US EMS Protocol Census
Fire-district

Bexar County ESD 4 Fire Rescue

Current179 dose entries39 drugs1 documentBoerne, TXeffective 2025-04-0198% machine-parsed of 179

Bexar County ESD 4 Fire Rescue (Boerne, TX) carries 39 drugs across 179 dose entries in its current published protocol, effective 2025-04-01.

Drugs and doses39

Acetaminophen

IndicationPopulationDoseRouteRepeatStandingSource
Fever adult 1 g PO not captured standing page 90
Fever adult 15 mg/kg IV/IO not captured standing page 90
Fever peds 15 mg/kg PO not captured standing page 90
Fever peds 15 mg/kg IV/IO not captured standing page 90
Mild to moderate pain adult 1 g PO not captured standing page 96
Mild to moderate pain adult 15 mg/kg IV/IO not captured standing page 96
Mild to moderate pain peds 15 mg/kg PO not captured standing page 96
Mild to moderate pain peds 15 mg/kg IV/IO not captured standing page 96

Adenosine

IndicationPopulationDoseRouteRepeatStandingSource
Narrow-complex tachycardia adult 12 mg IV/IO not captured standing page 79
Narrow-complex tachycardia peds 0.2 mg/kg IV/IO not captured standing page 79

Albuterol

IndicationPopulationDoseRouteRepeatStandingSource
Asthma / bronchospasm adult 2.5 mg NEB not captured standing page 69
Asthma / bronchospasm adult 2.5 mg MDI not captured standing page 69
Asthma / bronchospasm peds 2.5 mg NEB not captured standing page 69
Asthma / bronchospasm peds 2.5 mg MDI not captured standing page 69

Amiodarone

IndicationPopulationDoseRouteRepeatStandingSource
Atrial fibrillation with RVR adult 150 mg IV/IO not captured standing page 78
SVT adult 150 mg IV/IO not captured standing page 79
Wide-complex tachycardia adult 150 mg IV/IO not captured standing page 80
VF / pulseless VT adult 300 mg IV/IO not captured standing page 74
VF / pulseless VT peds 5 mg/kg IV/IO not captured standing page 74

Aspirin

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 324 mg PO not captured standing page 76

Atropine

IndicationPopulationDoseRouteRepeatStandingSource
Bradycardia adult 0.5 mg IV/IO not captured standing page 77
Bradycardia peds 0.02 mg/kg IV/IO not captured standing page 77
Organophosphate poisoning peds 2 mg IV/IO/IM not captured standing page 148

Calcium Chloride

IndicationPopulationDoseRouteRepeatStandingSource
Beta-blocker / calcium-channel-blocker overdose adult 1 g IV/IO not captured standing page 73
Beta-blocker / calcium-channel-blocker overdose adult 1 g IV/IO not captured standing page 73
Beta-blocker / calcium-channel-blocker overdose peds 20 mg/kg IV/IO not captured standing page 73
Beta-blocker / calcium-channel-blocker overdose peds 20 mg/kg IV/IO not captured standing page 73
Hyperkalemia adult 1 g IV/IO not captured standing page 73
Hyperkalemia peds 20 mg/kg IV/IO not captured standing page 73
Other adult 500 mg SQ not captured standing page 146
Other peds 500 mg SQ not captured standing page 146

Calcium Gluconate

IndicationPopulationDoseRouteRepeatStandingSource
Beta-blocker / calcium-channel-blocker overdose adult 1 g IV/IO not captured standing page 73
Beta-blocker / calcium-channel-blocker overdose adult 1 g IV/IO not captured standing page 73
Beta-blocker / calcium-channel-blocker overdose peds 100 mg/kg IV/IO not captured standing page 73
Beta-blocker / calcium-channel-blocker overdose peds 100 mg/kg IV/IO not captured standing page 73
Hyperkalemia adult 2 g IV/IO not captured standing page 73
Hyperkalemia peds 100 mg/kg IV/IO not captured standing page 73
Other adult 500 mg TOP not captured standing page 146
Other peds 500 mg TOP not captured standing page 146

Cefazolin

IndicationPopulationDoseRouteRepeatStandingSource
Trauma / hemorrhage adult 2 g IV/IO not captured standing page 108
Trauma / hemorrhage adult 2 g IV/IO not captured standing page 108

