2021 EMS Medications

Medications

acetaminophen

Oral
Mild Pain or Fever > 100.4^oF / 38^oC
Conc: 650 mg in 20.3 ml or 160 mg in 5 ml
Dose: *10 mg/kg*
For patients older than 6 months who are able to take PO

lbs	Kg	Dose	Volume	lbs	Kg	Dose	Volume
	3	30 mg	1 ml		20	200 mg	6.3 ml
	4	40 mg	1.3 ml		22	1.3 mg	6.9 ml
	5	50 mg	1.6 ml		24	240 mg	7.6 ml
	6	60 mg	1.9 ml		26	280 mg	8.2 ml
	7	70 mg	2.2 ml		28	280 mg	8.8 ml
	8	80 mg	2.5 ml		30	300 mg	9.4 ml
	9	90 mg	2.8 ml		32	320 mg	10 ml
	10	100 mg	3.2 ml		34	340 mg	10.6 ml
	11	110 mg	3.4 ml		36	360 mg	11.2 ml
	12	120 mg	3.8 ml	84	38	380 mg	11.8 ml
	13	130 mg	4 ml	88	40	400 mg	12 ml
	14	140 mg	4.4 ml	97	44	440 mg	14 ml
	15	150 mg	4.6 ml	106	48	480 mg	15 ml
	16	160 mg	5 ml	114	52	520 mg	16 ml
	17	170 mg	5.4 ml	123	56	560 mg	17 ml
	18	180 mg	5.6 ml	132	60	600 mg	19 ml
	19	190 mg	6 ml	Use adult dose if > 60 kg

Indianapolis EMS

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V1.08

adenosine
1^st dose

PEDs - Rapid IVP
Symptomatic Tachycardia
Conc: *6 mg in 2 ml (or 12 mg in 4 ml)*
1^st Dose: 0.1 mg/kg
FOLLOW PUSH WITH RAPID IV FLUSH
Max Single 1^st Dose: 6 mg	FOR FIRST DOSE ONLY

	*Dose and Volume Listed for 1^st dose only*
lbs	Kg	Dose	Volume	lbs	Kg	Dose	Volume
	3	0.3 mg	0.1 ml		20	2.1 mg	0.7 ml
	4	0.3mg	0.1 ml		22	2.1 mg	0.7 ml
	5	0.6 mg	0.2 ml		24	2.4 mg	0.8 ml
	6	0.6 mg	0.2 ml		26	2.7 mg	0.9 ml
	7	0.6 mg	0.2 ml		28	2.7 mg	0.9 ml
	8	0.9 mg	0.3 ml		30	3 mg	1 ml
	9	0.9 mg	0.3 ml		32	3.3 mg	1.1 ml
	10	0.9 mg	0.3 ml		34	3.3 mg	1.1 ml
	11	1.2 mg	0.4 ml		36	3.6 mg	1.2 ml
	12	1.2 mg	0.4 ml	84	38	3.9 mg	1.3 ml
	13	1.2 mg	0.4 ml	88	40	3.9 mg	1.3 ml
	14	1.5 mg	0.5 ml	97	44	4.5 mg	1.5 ml
	15	1.5 mg	0.5 ml	106	48	4.8 mg	1.6 ml
	16	1.5 mg	0.5 ml	114	52	5.1 mg	1.7 ml
	17	1.8 mg	0.6 ml	123	56	5.7 mg	1.9 ml
	18	1.8 mg	0.6 ml	132	60	6 mg	2 ml
	19	1.8 mg	0.6 ml	Use adult dosing if > 60 kg)
	*Dose and Volume Listed for 1^st dose only*

Note: Some volumes are rounded for ease of administration

Indianapolis EMS

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V1.08

adenosine
2^nd dose

PEDs - Rapid IVP
Symptomatic Tachycardia
Conc: *6 mg in 2 ml (or 12 mg in 4 ml)*
2^nd Dose: 0.2 mg/kg
FOLLOW PUSH WITH RAPID IV FLUSH
Max Single 1^st Dose: 6 mg	FOR FIRST DOSE ONLY

