Medication 7-001 - Medications on Response Vehicles

CMH EMS & MIH Protocols

19 CSR 30-40.303(2)(C) states "the medical director, in cooperation with the ambulance service administrator, shall develop, implement, and annually review medications and medical equipment to be utilized." This section fulfils that requirement for equipment.

Refer to Equipment 8-001 - Equipment on Response Vehicles for equipment.

LocationMedicationQuantity
Patient Compartment Oxygen 2 cylinders
LocationMedicationQuantity
Bag, Pharmacy Cell Acetaminophen2 cups
Adenosine3 vials
Amiodarone3 vials - 150 mg ea
Aspirin16 tabs
Atropine1 vial multidose
Atropine3 vials
Benadryl1 vial
Calcium Chloride2 vials
Captopril2 tabs
Cardizem2 kits
Decadron1 vial - 16 mg
Dextrose1 bag - 250 ml D10W
Epinephrine 1:1,0002 vials
Epinephrine 1:10,0004 vials
Glucagon1 kit
Glucose2 tubes
Haldol2 vials
Heparin2 vials
Hydralazine2 vials
Ibuprofen2 cups
Labetalol1 vial
Lidocaine2 vials
Magnesium Sulfate4 vials - 1 g ea
Narcan2 vials
Nitroglycerin1 bottle
Neo-Synephrine1 bottle
Normal Saline1 bag 100 ml
Oxytocin2 vials
Phenergan2 vials
Sodium Bicarbonate2 vials
Solu-Medrol2 vials
Tetracaine2 bottles
Thiamine1 vial
Toradol2 vials
TXA2 vials
Zofran6 vials
Cabinets Lactated Ringers1 bag - 1 L
Normal Saline1 bag - 500 ml
Oxygen2 cylinders
Cot Albuterol1 vial
Oxygen1 cylinder
Monitor Aspirin4 tabs
Nitroglycerin1 bottle
LocationMedicationQuantity
Bag, Big Lactated Ringers1 bag - 1 L
Bag, Medication Same as BLS Ambulance
Bag, Oxygen Albuterol1 vial
Normal Saline1 vial - 3 ml
Oxygen1 cylinder
Bag, Small Lactated Ringers1 bag - 1 L
Box, Narcotics Fentanyl4-8 vials
Ketamine2 vials
Morphine2-6 vials - 4 mg ea
Morphine2-6 vials - 10 mg ea
Versed3-6 vials
Cabinets Albuterol6 vials
Dopamine Drip1 kit
Duoneb4 vials
Epinephrine Racemic1 vial
Lactated Ringers4 bags - 1 L ea
Lidocaine Drip1 kit
Nitroglycerin Drip1 kit
Normal Saline1 vial - 3 ml
Normal Saline4 bags - 500 ml ea
Oxygen2 cylinders
Cot Same as BLS Ambulance
IV Tray Normal Saline10 flushes
Monitor Same as BLS Ambulance
RSI Kit] Atropine1 vial
Etomidate1 vial
Rocuronium4 vials
LocationMedicationQuantity
Bag, Big Same as ALS Ambulance
Bag, Medication Same as BLS Ambulance
Bag, Oxygen Same as ALS Ambulance
Box, Narcotics Same as ALS Ambulance
Monitor Same as BLS Ambulance
RSI Kit Same as ALS Ambulance
LocationMedicationQuantity
Bag, Big Same as ALS Ambulance
Bag, Medication Same as BLS Ambulance
Bag, Oxygen Same as ALS Ambulance
Box, Narcotics Same as ALS Ambulance
Monitor Same as BLS Ambulance
RSI Kit Same as ALS Ambulance

Citations:

Change Log:

