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Defines approved medication lists with minimum carry levels for each role, including dosage-unit abbreviations and guidance for drug substitutions during shortages. Specifies supplies covering personal protective equipment, patient assessment tools, airway management gear, cardiac monitoring, and communication equipment, with operational notes where required.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/paramedic-ambulance-and-first-response-apparatus-medications-equipment-and-supplies/362724/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/paramedic-ambulance-and-first-response-apparatus-medications-equipment-and-supplies/362724.png","ImageObject",300,407,{"name":92,"@type":93},"LangkahRina","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-31","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",13,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What is the purpose of this standard for EMS supplies?","Question",{"text":113,"@type":114},"It standardizes supplies and equipment to ensure response readiness and interoperability across San Mateo County emergency responders.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How are medication quantities determined for different apparatus types?",{"text":118,"@type":114},"The document lists approved medications and minimum carry levels separately for Fire & Supervisor and Ambulance roles, with explicit dosage amounts for each.",{"name":120,"@type":111,"acceptedAnswer":121},"What happens during a drug shortage?",{"text":122,"@type":114},"LEMSA approves medication substitutions when the required drugs are in shortage.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},362724,1790216885,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":29,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145},962090893776,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","PARAMEDIC AMBULANCE AND FIRST RESPONSE APPARATUS MEDICATIONS, EQUIPMENT AND SUPPLIES  \nPurpose: Standardization of supplies and equipment to ensure response readiness and interoperability.  \nAuthority: Health and Safety Code Division 2.5, Section 1797.204.  \nAbbreviations for medication dosages:  \n• Gram = gm  \n• Microgram = mcg  \n• Milliequivalent = mEQ  \n• Milligram = mg  \n• Milliliter = ml  \nMedications  \nThe following are approved medications and minimum levels to be carried on all San Mateo County emergency paramedic ambulance, EMS Supervisor, and first response apparatus. In the event of a drug shortage, LEMSA shall approve medication substitutions.  \n\n| Medication | Fire & Supervisor | Ambulance |\n| --- | --- | --- |\n| Adenosine | 18 mg | 36 mg |\n| Albuterol 0.83% solution | 4-unit doses | 8-unit doses |\n| Aspirin: children's chewable | 1 bottle | 2 bottles |\n| Atropine 1 mg/5 ml preload | 1 mg | 2 mg |\n| Atropine Multi Dose | 1 bottle | 1 bottle |\n| Charcoal Slurry 25 gm/120 ml | 1 dose | 2 doses |\n| Calcium Chloride 1 gm/10 ml preload | 1 gm | 2 gm |\n| Dextrose 10% 25 gm/250 ml premixed bag | 25 gm | 50 gm |\n| Diphenhydramine 50 mg/1 ml | 100 mg | 100 mg |\n| Dopamine 400mgs/250 ml premixed bag | 400 mg | 800 mg |\n| Epinephrine 1:1,000 1 mg/ml vial | 2 mg | 2 mg |\n| Epinephrine 1:10,000 1 mg/10 ml preload | 4 mg | 8 mg |\n| Glucagon 1 mg/vial | 1 mg | 2 mg |\n\n| Medication | Fire & Supervisor | Ambulance |\n| --- | --- | --- |\n| Glucola 10 oz. or Glucose Paste | 1 dose | 3 doses |\n| Fentanyl 50 mcg / 1ml* | 100 mcg | 200 mcg |\n| Lidocaine 100 mg/5 ml preload | 400 mg | 800 mg |\n| Morphine Sulfate 10 mg/1 ml (vial, ampule, or preload) * | 10 mg | 20 mg |\n| Midazolam 2mg / 2cc vial | 2 mg | 4 mg |\n| Naloxone 2 mg/2 ml | 4 mg | 8 mg |\n| Nitroglycerine tablets | 1 bottle | 2 bottles |\n| Ondansetron 4 mg ODT | 12 mg | 24 mg |\n| Ondansetron 4 mg Vial | 12 mg | 24 mg |\n| Sodium Bicarbonate 1 mEq/1 ml | 100 mEq | 200 mEq |\n| Medication Labels | 1 | 2 |\n\n* Morphine or Fentanyl, not both on the same apparatus.  \n\n| IV Fluids | Fire & Supervisor | Ambulance |\n| --- | --- | --- |\n| Normal Saline 1000 ml | 3 each | 6 each |\n| Normal Saline 10 ml vial or Syringe | 2 each | 4 each |\n\nSupplies and Equipment  \n\n| Personal Protective Equipment | Fire & Supervisor | Ambulance |\n| --- | --- | --- |\n| Gloves: Clean (pairs uni-sized) | 1 box | 2 boxes |\n| Disposable Bags (medical waste) | 1 | 1 |\n| Isolation Gown | 1 per person | 1 per person |\n| Isolation Mask | 1 per person | 1 per person |\n| N95/ P100 OSHA micro filter masks | 1 per person | 1 per person |\n| Eye Protection for Infection Control | 1 per person | 1 per person |\n\n\n| Patient Assessment and Examination Equipment | Fire & Supervisor | Ambulance |\n| --- | --- | --- |\n| Glucometer | 1 | 1 |\n| Stethoscope | 1 | 1 |\n| Portable Blood Pressure Cuffs (adult, thigh, pediatric) | 1 | 1 |\n| Pulse Oximeter (Adult & Pediatric) | 1 | 1 |\n| Pediatric Measurement Tape (Broselow) | 1 | 1 |\n| Pediatric Medication Card | 1 | 1 |\n| Adult Medication Card | 1 | 1 |\n| Thermometer | 1 | 1 |\n\n\n| Airway Management Equipment | Fire & Supervisor | Ambulance |\n| --- | --- | --- |\n| Video Laryngoscopy Equipment (if available) | 1 tablet\u003Cbr>2 blades | 1 tablet\u003Cbr>3 blades |\n| Laryngoscope Handle Adult & Pedi | 1 each | 1 each |\n| Adult blade,\u003Cbr>Sizes: Straight 3, 4 | 1 each | 1 each |\n| Curved 3, 4 | 1 each | 1 each |\n| Pediatric blades,\u003Cbr>Sizes: Straight 0, 1, 2 | 1 each | 1 each |\n| Curved 1, 2 | 1 each | 1 each |\n| ET Tubes | 1 each\u003Cbr>5.5 – 8.0 (including 1/2 sizes) two 7.5 | 1 each\u003Cbr>5.5 – 8.0 (including 1/2 sizes) two 7.5 |\n| Endotracheal Tube Inducer (ETTI) | 1 | 2 |\n| ET Tube holder devices | 1 | 2 |\n| Esophageal Tracheal Airway Device (ETAD)/ King | 1 each size 3, 4, 5 | 1 each size 3, 4, 5 |\n| CPAP equipment 3 sizes | 1 each | 2 each |\n| End Tidal CO2 Monitor Electronic filter line | 1 each | 2 each |\n| Adult Stylet | 1 | 1 |\n| Handheld Nebulizer & Mouthpiece | 1 | 1 |\n| Magill Forceps: Adult | 1","cbCaif0TSZeWCu7E","https://ap.wps.com/l/cbCaif0TSZeWCu7E","pdf",658424,"English","# Medications\n## Approved medications and minimum levels\n## Medication dosage abbreviations\n## Medication labels and substitution rules\n# IV Fluids\n## Normal saline carry quantities\n# Supplies and Equipment\n## Personal protective equipment\n## Patient assessment and examination equipment\n## Airway management equipment\n## Cardiac monitoring equipment\n## Communication equipment\n## Bandaging and splinting equipment","[{\"question\":\"What is the purpose of this standard for EMS supplies?\",\"answer\":\"It standardizes supplies and equipment to ensure response readiness and interoperability across San Mateo County emergency responders.\"},{\"question\":\"How are medication quantities determined for different apparatus types?\",\"answer\":\"The document lists approved medications and minimum carry levels separately for Fire \\u0026 Supervisor and Ambulance roles, with explicit dosage amounts for each.\"},{\"question\":\"What happens during a drug shortage?\",\"answer\":\"LEMSA approves medication substitutions when the required drugs are in shortage.\"}]","Paramedic Ambulance and First Response Apparatus - Medications, Equipment and Supplies | PDF",1790148900,15]