	*Dose and Volume Listed for 2^nd dose only*
lbs	Kg	Dose	Volume	lbs	Kg	Dose	Volume
	3	0.6 mg	0.2 ml		20	3.9 mg	1.3 ml
	4	0.9 mg	0.3 ml		22	4.5 mg	1.5 ml
	5	0.9 mg	0.3 ml		24	4.8 mg	1.6 ml
	6	1.2 mg	0.4 ml		26	5.1 mg	1.7 ml
	7	1.5 mg	0.5 ml		28	5.7 mg	1.9 ml
	8	1.5 mg	0.5 ml		30	6 mg	2 ml
	9	1.8 mg	0.6 ml		32	6.3 mg	2.1 ml
	10	2.1 mg	0.7 ml		34	6.9 mg	2.3 ml
	11	2.1 mg	0.7 ml		36	7.2 mg	2.4 ml
	12	2.4 mg	0.8 ml	84	38	7.5 mg	2.5 ml
	13	2.7 mg	0.9 ml	88	40	8.1 mg	2.7 ml
	14	2.7 mg	0.9 ml	97	44	8.7 mg	2.9 ml
	15	3 mg	1 ml	106	48	9.6 mg	3.2 ml
	16	3.3 mg	1.1 ml	114	52	10.2 mg	3.4 ml
	17	3.3 mg	1.1 ml	123	56	11.4 mg	3.8 ml
	18	3.6 mg	1.2 ml	132	60	12 mg	4 ml
	19	3.9 mg	1.3 ml	Use adult dosing if > 60 kg)
	*Dose and Volume Listed for 2^nd dose only*

Note: Some volumes are rounded for ease of administration

Indianapolis EMS

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V1.08

amiodarone

PEDs - IV / IO

Cardiac Arrest - Refractory VF/VT

Conc:150 mg in 3 ml

Dose:5 mg/kg

(Single dose ONLY)

lbs	Kg	Dose	Volume	lbs	Kg	Dose	Volume
	3	15 mg	0.3 ml		20	100 mg	2 ml
	4	20 mg	0.4 ml		22	110 mg	2.2 ml
	5	25 mg	0.5 ml		24	120 mg	2.4 ml
	6	30 mg	0.6 ml		26	130 mg	2.6 ml
	7	35 mg	0.7 ml		28	140 mg	2.8 ml
	8	40 mg	0.8 ml		30	150 mg	3 ml
	9	45 mg	0.9 ml		32	160 mg	3.2 ml
	10	50 mg	1 ml		34	170 mg	3.4 ml
	11	55 mg	1.1 ml		36	180 mg	3.6 ml
	12	60 mg	1.2 ml	84	38	190 mg	3.8 ml
	13	65 mg	1.3 ml	88	40	200 mg	4 ml
	14	70 mg	1.4 ml	97	44	220 mg	4.4 ml
	15	75 mg	1.5 ml	106	48	240 mg	4.8 ml
	16	80 mg	1.6 ml	114	52	260 mg	5.2 ml
	17	85 mg	1.7 ml	123	56	280 mg	5.6 ml
	18	90 mg	1.8 ml	132	60	300 mg	6 ml
	19	95 mg	1.9 ml	If > 60 kg use 6 ml

Indianapolis EMS

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V1.08

atropine

PEDs - IV / IO
Bradycardia (2^o to Vagal Response or 1^o AV Block)
Conc: *1 mg in 10 ml*
Dose: *0.02 mg/kg*
Min Single Dose: 0.1 mg
Max Single Dose: 0.5 mg	Max Protocol Dose: Can repeat x 1

lbs	Kg	Dose	Volume	lbs	Kg	Dose	Volume
	3	0.1 mg	1 ml		20	0.4 mg	4 ml
	4	0.1 mg	1 ml		22	0.44 mg	4.4 ml
	5	0.1 mg	1 ml		24	0.48 mg	4.8 ml
	6	0.12 mg	1.2 ml		26	0.5 mg	5 ml
	7	0.14 mg	1.4 ml		28	0.5 mg	5 ml
	8	0.16 mg	1.6 ml		30	0.5 mg	5 ml
	9	0.18 mg	1.8 ml		32	0.5 mg	5 ml
	10	0.2 mg	2 ml		34	0.5 mg	5 ml
	11	0.22 mg	2.2 ml		36	0.5 mg	5 ml
	12	0.24 mg	2.4 ml	84	38	0.5 mg	5 ml
	13	0.26 mg	2.6 ml	88	40	0.5 mg	5 ml
	14	0.28 mg	2.8 ml	97	44	0.5 mg	5 ml
	15	0.3 mg	3 ml	106	48	0.5 mg	5 ml
	16	0.32 mg	3.2 ml	114	52	0.5 mg	5 ml
	17	0.34 mg	3.4 ml	123	56	0.5 mg	5 ml
	18	0.36 mg	3.6 ml	132	60	0.5 mg	5 ml
	19	0.38 mg	3.8 ml	If > 60 kg use 5 ml