Cefepime

IndicationPopulationDoseRouteRepeatStandingSource
Sepsis adult 2 g IV/IO not captured standing page 98
Sepsis peds 50 mg/kg IV/IO not captured standing page 98
Trauma / hemorrhage adult 2 g IV/IO not captured standing page 110
Trauma / hemorrhage peds 2 g IV/IO not captured standing page 110

Dexamethasone

IndicationPopulationDoseRouteRepeatStandingSource
Allergic reaction adult 10 mg IV/IO/IM not captured standing page 83
Allergic reaction peds 0.6 mg/kg IV/IO/IM not captured standing page 83
Anaphylaxis adult 10 mg IV/IO/IM not captured standing page 83
Anaphylaxis peds 0.6 mg/kg IV/IO/IM not captured standing page 83
Asthma / bronchospasm adult 10 mg IV/IO/IM not captured standing page 120
Asthma / bronchospasm peds 0.6 mg/kg IV/IO/IM not captured standing page 120

Dextrose

IndicationPopulationDoseRouteRepeatStandingSource
Cardiac arrest peds 5 mL/kg IV/IO not captured standing page 123
Hypoglycemia adult 25 g IV/IO not captured standing page 84
Hypoglycemia peds 5 mL/kg IV/IO not captured standing page 84
Other adult 25 g IV/IO not captured standing page 84
Other peds 5 mL/kg IV/IO not captured standing page 84

Diltiazem

IndicationPopulationDoseRouteRepeatStandingSource
Atrial fibrillation with RVR adult 10 mg IV/IO not captured standing page 78
SVT adult 10 mg IV/IO not captured standing page 79

Diphenhydramine

IndicationPopulationDoseRouteRepeatStandingSource
Allergic reaction adult 25–50 mg PO not captured standing page 83
Allergic reaction peds 1 mg/kg PO not captured standing page 83
Dystonic reaction adult 25–50 mg IV/IO/IM not captured standing page 83
Dystonic reaction peds 1 mg/kg IV/IO/IM not captured standing page 83
Other adult 25–50 mg PO not captured standing page 83
Other peds 1 mg/kg PO not captured standing page 83

Droperidol

IndicationPopulationDoseRouteRepeatStandingSource
Agitation adult 5 mg IV/IO/IM not captured standing page 85
Agitation peds 10 mg IV/IO/IM not captured standing page 85
Nausea / vomiting adult 1.25 mg IV not captured standing page 94
Nausea / vomiting adult 1.25 mg IV not captured standing page 94
Other adult 1.25 mg IV not captured standing page 94

Duo-Dote

IndicationPopulationDoseRouteRepeatStandingSource
Organophosphate poisoning adult 1 Dose IM not captured standing page 148
Organophosphate poisoning peds 1 Dose IM not captured standing page 148

Epinephrine

IndicationPopulationDoseRouteRepeatStandingSource
Allergic reaction adult 0.3 mg IM not captured standing page 83
Allergic reaction peds 0.01 mg/kg IM not captured standing page 83
Anaphylaxis adult 0.3 mg IM not captured standing page 83
Anaphylaxis peds 0.01 mg/kg IM not captured standing page 83
Bradycardia peds 0.01 mg/kg IV/IO not captured standing page 126
Cardiac arrest adult 0.5 mg IV/IO not captured standing page 73
Cardiac arrest peds 0.01 mg/kg IV/IO not captured standing page 73
Respiratory distress adult 0.3 mg IM not captured standing page 83
Respiratory distress peds 0.01 mg/kg IM not captured standing page 83

Etomidate

IndicationPopulationDoseRouteRepeatStandingSource
Procedural sedation adult 0.1–0.3 mg/kg IV/IO not captured standing page 77
Procedural sedation adult 0.1–0.3 mg/kg IV/IO not captured standing page 78
Procedural sedation adult 0.1–0.3 mg/kg IV/IO not captured standing page 77
Procedural sedation peds 0.1–0.3 mg/kg IV/IO not captured standing page 77
Procedural sedation peds 0.1–0.3 mg/kg IV/IO not captured standing page 78
Procedural sedation peds 0.1–0.3 mg/kg IV/IO not captured standing page 77
RSI induction adult 0.2–0.3 mg/kg IV/IO not captured standing page 70
RSI induction adult 0.2–0.3 mg/kg IV/IO not captured standing page 70
RSI induction peds 0.1–0.3 mg/kg IV/IO not captured standing page 70
RSI induction peds 0.1–0.3 mg/kg IV/IO not captured standing page 70

