Loyola EMS Pediatric and Adult Protocols Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
79 lbs (35.9 kg) or less AND under 18 years of age (both
Definition of Pediatric Patient
must be true)
Definition of Adult Patient 80 lbs (36 kg) or greater AND/OR 18 years of age or older
Naloxone 1 mg IV/IO (2 mg IN) q2min up to 6 mg IV/IO
Opioid overdose ALS with INADEQUATE respirations
(12 mg IN) until adequate respirations return
Naloxone 2 mg IV/IO/IN q2min up to 12 mg total until
Opioid overdose ALS APNEIC
adequate respirations return
5 mg of 0.083% (6 mL) via continuous nebulizer, may
Unstable Hyperkalemia Albuterol Dose
repeat x1. NOT approved for pediatrics
UNSTABLE: 50 mEq of 8.4% IV/IO. STABLE: 1 mEq/kg up
Sodium Bicarbonate in Hyperkalemia
to 50 mEq
1:10,000 at 0.1 mL/kg (0.01 mg/kg) IV/IO, up to a MAX
Pediatric Anaphylaxis Epinephrine IV/IO Ceiling
DOSE OF 0.3 mg
Pediatric Epinephrine IM for Allergic Reaction / Bron- 1:1,000 IM. 30 kg or less = 0.15 mg (0.15 mL). Over 30 kg
chospasm = 0.3 mg (0.3 mL)
Pediatric Glucagon for Beta Blocker / Calcium Channel
0.5 mg IV/IO, may repeat x1 regardless of age
Blocker Overdose
1 mg IM if over 8 years old; 0.5 mg IM if 8 years old or
Pediatric Glucagon for Hypoglycemia IM
under
Adult Midazolam for Long Bone Fracture / Muscle Spasm 2 mg increments IV/IM/IN q2min up to 10 mg total
0.1 mg/kg slow IV/IO (max single dose 2 mg) OR 0.2
Pediatric Midazolam for Combative Head Injury or Long
mg/kg IN/IM (max single dose 4 mg). IN not for combat-
Bone Fracture
ive patients
0.02 mg/kg rapid IV/IO with MINIMUM dose 0.1 mg and
Pediatric Bradycardia Atropine max single dose 0.5 mg. May repeat x1 in 3-5 min (x2 in
spinal shock)
Dopamine Max Dose for Cardiogenic Shock
1/7
, Loyola EMS Pediatric and Adult Protocols Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
20 mcg/kg/min (start at 5 mcg/kg/min, titrate q3min to
reach SBP 90 or greater). NOT approved for pediatrics
Known/suspected infection PLUS 2 or more: temp
100.4F/38C or higher OR 96.8F/36C or lower; EtCO2
Sepsis Alert Criteria
25 mmHg or less (square waveform); Shock Index 1 or
greater; HR over 90
D10%: 25 g in 250 mL titrated to ettect. D50%: 25 g slow
Adult Hypoglycemia Dextrose
push titrated to ettect. Glucagon 1 mg IM if no IV/IO
Without IV: 2.5 mg IM/IN if under 70 kg, 5 mg IM/IN if 70
Behavioral Emergency Midazolam
kg or greater. With IV/IO: 2 mg q2min up to 10 mg total
Adult Atropine Dose for Bradydysrhythmias (2025.1) 1 mg rapid IV/IO, may repeat q3-5min up to 3 mg total
50 mcg IV/IO/IN initial, repeat dose 50 mcg flat. Not
Adult Fentanyl Dose for Pain Control (2025.1)
weight-based
First-Line Bronchodilator for Adult Asthma / COPD with DuoNeb (albuterol/ipratropium) 2.5-3.0 mg / 0.5 mg via
Wheezing nebulizer. Plain albuterol is fallback
6 mg rapid IV (1-2 sec) + 10 mL rapid NS flush. Repeat 12
Adenosine Adult SVT Dosing mg in 1-2 min if no conversion. May repeat 12 mg x1 (3
doses total)
0.1 mg/kg rapid IV/IO (max initial 6 mg) + 5+ mL flush.