Indianapolis EMS

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V1.08

calcium chloride 10%

PEDs - IV / IO
Calcium Channel Blocker OD
Conc: *1 g in 10 ml*
Dose: *0.2 ml/kg*
Max Single Dose: 1 gram

lbs	Kg	Dose	Volume	lbs	Kg	Dose	Volume
	3	60 mg	0.6 ml		20	400 mg	4 ml
	4	80 mg	0.8 ml		22	440 mg	4.4 ml
	5	100 mg	1 ml		24	480 mg	4.8 ml
	6	120 mg	1.2 ml		26	520 mg	5.2 ml
	7	140 mg	1.4 ml		28	560 mg	5.6 ml
	8	160 mg	1.6 ml		30	600 mg	6 ml
	9	180 mg	1.8 ml		32	640 mg	6.4 ml
	10	200 mg	2 ml		34	680 mg	6.8 ml
	11	220 mg	2.2 ml		36	720 mg	7.2 ml
	12	240 mg	2.4 ml	84	38	760 mg	7.6 ml
	13	260 mg	2.6 ml	88	40	800 mg	8 ml
	14	280 mg	2.8 ml	97	44	880 mg	8.8 ml
	15	300 mg	3 ml	106	48	960 mg	9.6 ml
	16	320 mg	3.2 ml	114	52	1 g	10 ml
	17	340 mg	3.4 ml	123	56	1 g	10 ml
	18	360 mg	3.6 ml	132	60	1 g	10 ml
	19	380 mg	3.8 ml	If > 60 kg use 10 ml

Indianapolis EMS

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V1.08

dextrose 10%

PEDs - IV / IO
Hypoglycemia Neonates < 40 mg/dl Peds < 60 mg/dl
Dose: *5 ml/kg*
Max Single Dose: 100 ml

lbs	Kg	Dose	Volume	lbs	Kg	Dose	Volume
	3	1.5 g	15 ml		20	10 g	100 ml
	4	2 g	20 ml		22	10 g	100 ml
	5	2.5 g	25 ml		24	10 g	100 ml
	6	3 g	30 ml		26	10 g	100 ml
	7	3.5 g	35 ml		28	10 g	100 ml
	8	4 g	40 ml		30	10 g	100 ml
	9	4.5 g	45 ml		32	10 g	100 ml
	10	5 g	50 ml		34	10 g	100 ml
	11	5.5 g	55 ml		36	10 g	100 ml
	12	6 g	60 ml	If > 36 kg use 200 ml
	13	6.5 g	65 ml
	14	7 g	70 ml
	15	7.5 g	75 ml
	16	8 g	80 ml
	17	8.5 g	85 ml
	18	9 g	90 ml
	19	9.5 g	95 ml

If hypoglycemia persists, contact Medical Control for additonal orders.

Indianapolis EMS

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V1.08

dextrose 25%
for children > 30 days old

PEDs - IV / IO
Hypoglycemia Peds < 60 mg/dl
Dose: 2 ml/kg
SEE D10 for NEONATES (< 30 Days old)
Max Single Dose: 50 ml

lbs	Kg	Dose	Volume	lbs	Kg	Dose	Volume
	Use D₁₀ for Neonates				20	10 g	40 ml
	Use D₁₀ for Neonates				22	11 g	44 ml
	5	2.5 g	10 ml		24	12 g	48 ml
	6	3 g	12 ml		26	12.5 g	50 ml
	7	3.5 g	14 ml		28	12.5 g	50 ml
	8	4 g	16 ml		30	12.5 g	50 ml
	9	4.5 g	18 ml		32	12.5 g	50 ml
	10	5 g	20 ml		34	12.5 g	50 ml
	11	5.5 g	22 ml		36	12.5 g	50 ml
	12	6 g	24 ml	If > 36 kg use 50 ml
	13	6.5 g	26 ml	If > 36 kg use 50 ml
	14	7 g	28 ml
	15	7.5 g	30 ml	To create D₂₅ Add 25 ml of NS to 25 ml of D₅₀
	16	8 g	32 ml
	17	8.5 g	34 ml
	18	9 g	36 ml
	19	9.5 g	38 ml

