This section include reference cards, presentations, and research on safe medication dosing.
(Last updated: December 19, 2025)
If you have content to add to the Toolkit, please email the PPRP team.
Most EMS providers have witnessed or been involved with a medication error attributable to poor system design and lack of safety behaviors. Read this article to learn more about how to prevent errors.
PPT Presentation (Dr. Kathleen Adelgais)
January 2020
Medication Dosing Safety for Pediatric Patients: Recognizing Gaps, Safety Threats, and Best Practices in the Emergency Medical Services Setting. A Position Statement and Resource Document from NAEMSP. (2020)
Background: Millions of patients receive medications in the Emergency Medical Services (EMS) setting annually, and dosing safety is critically important. The need for weight-based dosing in pediatric patients and variability in medication concentrations available in the EMS setting may require EMS providers to perform complex calculations to derive the appropriate dose to deliver. These factors can significantly increase the risk for harm when dose calculations are inaccurate or incorrect.
(Click "Open Resource" to read abstract)
Michigan specific volumetric dosing guide based on state formulary and specific concentrations
(version 4.1.5, 2023 revision)
This spreadsheet is designed to provide general information about dosage, equipment and vital signs for pediatric emergency care purposes. It is customizable in order to allow for users to enter the appropriate dosing regimens and medication concentrations appropriate to their EMS service or healthcare institution. Instructions are provided regarding customization of this Excel spreadsheet. Reasonable efforts have been made to prevent corruption of this document during the customization process, however, users should verify the accuracy of calculations before deploying this reference tool within their organization.
(from Colorado EMSC - click "Open Resource" to download spreadsheet)
