What medications can we give a patient on a scene?

Oxygen only

Epinephrine only

Oxygen and epinephrine

The main idea is what meds a scene-based provider is typically allowed to administer under standard EMS protocols without a physician present. Oxygen is given to anyone who is hypoxic or in respiratory distress to improve oxygen delivery. Epinephrine is the go-to medication for anaphylaxis or severe allergic reactions with airway or circulatory involvement, and it’s routinely stocked and used in the field. Aspirin is useful for suspected heart attack, but its use on scene depends on the specific protocol and patient factors (such as allergies, bleeding risks, or contraindications) and isn’t universally given in all systems. Because oxygen and epinephrine are commonly authorized and indicated across a broad range of on-scene emergencies, they represent the best combination of meds you can administer in that setting.

Aspirin

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