Indianapolis EMS

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V1.08

dextrose 50%
for children > 1 y/o

PEDs - IV / IO
Hypoglycemia Peds < 60 mg/dl
Dose: *1 ml/kg*
Max Single Dose: 25 ml

lbs	Kg	Dose	Volume	lbs	Kg	Dose	Volume
	Use D₁₀ for Neonates Use D₁₀ or D₂₅ for infants.				20	10 g	20 ml
					22	11 g	22 ml
					24	12 g	24 ml
					26	12.5 g	25 ml
					28	12.5 g	25 ml
	8	4 g	8 ml		30	12.5 g	25 ml
	9	4.5 g	9 ml		32	12.5 g	25 ml
	10	5 g	10 ml		34	12.5 g	25 ml
	11	5.5 g	11 ml		36	12.5 g	25 ml
	12	6 g	12 ml	If > 36 kg use 50 ml
	13	6.5 g	13 ml
	15	7.5 g	15 ml
	16	8 g	16 ml
	17	8.5 g	17 ml
	18	9 g	18 ml
	19	9.5 g	19 ml

Indianapolis EMS

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V1.08

diphenhydramine

PEDs - IV / IO / IM
Allergic Reaction
Conc: *50 mg in 1 ml*
Dose: *0.5 mg/kg*
Max Single Dose: 50 mg

lbs	Kg	Dose	Volume	lbs	Kg	Dose	Volume
	3	2.5 mg	0.05 ml		20	10 mg	0.2 ml
	4	2.5 mg	0.05 ml		22	10 mg	0.2 ml
	5	2.5 mg	0.05 ml		24	12.5 mg	0.25 ml
	6	2.5 mg	0.05 ml		26	12.5 mg	0.25 ml
	7	5 mg	0.1 ml		28	15 mg	0.3 ml
	8	5 mg	0.1 ml		30	15 mg	0.3 ml
	9	5 mg	0.1 ml		32	15 mg	0.3 ml
	10	5 mg	0.1 ml		34	17.5 mg	0.35 ml
	11	5 mg	0.1 ml		36	17.5 mg	0.35 ml
	12	5 mg	0.1 ml	84	38	20 mg	0.4 ml
	13	7.5 mg	0.15 ml	88	40	20 mg	0.4 ml
	14	7.5 mg	0.15 ml	97	44	22.5 mg	0.45 ml
	15	7.5 mg	0.15 ml	106	48	25 mg	0.5 ml
	16	7.5 mg	0.15 ml	114	52	25 mg	0.5 ml
	17	7.5 mg	0.15 ml	123	56	30 mg	0.6 ml
	18	10 mg	0.2 ml	132	60	30 mg	0.6 ml
	19	10 mg	0.2 ml	Use adult dosing if > 60 kg

Indianapolis EMS

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V1.08

epinephrine 1:1,000

PEDs - IM
Allergic Reaction
Conc: *1 mg in 1 ml*
Dose: *0.01 mg/kg*
Max Single Dose: 0.3 mg

lbs	Kg	Dose	Volume	lbs	Kg	Dose	Volume
	3	0.05 mg	0.05 ml		20	0.2 mg	0.2 ml
	4	0.05 mg	0.05 ml		22	0.2 mg	0.2 ml
	5	0.05 mg	0.05 ml		24	0.2 mg	0.2 ml
	6	0.1 mg	0.1 ml		26	0.3 mg	0.3 ml
	7	0.1 mg	0.1 ml		28	0.3 mg	0.3 ml
	8	0.1 mg	0.1 ml		30	0.3 mg	0.3 ml
	9	0.1 mg	0.1 ml		32	0.3 mg	0.3 ml
	10	0.1 mg	0.1 ml		34	0.3 mg	0.3 ml
	11	0.15 mg	0.15 ml		36	0.3 mg	0.3 ml
	12	0.15 mg	0.15 ml	84	38	0.3 mg	0.3 ml
	13	0.15 mg	0.15 ml	88	40	0.3 mg	0.3 ml
	14	0.15 mg	0.15 ml	97	44	0.3 mg	0.3 ml
	15	0.15 mg	0.15 ml	106	48	0.3 mg	0.3 ml
	16	0.2 mg	0.2 ml	114	52	0.3 mg	0.3 ml
	17	0.2 mg	0.2 ml	123	56	0.3 mg	0.3 ml
	18	0.2 mg	0.2 ml	132	60	0.3 mg	0.3 ml
	19	0.2 mg	0.2 ml	Use adult dosing if > 60 kg

