Ministry of Health

Sultanate of Oman

Emergency medicines list

for the
Emergency Department

Developed by:

Emergency Medicine Clinical Services Development Committee 2012

Approved by CDC on October 2015

The classes of drugs and agents presented in this document are considered essential to the
practice of Emergency Medicine. However, the availability of the specific agents will be
dependent on the functional level of the Emergency Department, which is determined by
the hospital it belongs to. Accordingly, a system has been devised whereby each agent’s
availability is recommended based on the level of the department as listed below

Level I Level II Level III Level IV

(National/Governorate (Wilayat hospitals) (Local hospitals/hospitals (Extended Health
hospitals) with no ICU) Center)
Royal Hospital Jaalan Bani Bu Ali Al Nahdha Al Masarra
Khoula Hospital Sinaw Izki Bawsher
Sultan Qaboos H. Saham Wadi Hibi As Seeb
Hayma Samail Wadi As Sarami Qurayyat
Ibri Bahla Wadi Al Hawasinah
Ibra
Khasab
Wadi Bani Ghafir Hafit
Sur
Wadi Haymli Al Buraymi
Ar Rustaq
Sohar Wadi Bani Kharus Bahla
Nizwa Wadi Mistal
Samail
Al Buraymi Jaalan Bani Bu Hasan
Shinas
Khasab Masirah
Samad Ash Shan Al Khaburah
Bidiyah As Suwayq
Wadi Bani Khalid Ar Rustaq
Wadi Dima Wa At Barka
Taiyyin Al Musanaah
Yankul Sur
Ad Duqm Jaalan Bani Bu Ali
Al Jazer Ibra
Ar Rahmah Ibri
Qurayyat
Madinat Al Haq
Taqah
Tawi Atayr
Mirbat
Sadh
Rakhyut
Daba
Bukha
Wadi Al Jizzi
Al Jabal Al Akhdar
Adam

Note: Unless requested by the individual institution, not all items need to be supplied
to each of the listed facilities (except for the crash cart items).

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 Drug Class Drug Name Route ED Comments
Level
Analgesics
Narcotics Codeine PO I-III
Tramadol IV, IM I-III
Morphine IV All
Fentanyl IV I-III
Non-narcotics Paracetamol IV, PO, PR All
Diclofenac Na IM, PR All
Ibuprofen PO All
Anesthetics
Topical EMLA Topical All
LET (Lidocaine, Topical I-III
Epinephrine,Tetra-
caine)
Lidocaine gel 2% Topical All
Lidocaine spray 4% Topical I-III

Single use vials

Infiltrative Lidocaine 1%,2% Local All
Single use vials
Bupivicaine 0.5% Local I-III
Lidocaine with Local I-III
Epinephrine 2%
Anti-bleeding Vitamin K IV I-III

Prothrombin IV I-III
Complex
Concentrate
(Octaplex)
Tranexamic acid IV I-III

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 Drug Class Drug Name Route ED Comments
Level
Anti-coagulants Unfractionated IV I-III
Heparin
LMWH SC I-III
Anti-convulsants Midazolam IV I-III
Phenytoin IV I-III
Lorazepam IV I-III
Valporic acid IV I-III
Phenobarbitol IV I-III
Diazepam PR All
Anti-diabetics Insulin R IM All
Antidotes Sodium bicarbonate IV I-III
(in the ED) 4.2%
N-Acetylcystine IV I-III
Activated charcoal PO All
Calcium gluconate IV I-III
Glucagon IV I-III
Atropine IV I-III
Flumazenil IV I-III
Folic acid PO I-III
Pyridoxine IV I-III
Thiamine IM, IV I-III
Hydroxy-cobalamin IV I-III
Snake antivenom IV All
Antidotes Digi-Fab IV I-II
(in the ICU)

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 Drug Class Drug Name Route ED Remarks
Level
Desferoxamine IV I-II
2-PAM IV I-II
Methylene Blue IV I-II
Protamine sulphate IV I-II
Anti-histamines Chlorphenaramine IV, IM All
Prochlorperazine IV, IM All
Anti-infectives Amoxi-clav IV I-III
Ceftriaxone IV All Needs protocols for use at
level IV ED