Adenosine Pediatric SVT Dosing
Repeat 0.2 mg/kg (max 12 mg). Max 3 total doses
Slows conduction through AV node, interrupts AV nodal
Adenosine Action
reentry pathways to restore sinus rhythm (including WPW)
Sick sinus syndrome, 2nd/3rd degree AV block, drug/poi-
Adenosine Contraindications
son tachycardia, A-fib/flutter with WPW, severe asthma
Impending doom, chest pressure, flushing, transient dys-
Adenosine Side Ettects rhythmia/asystole. Exercise caution in heart transplant pa-
tients
2/7
Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
79 lbs (35.9 kg) or less AND under 18 years of age (both
Definition of Pediatric Patient
must be true)
Definition of Adult Patient 80 lbs (36 kg) or greater AND/OR 18 years of age or older
Naloxone 1 mg IV/IO (2 mg IN) q2min up to 6 mg IV/IO
Opioid overdose ALS with INADEQUATE respirations
(12 mg IN) until adequate respirations return
Naloxone 2 mg IV/IO/IN q2min up to 12 mg total until
Opioid overdose ALS APNEIC
adequate respirations return
5 mg of 0.083% (6 mL) via continuous nebulizer, may
Unstable Hyperkalemia Albuterol Dose
repeat x1. NOT approved for pediatrics
UNSTABLE: 50 mEq of 8.4% IV/IO. STABLE: 1 mEq/kg up
Sodium Bicarbonate in Hyperkalemia
to 50 mEq
1:10,000 at 0.1 mL/kg (0.01 mg/kg) IV/IO, up to a MAX
Pediatric Anaphylaxis Epinephrine IV/IO Ceiling
DOSE OF 0.3 mg
Pediatric Epinephrine IM for Allergic Reaction / Bron- 1:1,000 IM. 30 kg or less = 0.15 mg (0.15 mL). Over 30 kg
chospasm = 0.3 mg (0.3 mL)
Pediatric Glucagon for Beta Blocker / Calcium Channel
0.5 mg IV/IO, may repeat x1 regardless of age
Blocker Overdose
1 mg IM if over 8 years old; 0.5 mg IM if 8 years old or
Pediatric Glucagon for Hypoglycemia IM
under
Adult Midazolam for Long Bone Fracture / Muscle Spasm 2 mg increments IV/IM/IN q2min up to 10 mg total
0.1 mg/kg slow IV/IO (max single dose 2 mg) OR 0.2
Pediatric Midazolam for Combative Head Injury or Long
mg/kg IN/IM (max single dose 4 mg). IN not for combat-
Bone Fracture
ive patients
0.02 mg/kg rapid IV/IO with MINIMUM dose 0.1 mg and
Pediatric Bradycardia Atropine max single dose 0.5 mg. May repeat x1 in 3-5 min (x2 in
spinal shock)
Dopamine Max Dose for Cardiogenic Shock
1/7
, Loyola EMS Pediatric and Adult Protocols Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
20 mcg/kg/min (start at 5 mcg/kg/min, titrate q3min to
reach SBP 90 or greater). NOT approved for pediatrics
Known/suspected infection PLUS 2 or more: temp
100.4F/38C or higher OR 96.8F/36C or lower; EtCO2
Sepsis Alert Criteria
25 mmHg or less (square waveform); Shock Index 1 or
greater; HR over 90
D10%: 25 g in 250 mL titrated to ettect. D50%: 25 g slow
Adult Hypoglycemia Dextrose
push titrated to ettect. Glucagon 1 mg IM if no IV/IO
Without IV: 2.5 mg IM/IN if under 70 kg, 5 mg IM/IN if 70
Behavioral Emergency Midazolam
kg or greater. With IV/IO: 2 mg q2min up to 10 mg total
Adult Atropine Dose for Bradydysrhythmias (2025.1) 1 mg rapid IV/IO, may repeat q3-5min up to 3 mg total
50 mcg IV/IO/IN initial, repeat dose 50 mcg flat. Not
Adult Fentanyl Dose for Pain Control (2025.1)
weight-based
First-Line Bronchodilator for Adult Asthma / COPD with DuoNeb (albuterol/ipratropium) 2.5-3.0 mg / 0.5 mg via
Wheezing nebulizer. Plain albuterol is fallback
6 mg rapid IV (1-2 sec) + 10 mL rapid NS flush. Repeat 12
Adenosine Adult SVT Dosing mg in 1-2 min if no conversion. May repeat 12 mg x1 (3
doses total)
0.1 mg/kg rapid IV/IO (max initial 6 mg) + 5+ mL flush.
Adenosine Pediatric SVT Dosing
Repeat 0.2 mg/kg (max 12 mg). Max 3 total doses
Slows conduction through AV node, interrupts AV nodal
Adenosine Action
reentry pathways to restore sinus rhythm (including WPW)
Sick sinus syndrome, 2nd/3rd degree AV block, drug/poi-
Adenosine Contraindications
son tachycardia, A-fib/flutter with WPW, severe asthma
Impending doom, chest pressure, flushing, transient dys-
Adenosine Side Ettects rhythmia/asystole. Exercise caution in heart transplant pa-
tients
2/7