Indianapolis EMS

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V1.08

epinephrine 1:10,000

PEDs - IV / IO
Cardiac Arrest / Bradycardia
Conc: *1 mg in 10 ml*
Dose: *0.01 mg/kg*
Max Single Dose: 1 mg

lbs	Kg	Dose	Volume	lbs	Kg	Dose	Volume
	3	0.03 mg	0.3 ml		20	0.2 mg	2 ml
	4	0.04 mg	0.4 ml		22	0.22 mg	2.2 ml
	5	0.05 mg	0.5 ml		24	0.24 mg	2.4 ml
	6	0.06 mg	0.6 ml		26	0.26 mg	2.6 ml
	7	0.07 mg	0.7 ml		28	0.28 mg	2.8 ml
	8	0.08 mg	0.8 ml		30	0.3 mg	3 ml
	9	0.09 mg	0.9 ml		32	0.32 mg	3.2 ml
	10	0.1 mg	1 ml		34	0.34 mg	3.4 ml
	11	0.11 mg	1.1 ml		36	0.36 mg	3.6 ml
	12	0.12 mg	1.2 ml	84	38	0.38 mg	3.8 ml
	13	0.13 mg	1.3 ml	88	40	0.4 mg	4 ml
	14	0.14 mg	1.4 ml	97	44	0.44 mg	4.4 ml
	15	0.15 mg	1.5 ml	106	48	0.48 mg	4.8 ml
	16	0.16 mg	1.6 ml	114	52	0.52 mg	5.2 ml
	17	0.17 mg	1.7 ml	123	56	0.56 mg	5.6 ml
	18	0.18 mg	1.8 ml	132	60	0.6 mg	6 ml
	19	0.19 mg	1.9 ml	Use adult dosing if > 60 kg

Indianapolis EMS

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V1.08

fentanyl IV / IO

PEDs - IV/IO
Severe Pain
Conc: *100 mcg in 2 ml*
Dose: *1 mcg/kg*

Max Single Dose: 100 mcg	Can repeat twice at 5 min intervals

Note: Some volumes are rounded for ease of administration

lbs	Kg	Dose	Volume	lbs	Kg	Dose	Volume
	3	2.5 mcg	0.05 ml		20	20 mcg	0.4 ml
	4	5 mcg	0.1 ml		22	20 mcg	0.4 ml
	5	5 mcg	0.1 ml		24	25 mcg	0.5 ml
	6	5 mcg	0.1 ml		26	25 mcg	0.5 ml
	7	5 mcg	0.1 ml		28	30 mcg	0.6 ml
	8	10 mcg	0.2 ml		30	30 mcg	0.6 ml
	9	10 mcg	0.2 ml		32	30 mcg	0.6 ml
	10	10 mcg	0.2 ml		34	35 mcg	0.7 ml
	11	10 mcg	0.2 ml		36	35 mcg	0.7 ml
	12	10 mcg	0.2 ml	84	38	40 mcg	0.8 ml
	13	15 mcg	0.3 ml	88	40	40 mcg	0.8 ml
	14	15 mcg	0.3 ml	97	44	45 mcg	0.9 ml
	15	15 mcg	0.3 ml	106	48	50 mcg	1 ml
	16	15 mcg	0.3 ml	114	52	50 mcg	1 ml
	17	15 mcg	0.3 ml	123	56	50 mcg	1 ml
	18	20 mcg	0.4 ml	132	60	50 mcg	1 ml
	19	20 mcg	0.4 ml	Use adult dosing if > 60 kg

Indianapolis EMS

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V1.08

fentanyl IN

PEDs - INTRANASAL DOSE
Severe Pain
Conc: *100 mcg in 2 ml*
Dose: *1-2 mcg/kg (Intranasal Dose Only)*

Max Single Dose: 100 mcg	Can repeat twice at 5 min intervals

Note: Some volumes are rounded for ease of administration

lbs	Kg	Dose	Volume	lbs	Kg	Dose	Volume
	3	5 mcg	0.1 ml		20	40 mcg	0.8 ml
	4	10 mcg	0.2 ml		22	50 mcg	0.9 ml
	5	10 mcg	0.2 ml		24	50 mcg	1 ml
	6	10 mcg	0.2 ml		26	50 mcg	1 ml
	7	15 mcg	0.3 ml		28	50 mcg	1.1 ml
	8	15 mcg	0.3 ml		30	60 mcg	1.2 ml
	9	20 mcg	0.4 ml		32	65 mcg	1.3 ml
	10	20 mcg	0.4 ml		34	70 mcg	1.4 ml
	11	20 mcg	0.4 ml		36	70 mcg	1.4 ml
	12	25 mcg	0.5 ml	84	38	75 mcg	1.5 ml
	13	25 mcg	0.5 ml	88	40	80 mcg	1.6 ml
	14	30 mcg	0.6 ml	97	44	90 mcg	1.8 ml
	15	30 mcg	0.6 ml	106	48	95 mcg	1.9 ml
	16	30 mcg	0.6 ml	114	52	100 mcg	2 ml
	17	35 mcg	0.7 ml	123	56	100 mcg	2 ml
	18	35 mcg	0.7 ml	132	60	100 mcg	2 ml
	19	40 mcg	0.8 ml	Use adult dosing if > 60 kg

