Page 67 - ATP-P 11th Ed

Table 15 Epinephrine 1:10,000 (Adrenaline) or Norepinephrine (Levophed) Drip
DRIP SET: DRIP SET:
Add to bag: 10gtts (Drops/mL) 15gtts (Drops/mL)
EPI (or NOREPI): DRIP RATE: DRIP RATE: SECTION 1
0.9% NaCl 1:10,000 (0.1 mg or Starting Dose (Drops/min (Drops/min
IVF Bag Size 100mcg)/mL (mcg/min) or gtts/min) or gtts/min)
50 mL 1mL (100mcg) 4 mcg/min 20 drops/min 30 drops/min
100 mL 2mL (200mcg) 4 mcg/min 20 drops/min 30 drops/min
250 mL 5mL (500mcg) 4 mcg/min 20 drops/min 30 drops/min
500 mL 10mL (1mg) 4 mcg/min 20 drops/min 30 drops/min
1000 mL (1L) 20mL (2mg)* 4 mcg/min 20 drops/min 30 drops/min
*This is the least recommended approach as it commits a high volume of epinephrine to a large bag. If the patient’s vi-
tal signs (BP/MAP/HR) stabilize, the bag must be discontinued and the medic risks wasting some of their resources –
“you can mix a drug in an IV bag, but you can’t take it out.”
Ancillary Medications
During PCC, additional medications may be required during the extended treatment of
casualties, in addition to pain and antibiotic medications. These medications may have
synergistic effects to further reduce pain or fever. Some medications may be utilized to
treat side-effects of medications, to include nausea or other GI related issues.
Deep vein thrombosis (DVT) prophylaxis is also recommended for patients that are
expected to be in a PCC setting for greater than 48 hours that have achieved hemostasis
from wounds or are not at risk for further hemorrhage.

56 SECTION 1 TACTICAL TRAUMA PROTOCOLS (TTPs) ATP-P Handbook 11th Edition 57