Fentanyl

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 0.5–1 mcg/kg IV/IO not captured standing page 75
Severe pain adult 0.5–1 mcg/kg IV/IO/IM/IN not captured standing page 134
Severe pain peds 0.5 mcg/kg IV/IO/IM/IN not captured standing page 134

Hydroxocobalamin

IndicationPopulationDoseRouteRepeatStandingSource
Cyanide poisoning adult 5 g IV not captured standing page 144
Cyanide poisoning peds 70 mg/kg IV not captured standing page 144

Ibuprofen

IndicationPopulationDoseRouteRepeatStandingSource
Fever peds 10 mg/kg PO not captured standing page 131

Ipratropium

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 0.5 mg NEB not captured standing page 68
Other peds 0.25 mg NEB not captured standing page 68

Ketamine

IndicationPopulationDoseRouteRepeatStandingSource
Agitation adult 2 mg/kg IV/IO/IM/IN not captured standing page 85
Agitation peds 2 mg/kg IV/IO/IM/IN not captured standing page 85
Other adult 1 mg/kg IV/IO not captured standing page 75
Other peds 1–2 mg/kg IV/IO not captured standing page 75
Mild to moderate pain adult 0.3 mg/kg IV/IO/IM/IN not captured standing page 96
Mild to moderate pain peds 0.3 mg/kg IV/IO/IM/IN not captured standing page 96
Respiratory distress adult 0.5 mg/kg IV/IO not captured standing page 69
RSI induction adult 2 mg/kg IV/IO not captured standing page 70
RSI induction peds 2 mg/kg IV/IO not captured standing page 70
Seizure adult 1–2 mg/kg IV/IO/IM/IN not captured standing page 97
Seizure peds 1–2 mg/kg IV/IO/IM/IN not captured standing page 97

Ketorolac

IndicationPopulationDoseRouteRepeatStandingSource
Fever adult 15 mg IV/IO/IM not captured standing page 90
Fever peds 0.5 mg/kg IV/IO/IM not captured standing page 90
Mild to moderate pain adult 30 mg IV/IO/IM not captured standing page 96
Mild to moderate pain peds 0.5 mg/kg IV/IO/IM not captured standing page 96

Labetalol

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 10 mg not captured not captured standing page 88
Other adult 20 mg IV not captured standing page 102

Lidocaine

IndicationPopulationDoseRouteRepeatStandingSource
Mild to moderate pain adult 40 mg IO not captured standing page 59
Mild to moderate pain peds 0.5 mg/kg IO not captured standing page 59

Magnesium Sulfate

IndicationPopulationDoseRouteRepeatStandingSource
Asthma / bronchospasm adult 2 g IV/IO not captured standing page 69
Asthma / bronchospasm peds 50 mg/kg IV/IO not captured standing page 69
Cardiac arrest adult 2 g IV/IO not captured standing page 74
Cardiac arrest peds 50 mg/kg IV/IO not captured standing page 74
Other adult 2 g IV/IO not captured standing page 120
Other adult 4 g IV/IO not captured standing page 116
Other peds 50 mg/kg IV/IO not captured standing page 120
Seizure adult 4 g IV/IO not captured standing page 116
Narrow-complex tachycardia adult 2 g IV/IO not captured standing page 74
Narrow-complex tachycardia peds 50 mg/kg IV/IO not captured standing page 74

Midazolam

IndicationPopulationDoseRouteRepeatStandingSource
Agitation adult 2.5–5 mg IV/IO/IM/IN not captured standing page 85
Other adult 2–5 mg IV/IO not captured standing page 75
Other peds 0.1 mg/kg IV/IO not captured standing page 75
Post-ROSC care adult 2.5–5 mg IV/IO not captured standing page 75
Procedural sedation adult 2.5–5 mg IV/IO not captured standing page 75
Procedural sedation adult 2.5–5 mg IV/IO/IM/IN not captured standing page 77
Procedural sedation peds 0.05 mg/kg IV/IO not captured standing page 75
Seizure adult 5 mg IV/IO not captured standing page 97
Seizure peds 0.2 mg/kg IV/IO not captured standing page 97