Caution: 2 mcg/kg dose listed. Half volume for 1 mcg/kg

Indianapolis EMS

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V1.08

glucagon
hypglycemia

PEDs - IM / IN
Hypoglycemia
Conc: *1 mg in 1 ml*
Dose: < 20 kg --> 0.5 mg > 20 kg --> 1 mg
Max Single Dose: 1 mg

lbs	Kg	Dose	Volume	lbs	Kg	Dose	Volume
	3	0.5 mg	0.5 ml		20	1 mg	1 ml
	4				22
	5				24
	6				26
	7				28
	8				30
	9				32
	10				34
	11				36
	12			84	38
	13			88	40
	14			97	44
	15			106	48
	16			114	52
	17			123	56
	18			132	60
	19			> 132	> 60

Indianapolis EMS

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V1.08

glucagon
beta blocker OD

PEDs - IV / IO
Beta Blocker OD
Conc: *1 mg in 1 ml*
Dose: *50 mcg/kg slow IVP*
Max Single Dose: 3 mg

lbs	Kg	Dose	Volume	lbs	Kg	Dose	Volume
	3	0.15 mg	0.15 ml		20	1 mg	1 ml
	4	0.2 mg	0.2 ml		22	1.1 mg	1.1 ml
	5	0.25 mg	0.25 ml		24	1.2 mg	1.2 ml
	6	0.3 mg	0.3 ml		26	1.3 mg	1.3 ml
	7	0.35 mg	0.35 ml		28	1.4 mg	1.4 ml
	8	0.4 mg	0.4 ml		30	1.5 mg	1.5 ml
	9	0.45 mg	0.45 ml		32	1.6 mg	1.6 ml
	10	0.5 mg	0.5 ml		34	1.7 mg	1.7 ml
	11	0.55 mg	0.55 ml		36	1.8 mg	1.8 ml
	12	0.6 mg	0.6 ml	84	38	1.9 mg	1.9 ml
	13	0.65 mg	0.65 ml	88	40	2 mg	2 ml
	14	0.7 mg	0.7 ml	97	44	2.2 mg	2.2 ml
	15	0.75 mg	0.75 ml	106	48	2.4 mg	2.4 ml
	16	0.8 mg	0.8 ml	114	52	2.6 mg	2.6 ml
	17	0.85 mg	0.85 ml	123	56	2.8 mg	2.8 ml
	18	0.9 mg	0.9 ml	132	60	3 mg	3 ml
	19	0.95 mg	0.95 ml	If > 60 kg use 3 ml

Indianapolis EMS

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V1.08

methylprednisolone

PEDs - IV only
Asthma with second nebulizer treatment
Conc: *125 mg in 2 ml*
Dose: *2 mg/kg*
FOR CHILDREN > 2 YEARS OF AGE

lbs	Kg	Dose	Volume	lbs	Kg	Dose	Volume
	For Children 2 Years or Older				20	41 mg	0.65 ml
					22	44 mg	0.7 ml
					24	50 mg	0.8 ml
					26	53 mg	0.85 ml
					28	56 mg	0.9 ml
					30	63 mg	1 ml
					32	63 mg	1 ml
	10	19 mg	0.3 ml		34	69 mg	1.1 ml
	11	22 mg	0.35 ml		36	75 mg	1.2 ml
	12	25 mg	0.4 ml	84	38	75 mg	1.2 ml
	13	25 mg	0.4 ml	88	40	81 mg	1.3 ml
	14	28 mg	0.45 ml	97	44	88 mg	1.4 ml
	15	31 mg	0.5 ml	106	48	94 mg	1.5 ml
	16	31 mg	0.5 ml	114	52	106 mg	1.7 ml
	17	34 mg	0.55 ml	123	56	113 mg	1.8 ml
	18	38 mg	0.6 ml	132	60	119 mg	1.9 ml
	19	38 mg	0.6 ml	Use adult dosing if > 60 kg

Indianapolis EMS

Open ResourcesConistent with 2021 Indianapolis Metro Area EMS Protocols

V1.08

midazolam IV/IO

PEDs - IV / IO / IM / IN
Seizure
Conc: 5 mg in 1 ml or 10 mg in 2 ml
Dose: *0.1 mg/kg*

