Agency Information
Agency Name
Mecklenburg EMS Agency (MEDIC)
County
Mecklenburg County
State
North Carolina
Protocol Version
Updated Feb 2026
Official Source
What You'll Study
EMT / BLS
EMT protocols for Mecklenburg County NC.
Paramedic / ALS
ALS protocols for MEDIC Charlotte — nationally recognized quality improvement program.
Sample Questions (Free Preview)
PARAMEDIC
Q1. A 30 kg pediatric patient in cardiac arrest requires adenosine for documented SVT that converted to a perfusing rhythm. Later the SVT recurs. What is the correct SECOND dose of adenosine for this 30 kg patient?
A. 6 mg rapid IVP with immediate NS flush
B. 3 mg rapid IVP with immediate NS flush
C. 12 mg rapid IVP with immediate NS flush
D. 0.1 mg/kg (3 mg) since this is actually the first dose
Second dose adenosine = 0.2 mg/kg, max 12 mg. For 30 kg: 0.2 × 30 = 6 mg. This is under the 12 mg maximum, so the dose is 6 mg rapid IVP followed immediately by a 20 mL NS flush. Adenosine must be given rapidly through a proximal IV site.
PARAMEDIC
Q2. A 12 kg pediatric patient is having an active generalized tonic-clonic seizure lasting 6 minutes. Per pediatric protocols, what is the correct midazolam dose?
A. 1.2 mg IM or intranasal via MAD device
B. 2.4 mg IM or intranasal via MAD device
C. 5.0 mg IM or intranasal (max dose regardless of weight)
D. 0.5 mg IV slowly over 2-3 minutes
Pediatric midazolam for seizures: 0.1 mg/kg IM/IN, maximum 5 mg. For a 12 kg child: 0.1 × 12 = 1.2 mg IM/IN. IN (intranasal) midazolam via MAD device is preferred if no IV access. Maximum dose 5 mg regardless of weight.
PARAMEDIC
Q3. A 22 kg pediatric patient has a suspected opioid overdose after ingesting a grandparent's oxycodone tablets. Per pediatric protocols, what is the correct naloxone dose?
A. 0.22 mg IN or IM, may repeat in 2-3 minutes if no response
B. 2 mg IN or IM (max dose regardless of weight)
C. 0.4 mg IN or IM (adult standard dose)
D. 0.1 mg IV slowly to titrate to respiratory response
Pediatric naloxone: 0.01 mg/kg IN or IM, maximum 2 mg. For a 22 kg child: 0.01 × 22 = 0.22 mg IN or IM. If no response in 2-3 minutes, may repeat. IN is preferred if no IV access. Goal is restoration of adequate respiratory drive, not full reversal (to avoid acute withdrawal).
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