6 Colo. Code Regs. § 1015-3-2-B
B.1.1 In prehospital settings, additions to this medication formulary are not allowed unless a waiver has been granted as described in Section 12 of these rules.
B.1.2 Not all medical acts allowed are included in initial education for various EMS provider levels. All medical directors subject to these rules shall ensure providers are appropriately trained as noted in Sections 5.1.8 and 5.1.9 (Prehospital), 18.3.6 (CIHCS), 19.3.7, 19.3.8, and 19.3.9 (Clinical Setting).
TABLE B.1 - GENERAL
Medications | EMT | EMT-IV | AEMT | EMT-I | P |
Over-the-counter-medications | Y | Y | Y | Y | Y |
Oxygen | Y | Y | Y | Y | Y |
Specialized prescription medications to address acute crisis1 | VO | VO | VO | VO | VO |
1 EMS providers may assist with the administration of, or may directly administer, specialized medications prescribed to the patient for the purposes of alleviating an acute medical crisis event provided the route of administration is within the provider's scope as listed in Appendix A.
TABLE B.2 - ANTIDOTES
Medications | EMT | EMT-IV | AEMT | EMT-I | P |
Atropine | N | N | N | VO | Y |
Calcium salt - Calcium chloride | N | N | N | N | Y |
Calcium salt - Calcium gluconate | N | N | N | N | Y |
Cyanide antidote | N | N | N | Y | Y |
Glucagon | N | N | VO | VO | Y |
Naloxone | Y | Y | Y | Y | Y |
Nerve agent antidote | Y | Y | Y | Y | Y |
Pralidoxime | N | N | N | N | Y |
Sodium bicarbonate | N | N | N | N | Y |
TABLE B.3 - BEHAVIORAL MANAGEMENT
Medications | EMT | EMT-IV | AEMT | EMT-I | P |
Anti-Psychotic - Droperidol | N | N | N | VO | Y |
Anti-Psychotic - Haloperidol | N | N | N | VO | Y |
Anti-Psychotic - Olanzapine | N | N | N | VO | Y |
Anti-Psychotic - Ziprasidone | N | N | N | VO | Y |
Benzodiazepine - Diazepam | N | N | N | Y | Y |
Benzodiazepine - Lorazepam | N | N | N | Y | Y |
Benzodiazepine - Midazolam | N | N | N | Y | Y |
Diphenhydramine | N | N | N | VO | Y |
Ketamine (Ketalar) | N | N | N | N | N |
TABLE B.4 - CARDIOVASCULAR
Medications | EMT | EMT-IV | AEMT | EMT-I | P |
Adenosine | N | N | N | VO | Y |
Amiodarone | N | N | N | VO | Y |
Aspirin | Y | Y | Y | Y | Y |
Atropine | N | N | N | VO | Y |
Calcium salt - Calcium chloride | N | N | N | N | Y |
Calcium salt - Calcium gluconate | N | N | N | N | Y |
Diltiazem - bolus infusion only | N | N | N | N | Y |
Dopamine | N | N | N | N | Y |
Epinephrine | N | N | N | VO | Y |
Lidocaine | N | N | N | VO | Y |
Magnesium sulfate - bolus infusion only | N | N | N | N | Y |
Nitroglycerin - sublingual (patient assisted) | VO | VO | Y | Y | Y |
Nitroglycerin - sublingual (tablet or spray) | N | N | Y | Y | Y |
Nitroglycerin - topical paste | N | N | VO | VO | Y |
Norepinephrine | N | N | N | N | Y |
Sodium bicarbonate | N | N | N | VO | Y |
Vasopressin | N | N | N | VO | Y |
Verapamil - bolus infusion only | N | N | N | N | Y |
TABLE B.5 - DIURETICS
Medications | EMT | EMT-IV | AEMT | EMT-I | P |
Bumetanide | N | N | N | N | Y |
Furosemide | N | N | N | VO | Y |
Mannitol (trauma use only) | N | N | N | N | Y |
TABLE B.6 - ENDOCRINE AND METABOLISM
Medications | EMT | EMT-IV | AEMT | EMT-I | P |
IV Dextrose | N | Y | Y | Y | Y |
Glucagon | N | N | Y | Y | Y |
Oral glucose | Y | Y | Y | Y | Y |
Thiamine | N | N | N | N | Y |
Corticosteroid | N | N | N | Y | Y |
TABLE B.7 - GASTROINTESTINAL MEDICATIONS
Medications | EMT | EMT-IV | AEMT | EMT-I | P |
Anti-nausea - Droperidol | N | N | N | VO | Y |
Anti-nausea - Metoclopramide | N | N | N | VO | Y |
Anti-nausea - Ondansetron ODT | Y | Y | Y | Y | Y |
Anti-nausea - Ondansetron IM/IVP | N | Y | Y | Y | Y |
Anti-nausea - Prochlorperazine | N | N | N | N | Y |
Anti-nausea - Promethazine | N | N | N | VO | Y |