Clindamycin IV I-III
Gentamicin IV I-III
Metronidazole IV I-III
Cefotaxime IV I-III Reserved for infants <3
months

Tazocin IV I-III
Ampicillin IV I-III
Anti-inflammatories
Steroids Hydrocortisone IV All
Methyl- IV I-III
prednisolone
Dexamethasone IV I-III
Prednisone PO All
Dexamethasone PO I-III
Methyl- Intra- I-III
prednisolone articular
Triamcinolone Intra- I-III
actinide articular

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Drug Class Drug Name Route ED Remarks
Level
Anti-platelets Aspirin PO All
Clopedogril PO I-III Use should be guided by
hospital or department
protocol
Burn preparations Moist Exposure Topical All
Burn Ointment
(MEBO)
CVS Agents
ACE inhibitors Captopril PO I-III
Adrenergic Norepinephrine IV I-III
stimulants
Phenylephrine IV I-III
Dobutamine IV I-III
Dopamine IV I-III
α/β Blockers Labetalol IV I-III
Metoprolol IV I-III
For Thyroid storm only
Propranolol IV I-III
Calcium Channel Diltiazem IV I-III
Blockers
Diuretics Furosemide IV All
Mannitol IV I-III
Vasodilators Nitroglycerine IV I-III
Nitroglycerine SL All
Nitroglycerine Patch I-III
Na Nitroprusside IV I-II
Electrolytes ORS PO All
Potassium chloride IV All

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Drug Class Drug Name Route ED Remarks
Level
Fibrinolytics rtPA (Alteplase) IV I-III For CVA and PE (must be
used with a protocol)

Reteplase IV I-III For ACS (must be used

with a protocol)

Fluid replacement 0.45% NS IV All

solutions
0.9% NS IV I-III
3% NS IV All
5% Dextrose IV All
10% Dextrose IV All
D5 NS IV All
0.45% NS D5 IV All
Ringer Lactate IV All
GI Agents
Antacids Mag Hydroxide PO All

Aluminum PO All
Hydroxide
Anti-emetics Metoclopramide IV, IM All
Ondanesetron PO I-III
Antispasmodics Hyoscine IV, IM All
butylbromide
Laxatives Fleet enema PR All
H2 Antagonists Ranitidine IV, PO All
Proton Pump Omeprazole IV I-III For Acute Upper GI Bleed
only
Inhibitors
Others Octreotide IV I-III

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 Drug Class Drug Name Route ED Remarks
Level
Miscellaneous Silver nitrate Topical I-III
cautery sticks
Tissue adhesive Skin All Must be used with a
protocol
(wound glue)
Lubricant … All
Calcium hydroxide Dental I-II
paste
Obstetric agents Oxytocin IV, IM All
Ophthalmic agents Acetazolamide IV I-III
Acetazolamide PO I-III
Oxybuprocaine Eye drops I-III
0.4%
Tropicamide 0.5% Eye drops I-III
Timolol 0.5% Eye drops I-III
Pilocarpine 2% Eye drops I-III
Psych agents Haloperidol IV, IM I-III
Orally disintegrating tablets
Olanzapine PO I-III
Respiratory agents Salbutamol Neb All
Ipratropium Neb All
bromide
RSI & Procedural Etomidate IV I-III
Sedation drugs
Thiopental IV I-III
Propofol IV I-III
Midazolam IV, IM, PO I-III
Succinylcholine IV I-III
Rocuronium IV I-III

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 Drug Class Drug Name Route ED Remarks
Level
Ketamine IV, IM I-III
Vaccines & Td vaccine IM All
Immunoglobulin
Rabies vaccine IM All
Rabies IM All
immunoglobulin
Tetanus IM All
immunoglobulin

Crash Cart Route ED Level

(Resuscitation
Medications)
Atropine (prefilled) IV All
Adenosine IV All
Amiodarone IV All
Calcium Gluconate IV All
Dextrose (D10, D25, D50) IV All
Epinephrine 1:1000 vials IV All
Epinephrine 1:10000 IV All
(prefilled)
Lidocaine 2% (prefilled) IV All
Magnesium Sulphate IV All
Naloxone IV All
Procainamide IV All
Sodium Bicarbonate (4.2%, IV All
8.4%)

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