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2011 Regional Protocol Required-Optional Regional Drug/Medications
• Yellow Highlight= 2011 Change-Addition • R = those medications for a Licensed ALS EMS Agency
O = Optional Medications not required for ALS EMS Agency licensure. Inclusion of the medications at the
direction of the EMS Agency Medical Director

Service _______________________________ Vehicle #_________ Date Inspected ________________
Medication Code Expired Med. Date

Acetaminophen
Activated Charcoal
Adenosine
Or Adenocard
Albuterol
Or Proventil, or Ventolin,
Amiodarone
Cordarone, or Pacerone
Atropine
Bacteriostatic 0.9% Sodium Chloride
Calcium Chloride
Captopril
Benzocaine (topical)
Dexamethasone
Decadron
Diazapam or Lorazepam or
Or Valium, or Zetran or Versed or Ayivan or
Midazolam
Novo-Lorazopam
Diltiazem
Or Cardizem, or Dilacor, or Tiazac
Diphenhydramine
Or Benadryl
Dobutamine
Or Dobutrex
Dopamine
Or Intropin
And Glucose (oral)
Enalapril
Epinephrine (1: 1,000)
Or Adrenaline
Epinephrine ( 1: 10,000)
Or Adrenaline
Furosemide
Glucagon
Or Gluca Gen
Heparin Lock Flush
Or Saline Lock Flush
Hydrocortisone
Solu-Cortef, Sodium Succinate
Intravenous Electrolyte Solution
Or (NaCl), or (0.9%NSS)
Sodium Chloride
Ipratropium Bromide
Lidocaine
Or Xylocaine
Magnesium Sulfate
Or Magnesium
Methylprednisolone
Or A-Metha Pred, or Solu Medrol
Naloxone
Or Narcan
Nitroglycerin Spray, Paste, or
Or Nito-Bid, or Nitogard or Nitrostat , or
Nitroglycerin Sublingual Tablets Nitrol, or Nitro Quick, or Nitro –Dur
Nitroglycerin for infusion

MUST HAVE IV PUMP
Nitrous Oxide
Ondansetron
Or Zofran
Oxytocin
Or Pitocin, or Syntocinon
Pralidoxime CL
IN MARK I KIT
“the bottom line is patient care”
Suite 101, 16271 Conneaut Lake Road, Meadville, PA 16335
814-337-5380, 814-337-0871 Fax, www.emmco.org
Procainamide
Or Procan, or Procanbid, or Promine, or
Pronestyl

Sodium Bicarbonate
Sodium Bicarbonate 4.2%
(Pediatric Mix) Preferred
Sodium Thiosulfate

Sterile Water (for injection)
Tetracaine (topical or drops)
Terbutaline
Verapamil
Calan, or Isoptin, or Verelan
For Ambulance Licensure (effective immediately) ALS EMS Agencies may carry either / or
Fentanyl Citrate
Or Sublimaze
Morphine Sulfate
Or Morphine, or Roxanol, or
Duramorph, or Astramorph
Medications Approved for Inter-facility Transports ONLY
Abcixinab
Aggrastat (Infusion)
Or Tirofiban
Antimicrobials
Bretylium Infusion
Dilaudid
Eptifibatide (Infusion)
Integrilin
Ipratropium Bromide
Isoproterenol
Levalbuterol
Potassium
Total Parenteral Nutrition

Code (R) Must be carried by all licensed ALS EMS Agencies
Code (O) May be carried by licensed ALS EMS Agencies if approved by EMS Agency
Medical Director
Code (I) May be carried by licensed ALS EMS Agencies when doing an inter-facility
transport only. Must be picked up at hospital at the time of the inter-facility transport

Source: http://www.emmco.org/documents/2011regionalprotocolmedications.pdf

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