Decontaminant - Activated charcoal | Y | Y | Y | Y | Y |
Decontaminant - Sorbitol | Y | Y | Y | Y | Y |
TABLE B.8 - PAIN MANAGEMENT
Medications | EMT | EMT-IV | AEMT | EMT-I | P |
Acetaminophen (Tylenol) IV | N | N | Y | Y | Y |
Anesthetic - Lidocaine (for intraosseous needle insertion) | N | N | Y | Y | Y |
Benzodiazepine - Diazepam | N | N | N | Y | Y |
Benzodiazepine - Lorazepam | N | N | N | Y | Y |
Benzodiazepine - Midazolam | N | N | N | Y | Y |
General - Nitrous oxide | N | N | Y | Y | Y |
Ketorolac (Toradol) | N | N | N | N | Y |
Narcotic Analgesic - Fentanyl | N | N | VO | Y | Y |
Narcotic Analgesic - Hydromorphone | N | N | N | N | Y |
Narcotic Analgesic - Morphine sulfate | N | N | VO | Y | Y |
Ophthalmic anesthetic-Ophthaine | N | N | N | Y | Y |
Ophthalmic anesthetic-Tetracaine | N | N | N | Y | Y |
Topical Anesthetic - Benzocaine spray | N | N | N | N | Y |
Topical Anesthetic - Lidocaine jelly | N | N | N | N | Y |
TABLE B.9 - RESPIRATORY AND ALLERGIC REACTION MEDICATIONS
Medications | EMT | EMT-IV | AEMT | EMT-I | P |
Antihistamine - Diphenhydramine | N | N | Y | Y | Y |
Bronchodilator - Anticholinergic - Atropine (aerosol/nebulized) | N | N | N | VO | Y |
Bronchodilator - Anticholinergic - Ipratropium | Y | Y | Y | Y | Y |
Bronchodilator - Beta agonist - Albuterol | Y | Y | Y | Y | Y |
Bronchodilator - Beta agonist - L-Albuterol | Y | Y | Y | Y | Y |
Bronchodilator - Beta agonist - Metaproterenol | N | N | N | VO | Y |
Bronchodilator - Beta agonist - Terbutaline | N | N | N | N | Y |
Corticosteroid - Dexamethasone | N | N | N | Y | Y |
Corticosteroid - Hydrocortisone | N | N | N | Y | Y |
Corticosteroid - Methylprednisolone | N | N | N | Y | Y |
Corticosteroid - Prednisone | N | N | N | Y | Y |
Epinephrine 1:1,000 IM or SQ Only | Y | Y | Y | Y | Y |
Epinephrine IV Only | N | N | N | VO | Y |
Epinephrine Auto-Injector | Y | Y | Y | Y | Y |
Magnesium sulfate - bolus infusion only | N | N | N | N | Y |
Racemic Epinephrine | N | N | N | Y | Y |
Short Acting Bronchodilator meter dose inhalers (MDI) (Patient assisted) | VO | VO | VO | Y | Y |
Short Acting Bronchodilator meter dose inhalers (MDI) | Y | Y | Y | Y | Y |
TABLE B.10 - SEIZURE MANAGEMENT
Medications | EMT | EMT-IV | AEMT | EMT-I | P |
Benzodiazepine - Diazepam | N | N | N | Y | Y |
Benzodiazepine - Diazepam - rectal administration | N | N | Y | Y | Y |
Benzodiazepine - Lorazepam | N | N | N | Y | Y |
Benzodiazepine - Midazolam | N | N | N | Y | Y |
Benzodiazepine - Midazolam - intranasal administration | N | N | Y | Y | Y |
OB - associated - Magnesium sulfate - bolus infusion only | N | N | N | Y | Y |
TABLE B.11 - VACCINES
Medications | EMT | EMT-IV | AEMT | EMT-I | P |
Post-exposure, employment, or pre-employment related - Hepatitis A | N | N | N | N | Y |
Post-exposure, employment, or pre-employment related - Hepatitis B | N | N | N | N | Y |
Post-exposure, employment, or pre-employment related - Tetanus | N | N | N | N | Y |
Post-exposure, employment, or pre-employment related - Influenza | N | N | N | N | Y |
Post-exposure, employment, or pre-employment related - PPD placement & interpretation | N | N | N | N | Y |
Public Health Related - Vaccine administration in conjunction with county public health departments and local EMS medical direction, after demonstration of proper training, will be authorized for public health vaccination efforts and pandemic planning exercises. | N | N | Y | Y | Y |
TABLE B.12 - MISCELLANEOUS
Medications | EMT | EMT-IV | AEMT | EMT-I | P |
Analgesic Sedative - Etomidate | N | N | N | N | N |
Benzodiazepine - Midazolam for TIH | N | N | N | VO | Y |
Topical hemostatic agents | Y | Y | Y | Y | Y |
6 CCR 1015-3-2-B