Fire-district
Bexar County ESD 4 Fire Rescue
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
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| 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
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| 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
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| 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
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| 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
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 324 mg | PO | not captured | standing | page 76 |
Atropine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| 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
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| 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
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| 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
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| 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
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| 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
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| 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
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| 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
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| 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
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| 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
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| 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
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Organophosphate poisoning | adult | 1 Dose | IM | not captured | standing | page 148 |
| Organophosphate poisoning | peds | 1 Dose | IM | not captured | standing | page 148 |
Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| 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
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| 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
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| 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
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cyanide poisoning | adult | 5 g | IV | not captured | standing | page 144 |
| Cyanide poisoning | peds | 70 mg/kg | IV | not captured | standing | page 144 |
Ibuprofen
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Fever | peds | 10 mg/kg | PO | not captured | standing | page 131 |
Ipratropium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 0.5 mg | NEB | not captured | standing | page 68 |
| Other | peds | 0.25 mg | NEB | not captured | standing | page 68 |
Ketamine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| 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
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| 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
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 10 mg | not captured | not captured | standing | page 88 |
| Other | adult | 20 mg | IV | not captured | standing | page 102 |
Lidocaine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| 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
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| 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
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| 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
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| 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
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 2 mg | not captured | not captured | standing | page 102 |
Nitroglycerin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| 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
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| 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
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| 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
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 15 g | PO | not captured | standing | page 84 |
| Hypoglycemia | peds | 7.5 g | PO | not captured | standing | page 84 |
Phenylephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypotension / shock | adult | 50–200 mcg | IV/IO | not captured | standing | page 101 |
Rocuronium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| 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
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| 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
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| 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
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| 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 |