Max Single Dose: 5 mg	May repeat once after 5 min

Note: Some volumes are rounded for ease of administration

lbs	Kg	Dose	Volume	lbs	Kg	Dose	Volume
	3	0.5 mg	0.1 ml		20	2 mg	0.4 ml
	4	0.5 mg	0.1 ml		22	2 mg	0.4 ml
	5	0.5 mg	0.1 ml		24	2.5 mg	0.5 ml
	6	0.5 mg	0.1 ml		26	2.5 mg	0.5 ml
	7	0.5 mg	0.1 ml		28	3 mg	0.6 ml
	8	1 mg	0.2 ml		30	3 mg	0.6 ml
	9	1 mg	0.2 ml		32	3 mg	0.6 ml
	10	1 mg	0.2 ml		34	3.5 mg	0.7 ml
	11	1 mg	0.2 ml		36	3.5 mg	0.7 ml
	12	1 mg	0.2 ml	84	38	4 mg	0.8 ml
	13	1.5 mg	0.3 ml	88	40	4 mg	0.8 ml
	14	1.5 mg	0.3 ml	97	44	4.5 mg	0.9 ml
	15	1.5 mg	0.3 ml	106	48	5 mg	1 ml
	16	1.5 mg	0.3 ml	114	52	5 mg	1 ml
	17	1.5 mg	0.3 ml	123	56	5 mg	1 ml
	18	2 mg	0.4 ml	132	60	5 mg	1 ml
	19	2 mg	0.4 ml	If > 60 kg use 1 ml

Indianapolis EMS

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V1.08

midazolam IN/IM

PEDs - IM / IN
Seizure
Conc: *5 mg in 1 ml*
Dose: *0.2 mg/kg*

Max Single Dose: 5 mg	May repeat once after 5 min

Note: Some volumes are rounded for ease of administration

lbs	Kg	Dose	Volume	lbs	Kg	Dose	Volume
	3	0.5 mg	0.1 ml		20	4 mg	0.8 ml
	4	1 mg	0.2 ml		22	4.5 mg	0.9 ml
	5	1 mg	0.2 ml		24	5 mg	1 ml
	6	1 mg	0.2 ml		26	5 mg	1 ml
	7	1.5 mg	0.3 ml		28	5 mg	1 ml
	8	1.5 mg	0.3 ml		30	5 mg	1 ml
	9	2 mg	0.4 ml		32	5 mg	1 ml
	10	2 mg	0.4 ml		34	5 mg	1 ml
	11	2 mg	0.4 ml		36	5 mg	1 ml
	12	2.5 mg	0.5 ml	84	38	5 mg	1 ml
	13	2.5 mg	0.5 ml	88	40	6 mg	1 ml
	14	3 mg	0.6 ml	97	44	5 mg	1 ml
	15	3 mg	0.6 ml	106	48	5 mg	1 ml
	16	3 mg	0.6 ml	114	52	5 mg	1 ml
	17	3.5 mg	0.7 ml	123	56	5 mg	1 ml
	18	3.5 mg	0.7 ml	132	60	5 mg	1 ml
	19	4 mg	0.8 ml	If > 60 kg use 1 ml

Indianapolis EMS

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V1.08

naloxone

PEDs - IV / IO /IN
Respiratory Depression
Conc: *1 mg in 1 ml*
Dose: *0.1 mg/kg*

lbs	Kg	Dose	Volume	lbs	Kg	Dose	Volume
	3	0.3 mg	0.3 ml		20	2 mg	2 ml
	4	0.4 mg	0.4 ml		22	2 mg	2 ml
	5	0.5 mg	0.5 ml		24	2 mg	2 ml
	6	0.6 mg	0.6 ml		26	2 mg	2 ml
	7	0.7 mg	0.7 ml		28	2 mg	2 ml
	8	0.8 mg	0.8 ml		30	2 mg	2 ml
	9	0.9 mg	0.9 ml		32	2 mg	2 ml
	10	1 mg	1 ml		34	2 mg	2 ml
	11	1.1 mg	1.1 ml		36	2 mg	2 ml
	12	1.2 mg	1.2 ml	84	38	2 mg	2 ml
	13	1.3 mg	1.3 ml	88	40	2 mg	2 ml
	14	1.4 mg	1.4 ml	97	44	2 mg	2 ml
	15	1.5 mg	1.5 ml	106	48	2 mg	2 ml
	16	1.6 mg	1.6 ml	114	52	2 mg	2 ml
	17	1.7 mg	1.7 ml	123	56	2 mg	2 ml
	18	1.8 mg	1.8 ml	132	60	2 mg	2 ml
	19	1.9 mg	1.9 ml	Use adult dosing if > 60 kg

