Southern Alleghenies EMS Council Required Medications 4/2011 MEDICATION REQUIRED ADENOSINE (ADENOCARD) ALBUTEROL (PROVENTIL, VENTOLIN) AND/OR IPRATROPIUM BROMIDE (ATROVENT) 500 mcg/2.5 mL ATROPINE SULFATE CAPTOPRIL AND/OR ENALAPRIL DIPHENYDRAMINE (BENADRYL) DIAZEPAM (VALIUM) AND/OR MIDAZOLAM (VERSED) AND/OR LORAZEPAM (ATIVAN) CALCIUM CHLORIDE DILTAZEM HCL CORDARONE (AMIODARONE) DEXAMETHASONE AND/OR METHYLPREDNISOLONE (SOLUMEDROL) DEXTROSE DOPAMINE PRE-MIX 400mg/250 ml EPINEPHRINE 1: 1,000 EPINEPHRINE 1:10,000 FENTAYNL 100mcg/2cc FUROSEMIDE (LASIX) INSTANT GLUCOSE (Licensure Requirement) LIDOCAINE HCL (PRE-MIX) 2gr/500cc/D5W LIDOCAINE HCL MAGNESIUM SULFATE MORPHINE NALOXONE (NARCAN) NITROGLYCERINE TABLETS* (NITROSTAT) AND/OR 0.4 MG-1/150 NITROGLYCERINE SPRAY* 0.4-1/150 SODIUM BICARBONATE Optional Medications Acetaminophen Activated Charcoal Calcium Gluconate Dobutamine Duoneb (albuterol sulfate and ipratropium bromide) Etomidate Requires completion of Sedation Assisted Intubation Checklist and Approval of Regional Medical Director prior to implementation and ongoing quality improvement review of each utilization. Glucagon Lidocaine 2% (For Introsseous Administration) Nerve Agent Antidote Kit Nitroglycerine Paste ALS Services may stock Nitorglycerine Paste in addition to Nitroglycerine tablets and/or Nitroglycerine Spray without notification to the Region Nitroglycerine (IV Drip Administration) Service must have IV pump for administration of Nitroglycerine drip Nitrous Oxide 50:50 Oxytocin Procainamide Ondansetron (Zofran) Sodium Thiosulfate Opthalmic Tetracaine (Recommended)
Licensure Requirements: This medication list will be utilized during licensure inspections of ALS services to
verify compliance with Statewide ALS protocols and regional medication requirements. Services may
also add optional medications as listed by meeting specified requirements.
Note: Any service adding one of the optional medications to their drug box formulary or utilizing
medications from the State Drug List for interfacility transports only must notify SAEMS by letter signed by
the ALS service medical director indicating that all ALS personnel affiliated with the service have
received appropriate training on the medication and that new personnel will be trained in the use of
the medication prior to authorization of medical command.
Thyroid hormones Structures of the major circulating thyroid hormones Dynamics of Thyroid Hormone Production Thyroid hormone metabolism Type1 (D1) Type2 (D2) Type3 (D3) 5’-deiodinase I 5’-deiodinase II 5-deiodinase certain beta blockerscorticosteroids starvation, amiodarone All family members contain the novel amino
Adrenal Insufficiency (including Addison’s Disease) The adrenal glands sit atop the kidneys. Primary adrenal insufficiency occurs when the adrenal glands do not produce enough of a hormone called cortisol and, in some cases, not enough aldosterone. Tuberculosis used to be the main cause of this disease but now accounts for only 20% of these cases. It is believed that an autoimm