NT
ER
AN
IB
I SEMPER L
ER
I.
G E N C Y M E DIC
RV
O
AL
2
3
N/A
N/A
1
6
1
2
6
3
N/A
N/A
3
Anti-anginals
Atenolol (Tenormin)
Nitroglycerin SL
Nitroglycerin IV
Anti-arrhythmics
Amiodarone (Cordarone)
Lidocaine
Procainamide (Pronestyl)
Diltiazem (Cardizem)
2
5
2
2
2, 3 ††
5
2, 3 ††
2, 3 ††
3
5
3
3
1
2
3
**
Antibiotics
All types of antibiotics
** (limit to 2 Ab)
Anti-CHF agents
Furosemide (Lasix)
Bumetanide (Bumex)
Nesiritide (Natrecor)
Digoxin (Lanoxin)
Inamrinone (Inocor)
5
2
1
2
N/A
5
2
1
N/A
1
N/A
2
1
N/A
1
2
1
1
1
1
1
N/A
2
N/A
2
2
N/A
N/A
3
3
3
3
3
5
1
1
1
5
5
1
1
1
5
2
N/A
2
2
N/A
4
2
4
4
2
4
N/A
N/A
N/A
2
2
1
2
1
2
2
2
1
2
1
2
N/A
N/A
2
N/A
2
N/A
Anti-coag/Anti-platelet
Clopidogrel (Plavix)
Heparin
Enoxaparin (Lovenox)
Eptifibatide (Integrilin)
Tirofiban (Aggrastat)
Abciximab (Reopro)
Anti-convulsants
Lorazepam (Ativan)
Phenobarbital
Phenytoin (Dilantin)
Fosphenytoin (Cerebyx)
Diazepam (Valium)
Anti-emetics
Ondansetron (Zofran)
Prochlorperazine (Compazine)
Promethazine (Phenergan)
6
3
5
1
2
6
3
5
N/A
2
N/A
N/A
N/A
3
N/A
2
2
2
2
2
2
2
2
2
1
1
2
2, 3 ††
2
2
3
2
N/A
2
2
2
3
2
2
N/A
N/A
N/A
3
1
2
3
2
2
2
2
N/A
1
1
1
1
1
1
1
1
2
N/A
2
2
2
2
N/A
4
1
1
6
5
1
1
N/A
1
4
3
2
6
5
1
2
1
1
4
3
2
N/A
N/A
1
2
1
1
2
2
1
3
3
2
3
3
3
1
1
3
3
3
3
Medication
Lansoprazole (Prevacid)
Mannitol
Insulin *
Methylprednisolone (SoluMedrol)
Potassium chloride
Flumazenil (Romazicon )
TPN
Antivenin (CroFab)
Calcium chloride
Calcium gluconate
Glucagon
Naloxone (Narcan)
D50W, D25W
Thiamine
Sodium bicarbonate
H2 Blockers
Cimetidine (Tagamet)
Famotidine (Pepcid)
Ranitidine (Zantac)
Ob/Gyn Meds
Magnesium sulfate
Oxytocin (Pitocin)
Terbutaline (Brethine)
Paralytics
Vecuronium (Norcuron)
Succinylcholine (Anectine)
Rocuronium (Zemuron)
Sedatives
Midazolam (Versed)
Propofol (Diprivan) *
Etomidate (Amidate)
Thrombolytics
Alteplase (Activase) t-PA
Anistreplase (Eminase)
Streptokinase (Streptase)
Reteplase (Retavase)
Tenecteplase (TNKase )
1
3
3
2
1
2
1
3
N/A
N/A
2
2
5
5
5
4
5
3
2
3
1
3
1
2
2
2
N/A
5
5
N/A
5
3
2
3
3
3
3
3
3
3
N/A
2
N/A
N/A
3
Miscellaneous
Bronchodilators
Albuterol
Metaproterenol (Alupent)
Ipratropium (Atrovent)
Theophylline
Racemic epinephrine
* Meds for initiation by CCT crew per MCP direction only
† Note 1: Applies to Class 1 team obtaining O neg. PRBCs from hospital
†† C3-IFT may adjust drip rate only, and then only by order of MCP
The attached chart shows the medications and procedures which may be administered, readministered, or monitored
during interfacility transports by the various classes of EMS providers. Medications and procedures not listed on this
chart are not permitted to be transported except as a Class 0. Transporting medications and/or procedures beyond
the provider’s approved level of care will be considered to be practicing beyond their scope of practice and dealt with
accordingly.
Contact Deron Wilkes at the WV Office of EMS at 304.558.3956 or deron.e.wilkes@wv.gov for more information.
My closest Critical Care Transport provider:
Vasopressors
Dopamine *
Dobutamine (Dobutrex) *
Norepinephrine (Levophed) *
Epinephrine 1:1000 SQ
Epinephrine 1:10,000 IV bolus
Epinephrine drip *
Phenylephrine (Neo-Synephrine) *
Milrinone (Primacor) *
Vasopressin (Pitressin)
Anti-hypertensives
Captopril (Capoten)
Clonidine (Catapres)
Nitroprusside (Nipride) IV *
Metoprolol (Lopressor)
Nicardipine (Cardene)
Labetalol (Normodyne, Trandate)
2
N/A
Monitor Drip
5
5
3
4
1
2
Readminister or Titrate
5
5
3
4
1
2
Administer Primarily
(By Crew)
Fentanyl (Sublimaze)
Morphine sulfate
Meperidine (Demerol)
Ketoralac (Toradol)
Medication
Esmolol (Brevibloc)
Hydralazine (Apresoline)
Monitor Drip
Analgesics
Readminister or Titrate
Monitor Drip
Medication
Readminister or Titrate
November 23, 2009
Administer Primarily
(By Crew)
O
EM
SE
M
F
IC E
S
OFF
ICE
Classification of Medications
for Interfacility Transports
Administer Primarily
(By Crew)
TRA
UM
A
N
ERGE CY CA
RE
EM
EM
ST
SY
&
My closest Class 3 Interfacility Transport provider:
Volume Expanders
Hetastarch (Hespan)
Plasmanate
Blood Products
WEST VIRGINIA
Proton pump inhibitors
Pantoprazole (Protonix)
Esomeprazole (Nexium)
SYSTEM
Class 1 Crew
Class 2 Crew
Class 3 Crew
Class 4 Crew
Class 5 Crew
Class 6 Crew
Class 0 Crew
Emergency Vehicle Operator,
CCT-Paramedic,
CCT-RN
Emergency Vehicle Operator,
Two (2) CCT-Paramedics
Emergency Vehicle Operator,
Paramedic with C3IFT course
Emergency Vehicle Operator,
EMT-Paramedic
Emergency Vehicle Operator,
EMSA-Intermediate
Emergency Vehicle Operator,
EMT-Basic
Emergency Vehicle Operator,
Transfer facility-provided nurse or
physician,
Certified EMS Attendant