Naloxone

IndicationPopulationDoseRouteRepeatStandingSource
Opioid overdose adult 1–2 mg IV/IO/IM not captured standing page 84
Opioid overdose adult 1–4 mg IN not captured standing page 84
Opioid overdose peds 0.1 mg/kg IN not captured standing page 84
Opioid overdose peds 0.1 mg/kg IV/IO/IM not captured standing page 84

Nicardipine

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 2 mg not captured not captured standing page 102

Nitroglycerin

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 0.4 mg SL not captured standing page 68
CHF / pulmonary edema adult 0.4 mg SL not captured standing page 68
CHF / pulmonary edema adult 0.4 mg SL not captured standing page 68

Norepinephrine

IndicationPopulationDoseRouteRepeatStandingSource
Cardiac arrest adult 0.1 mcg/kg IV not captured standing page 123
Cardiac arrest peds 0.1 mcg/kg IV not captured standing page 123
Hypotension / shock adult 2–12 mcg IV not captured standing page 110
Hypotension / shock adult 2–20 mcg IV not captured standing page 92
Hypotension / shock peds 0.05–0.2 mcg/kg IV not captured standing page 92
Hypotension / shock peds 0.05–0.2 mcg/kg IV not captured standing page 110
Other adult 2–20 mcg IV not captured standing page 92
Other adult 2–20 mcg IV not captured standing page 92
Other adult 2–20 mcg IV not captured standing page 92
Other peds 0.05–0.2 mcg/kg IV not captured standing page 92
Other peds 0.05–0.2 mcg/kg IV not captured standing page 92
Other peds 0.05–0.2 mcg/kg IV not captured standing page 92
Sepsis adult 2–20 mcg IV not captured standing page 92
Sepsis peds 0.05–0.2 mcg/kg IV not captured standing page 92
Trauma / hemorrhage adult 2–20 mcg IV not captured standing page 92
Trauma / hemorrhage peds 0.05–0.2 mcg/kg IV not captured standing page 92

Ondansetron

IndicationPopulationDoseRouteRepeatStandingSource
Nausea / vomiting adult 4–8 mg IV/IO/IM not captured standing page 89
Nausea / vomiting peds 0.1 mg/kg IV/IO/IM not captured standing page 89

Oral Glucose

IndicationPopulationDoseRouteRepeatStandingSource
Hypoglycemia adult 15 g PO not captured standing page 84
Hypoglycemia peds 7.5 g PO not captured standing page 84

Phenylephrine

IndicationPopulationDoseRouteRepeatStandingSource
Hypotension / shock adult 50–200 mcg IV/IO not captured standing page 101

Rocuronium

IndicationPopulationDoseRouteRepeatStandingSource
RSI induction adult 1 mg/kg IV/IO not captured standing page 70
RSI induction peds 1–1.5 mg/kg IV/IO not captured standing page 70

Sodium Bicarbonate

IndicationPopulationDoseRouteRepeatStandingSource
Burns adult 1 mEq/kg IV/IO not captured standing page 105
Burns peds 1 mEq/kg IV/IO not captured standing page 105
Hyperkalemia adult 1 mEq/kg IV/IO not captured standing page 73
Hyperkalemia peds 1 mEq/kg IV/IO not captured standing page 73
Other adult 1 mEq/kg IV/IO not captured standing page 106
Other adult 50 mEq IV/IO not captured standing page 95
Other peds 1 mEq/kg IV/IO not captured standing page 95
Other peds 1 mEq/kg IV/IO not captured standing page 106

Thiamine

IndicationPopulationDoseRouteRepeatStandingSource
Sepsis adult 200 mg IV/IO not captured standing page 98
Sepsis peds 5 mg/kg IV/IO not captured standing page 98

Tranexamic Acid

IndicationPopulationDoseRouteRepeatStandingSource
Trauma / hemorrhage adult 2 g IV/IO not captured standing page 112
Trauma / hemorrhage peds 15 mg/kg IV/IO not captured standing page 112