# Preparation and Dosing of Push Dose Epinephrine - Pediatric

Official OCEMS reference: PR-205.
Collection: Procedures. Source topic: ALS Procedures.
Population: Pediatric. Scope: ALS.
Source index update: October 1, 2024. Source checked: 2026-09-16.

Independent OC Medic source briefing. The complete official document remains authoritative for exact requirements, exceptions, and clinical or administrative language.

## Document profile

- Document type: Clinical procedure
- Where it fits: Preparation and Dosing of Push Dose Epinephrine - Pediatric is an official procedure reference used to verify indications, provider scope, equipment, performance steps, reassessment, and documentation.
- Document note: Use the complete official document for mandatory wording, exceptions, definitions, and requirements that cannot be reduced safely to directory metadata.

## Use this source safely

- Confirm that the procedure is authorized for the provider and patient population and that its clinical indication is established by the applicable standing order.
- Use the complete source for contraindications, equipment details, required confirmation, complications, and documentation language.
- Check current OCEMS notices and agency direction before field use.
- When the source and a summary differ, follow the current official document and medical or operational direction.

## Related OC Medic guides

- [Base contact: common triggers](https://www.ocmedic.com/guides/base-contact/): A quick check for medical-control contact before transport or escalation.
- [Pediatric shock / hypotension](https://www.ocmedic.com/guides/pediatric-shock/): Reassess after each weight-based fluid bolus and obtain base direction for pediatric push-dose epinephrine.
- [Epinephrine](https://www.ocmedic.com/guides/epinephrine/): Anaphylaxis, cardiac arrest, and push-dose shock treatment: concentrations and age-specific rules.
- [Normal saline (0.9% sodium chloride)](https://www.ocmedic.com/guides/normal-saline/): Fluid resuscitation, pediatric bolus limits, and nebulized saline are different uses.

## Related official references

- [PR-085 - 10% Dextrose Solution Administration](https://www.ocmedic.com/reference/pr-085-10-dextrose-solution-administration/)
- [PR-105 - 12-Lead Electrocardiography](https://www.ocmedic.com/reference/pr-105-12-lead-electrocardiography/)
- [PR-004 - APGAR Score](https://www.ocmedic.com/reference/pr-004-apgar-score/)
- [PR-150 - Administration of Intramuscular Influenza Vaccine](https://www.ocmedic.com/reference/pr-150-administration-of-intramuscular-influenza-vaccine/)
- [PR-005 - Airway Management: Tracheostomy Special Situations](https://www.ocmedic.com/reference/pr-005-airway-management-tracheostomy-special-situations/)
- [PR-240 - Ambulance Transport Ventilator](https://www.ocmedic.com/reference/pr-240-ambulance-transport-ventilator/)

## Official source

- [Open the official document](https://www.ochealthinfo.com/sites/healthcare/files/2024-10/PR-205%20Peds%20Push%20Dose%20Epi%209-2024.pdf)
- [View the official source index](https://www.ochealthinfo.com/providers-partners/emergency-medical-services/ems-policies-procedures-standing-orders/ems)
- [OCEMS notices and system updates](https://www.ochealthinfo.com/providers-partners/emergency-medical-services)