Indianapolis EMS

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V1.08

ondansetron

PEDs - IV / ODT*
Nausea
Conc: *4 mg in 2 ml*
Dose: *0.1 mg/kg*
*Use appropriate tablet proportion for ODT

lbs	Kg	Dose	Volume	lbs	Kg	Dose	Volume
	3	0.3 mg	0.15 ml		20	2 mg	1 ml
	4	0.4 mg	0.2 ml		22	2.2 mg	1.1 ml
	5	0.5 mg	0.25 ml		24	2.54mg	1.2 ml
	6	0.6 mg	0.3 ml		26	2.6 mg	1.3 ml
	7	0.7 mg	0.35 ml		28	2.8 mg	1.4 ml
	8	0.8 mg	0.4 ml		30	3 mg	1.5 ml
	9	0.9 mg	0.45 ml		32	3.2 mg	1.6 ml
	10	1 mg	0.5 ml		34	3.4 mg	1.7 ml
	11	1.1 mg	0.55 ml		36	3.6 mg	1.8 ml
	12	1.2 mg	0.6 ml	84	38	3.8 mg	1.9 ml
	13	1.3 mg	0.65 ml	88	40	4 mg	2 ml
	14	1.4 mg	0.7 ml	97	44	4.4 mg	2.2 ml
	15	1.5 mg	0.75 ml	106	48	4.8 mg	2.4 ml
	16	1.6 mg	0.8 ml	114	52	5.2 mg	2.6 ml
	17	1.7mg	0.85 ml	123	56	5.6 mg	2.8 ml
	18	1.8 mg	0.9 ml	132	60	6 mg	3 ml
	19	1.9 mg	0.95 ml	Use adult dose if > 60 kg

Indianapolis EMS

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V1.08

sodium bicarbonate

PEDs - IV / IO
Cyclic Antidepressant OD
Conc: *1 mEq/ml*
Dose: *1 mEq/kg*

lbs	Kg	Dose	Volume	lbs	Kg	Dose	Volume
	3	3 mEq	3 ml		20	20 mEq	20 ml
	4	4 mEq	4 ml		22	22 mEq	22 ml
	5	5 mEq	5 ml		24	24 mEq	24 ml
	6	6 mEq	6 ml		26	26 mEq	26 ml
	7	7 mEq	7 ml		28	28 mEq	28 ml
	8	8 mEq	8 ml		30	30 mEq	30 ml
	9	9 mEq	9 ml		32	32 mEq	32 ml
	10	10 mEq	10 ml		34	34 mEq	34 ml
	11	11 mEq	11 ml		36	36 mEq	36 ml
	12	12 mEq	12 ml	84	38	38 mEq	38 ml
	13	13 mEq	13 ml	88	40	40 mEq	40 ml
	14	14 mEq	14 ml	97	44	44 mEq	44 ml
	15	15 mEq	15 ml	106	48	48 mEq	48 ml
	16	16 mEq	16 ml	114	52	52 mEq	52 ml
	17	17 mEq	17 ml	123	56	56 mEq	56 ml
	18	18 mEq	18 ml	132	60	60 mEq	60 ml
	19	19 mEq	19 ml	If > 60 kg, dose with 1 mEq/kg

Indianapolis EMS

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V1.08

Medications

acetaminophen

acetaminophen

Kg

Volume

Kg

Volume

3

1 ml

20

6.3 ml

4

1.3 ml

22

6.9 ml

5

1.6 ml

24

7.6 ml

6

1.9 ml

26

8.2 ml

7

2.2 ml

28

8.8 ml

8

2.5 ml

30

9.4 ml

9

2.8 ml

32

10 ml

10

3.2 ml

34

10.6 ml

11

3.4 ml

36

11.2 ml

12

3.8 ml

38

11.8 ml

13

4 ml

40

12 ml

14

4.4 ml

44

14 ml

15

4.6 ml

48

15 ml

16

5 ml

52

16 ml

17

5.4 ml

56

17 ml

18

5.6 ml

60

19 ml

19

6 ml

Indianapolis EMS

adenosine1st dose

Dose and Volume Listed for 1st dose only

Kg

Volume

Kg

Volume

adenosine
1^st dose

Dose and Volume Listed for 1^st dose only

Dose and Volume Listed for 1^st dose only

adenosine
2^nd dose

Dose and Volume Listed for 2^nd dose only