Medications

  • acetaminophen
  • adenosine 1st dose
  • adenosine 2nd dose
  • amiodarone
  • atropine
  • calcium choloride
  • dextrose 10%
  • dextrose 25%
  • dextrose 50%
  • diphenhydramine
  • epinephrine 1:1,000
  • epinephrine 1:10,000
  • fentanyl IV / IO
  • fentanyl IN
  • glucagon for
    hypoglycemia
  • glucagon for
    beta blocker OD
  • methylprednisolone
  • midazolam IV/IO
  • midazolam IN/IM
  • naloxone
  • ondansetron
  • sodium bicarbonate

acetaminophen

Oral
Mild Pain
or
Fever > 100.4oF / 38oC
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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Conistent with 2020 Indianapolis Metro Area EMS Protocols
V1.08

adenosine
1st dose

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

Dose and Volume Listed for 1st 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 1st dose only

 
Note: Some volumes are rounded for ease of administration

Indianapolis EMS

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V1.08

adenosine
2nd dose

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

Dose and Volume Listed for 2nd 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 2nd dose only

 
Note: Some volumes are rounded for ease of administration

Indianapolis EMS

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Conistent with 2020 Indianapolis Metro Area EMS Protocols
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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Conistent with 2020 Indianapolis Metro Area EMS Protocols
V1.08

atropine

PEDs - IV / IO
Bradycardia
(2o to Vagal Response or 1o 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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Conistent with 2020 Indianapolis Metro Area EMS Protocols
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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Conistent with 2020 Indianapolis Metro Area EMS Protocols
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

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

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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Conistent with 2020 Indianapolis Metro Area EMS Protocols
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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Conistent with 2020 Indianapolis Metro Area EMS Protocols
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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Conistent with 2020 Indianapolis Metro Area EMS Protocols
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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Conistent with 2020 Indianapolis Metro Area EMS Protocols
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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Conistent with 2020 Indianapolis Metro Area EMS Protocols
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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Conistent with 2020 Indianapolis Metro Area EMS Protocols
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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Conistent with 2020 Indianapolis Metro Area EMS Protocols
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

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Conistent with 2020 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

Open Resources
Conistent with 2020 Indianapolis Metro Area EMS Protocols
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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Conistent with 2020 Indianapolis Metro Area EMS Protocols
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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Conistent with 2020 Indianapolis Metro Area EMS Protocols
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

Open Resources
Conistent with 2020 Indianapolis Metro Area EMS Protocols
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

Open Resources
Conistent with 2020 Indianapolis Metro Area EMS Protocols
V1.08