EMS Special Memorandum 25-002

The Coastal Valleys EMS Agency has released EMS Special Memorandum 25-002 Medication Substitution for Amiodarone due to Shortage

Effective immediately Coastal Valleys ALS provider agencies that are unable to obtain Amiodarone may substitute Lidocaine as follows:

For Ventricular Fibrillation or Ventricular Tachycardia:

Initial dose is 1-1.5 mg/kg IV push, followed by up to 2 subsequent 0.5-0.75 doses 5-10 minutes apart if needed. Max dose is 3.0 mgs/kg. 

Lidocaine maintenance IV infusions are not required and are not approved.

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