg

- repeat 0.5-0.75mg/kg

P: 1mg/kg

500

Aspirin

A: 324mg

P: not indicated for peds

600

Atropine

A: 1mg

P: 0.02mg/kg

Bonus: 2mg IV for organophosphate poisonings

700

Nitroglycerin

A: 0.4-1.2 (1-3 tablets)

SBP >100

General Meds

100

Ondansetron/ Zofran

Adult dose: 4-8mg

Peds dose: .1mg/kg

200

Phenergan/ Promethazine

A: 12.5-25mg IV diluted in at least 10cc

IM- 25mg

- AC or larger vessel

- SBP >100

300

Pitocin/ Oxytocin

10 units IM 

Followed by IV/IO infusion of 40units in 1L NS (200mL/hr (8units/hr))

400

Glucagon

A: 1mg IM (may repeat once)

P: 0.01mg/kg (max 1mg)

500

Albuterol

A: 2.5mg/3cc

P: 2.5mg/3cc

600

Epi 1:1

Indication and dosage

Anaphylaxis and Asthma

A: .3-.5mg IM

P: 0.01mg/kg IM (max 0.3mg)

Stridor-2ml in 3cc NS- nebulized

700

Ipratropium/ DuoNeb

A: 0.5mg nebulized

P: 

5+yrs- 0.5mg

<5yrs- 0.25mg

<1yr- albuterol

General meds

100

Diphenhydramine/ Benedryl

A: 1mg/kg IV/IM (max 50mg) 

P: 1mg/kg

200

Haldol/ Halperidol

A: 

IV- 2-5mg 

IM- 5-10mg

P: not in cogs 

300

Epi 1/100,000 (push dose epi/drip)

A: IV/IO

Push dose: 10-20mcg as needed

Epi drip: 0.05-1mcg/kg/min

Maintain SBP>100

P: 0.05-1mcg/kg/min

maintain SBP>70+ (age in years x2) mmHg

400

Tylenol/ Acetaminophen 

A- 500-1000mg oral

P- 15mg/kg oral (max 650mg)

500

Motrin/ Ibuprofen

A: 600mg oral

P: 10mg/kg oral (600 max)

600

Transexamic Acid (TXA) 

A: 2g in 100mL NS over 10 mins

-Postpartum: 1g IV over 10 mins

P: 15mg/kg in 100mL over 10min (?)

700

Ketorlac/ Toradol

A: 15mg IV/IO

P Ages 2+: 0.5mg/kg IV (15mg max) 

(single doses only)

Narcotics

100

Morphine

A: 4-10mg

P: .1mg/kg

200

Fentanyl 

A: 25-50mcg (1-2mcg/kg)  (max 100mcg)

P: 0.5-1mcg/kg (max 50mcg) IV/IM

- IN: 2mcg/kg

300

Ketamine

A: 

Pain- 40mg/ 100cc over 10 mins or 10mg boluses

Sedation- 4mg/kg IM, 1mg/kg IV

P:

Pain-

Sedation- 3mg/kg IM

400

Midazolam/ Versed

A: 

Sedation- 2.5-5 IV, 5-IM/IN (Max 10mg)

P:

Sedation-0.1mg/kg (max 5mg) IV

IM/IN: 0.2mg/kg (max 5mg/bolus, total max-10mg)

700

Bonus! What medication is a benzo antagonist? 

Romazicon/ Flumazenil 

H's and T's

100

Narcan Dose

A: 0.4-2mg

P: 0.1mg/kg

IV/IM/IN/

200

Calcium 

Dose and indications

A: 1g- may repeat once after 5 mins (max 2g)

P: 20mg/kg- repeat 10 mins (max 1g)

IV/IO

Indications: hyperkalemia, CCB OD, BB OD, crush syndrome with EKG changes, hypermagnesium

300

Magnesium 

Indications and dosage

A: Eclamptic seizures: 5g IV in 100cc over 4 mins

Torsades: 2g IV over 1 minute

Asthma: 2g in 100cc over 20 mins

P: 50mg/kg (max 2g) in 100cc over 20 mins

400

Normal Saline

A: 500mL-1L IV/IO

P: 20mL/kg

Cardiac- 1/2 doses (10ml/kg)

500

Sodium Bicarbonate

Indication and dosage

A: 1mEq/kg 

- HR>120, QRS>0.10, hypotension unresponsive to fluids, dysrhythmias

P: 1mEq/kg (crush) 

- contact OLMC for tricyclic OD's

Indications:

Tricyclic antidepressant OD, Crush syndrome/ prolonged downtime w/ cardiac changes

600

Dextrose

Oral- A: 15g. P: 7.5g

D10-

A: 12.5g IV

P: 5mL/kg (0.5mg/kg)

700

Bonus! Name all the H's and T's

Hypoglycemia, Hypothermia, Hypovolemia, Hypoxia, Hydrogen Ions, Hyper/hypokalemia 

Thrombus (coronary, pulmonary), Tension pneumo, Tamponade, Toxins, Trauma