DateLink to
previous
version		Description of change
05/31/15Added this section to meet state requirement for medical director approval of what medications are currently carried on ambulances.
09/16/15Added Ketamine to narcotic box. Added contents of RSI box.
01/26/16pdfAdded comments that the following are not authorized for EMH and not carried on their ambulances:
  • Cardizem
  • Decadron
  • Etomidate
  • Haldol
  • Heparin
  • Hydralazine
  • Ketamine
  • Neo-Synephrine
  • Rocuronium
02/03/16Changed section title from currently on ambulances to currently on response vehicles.
07/25/16pdfAt the request of Dr. Merk, we need to include Succinylcholine on ambulances and in RSI kits for an option to Rocuronium.
08/02/16Removed Ketamine, Succinylcholine, and Toradol from list of meds not currently carried by CMH.
08/24/17pdfUpdated according to current ambulance inventory list. Removed Decadron, Lasix, and Procainamide.
09/22/17Added 1 bag D10W to cabinets. Added 2 tabs captopril to extra med box. Removed valium from narc box. Added 1 bad D10W to big bag.
10/16/17Updated placement of D10W bags.
11/11/17pdfChanges required for new IV pumps: Amiodarone bags and Magnesium Sulfate bags. Removed Lidocaine from RSI kit.
11/19/17Increased rocuronium from 2 vials to 4 vials in RSI kit due to increased dosages in version 9 protocols.
08/24/18pdfMade changes to quantities to accurately reflect ALS stock. Created section placeholders for BLS ambulance, EMS supervisor, and rescue vehicles.
10/15/18Updated ALS Ambulance, added EMS Supervisor, added BLS Ambulance, added PHFPD, added BCFD.
01/16/19pdfMade adjustments based on equipment committee recommendations.
03/20/19Made adjustments based on equipment committee recommendations.
04/19/20pdfAdded content from old Protocol 7-001 - Medications Currently on Response Vehicles. Removed Xopenex. Removed Fire Department vehicles.
06/07/21pdfMoved to emsprotocols.online
11/30/21Updated link to Acetaminophen
11/30/21Updated link to Activated Charcoal.
11/30/21Updated link to Adenosine.
11/30/21Updated link to Amiodarone.
11/30/21Updated link to Aspirin.
12/01/21Updated links for Vecuronium through Zofran.
12/01/21Updated link for TXA.
02/28/22Updated multiple medication links.
03/17/23pdfSeveral changes to catch up to a couple protocol committees where medication bag trials have been conducted with pharmacy cell, etc. More changes are pending as a new medication bag, IV bag, and box are being trialed. Current changes from the last edition: Removed the medication box and moved all medications from it into the pharmacy cell, reduced labetalol from 2 vials to 1 vial per bag. Discussed increasing Acetaminophen, Ibuprofen, Nitro, and D10W, but with two bags, kept the same amount per bags. Protocol committee on 5/26/21 added an extra bag of D10W which has since been removed due to two medication bags. Protocol committee on 1/26/22 removed the medication box. Equipment committee on 2/23/22 reduced the Labetalol per bag due to dual bags. More to come as we continue to fine tune the bags with the protocol and equipment committees.
03/17/23Updated links to NS.
03/19/23Changed link for Neosynephrine.
03/19/23Changed link for Narcan.
03/19/23Changed link to MagSulfate.
03/19/23Changed link to Lido.
03/19/23Changed link for Labetalol.
03/20/23Changed link for Ketamine.
03/20/23Changed link for Ibu.
03/20/23Changed link for Hydralazine.
03/20/23Changed link for Heparin.
03/20/23Changed link for Haldol.
03/20/23Changed link for Glucose.
03/20/23Changed link for Glucagon.
03/20/23Changed link for Fent.
03/20/23Changed link for Etomidate.
03/20/23Changed link for Racemic.
03/20/23Changed links for Epi.
03/20/23Changed link for Duoneb.
03/20/23Changed link for Dopamine.
03/20/23Changed link for Dextrose.
03/20/23Changed link for Decadron.
03/20/23Changed link for Cardizem.
03/20/23Changed link to Captopril.
03/20/23Changed link for Calcium.
03/20/23Changed link for Benadryl.
03/20/23Changed links for Atropine.
04/27/23pdfRemoved charcoal per Dr. Butvilas on 3/24/23.

Return to Protocols Table of Contents.

Search protocols:

CMH Pre-Hospital Services Mission: "Provide safe, exceptional, and compassionate care to our communities with an emphasis on highly trained and empowered staff." CMH Mobile Integrated Healthcare Mission: "Provide exceptional, compassionate, and patient-centered care by a mobile collaborative team to improve patient experience, improve quality outcomes, and reduce healthcare costs."
Creative Commons License Polk, Hickory, Cedar, & St Clair County EMS Protocols is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.