Fire-district
District of Columbia Fire and EMS Department
District of Columbia Fire and EMS Department (Washington, DC) carries 39 drugs across 173 dose entries in its current published protocol, effective 2024-08-01.
The current listed document is more than 24 months old and may be outdated.
Drugs and doses39
Acetaminophen
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 640 mg | PO | not captured | standing | page 188 |
| Mild to moderate pain | peds | 1.25 mL | PO | not captured | standing | page 188 |
Adenosine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| SVT | adult | 6 mg | IV | not captured | standing | page 122 |
| SVT | peds | 0.1 mg/kg | IV | not captured | standing | page 122 |
| Wide-complex tachycardia | adult | 6 mg | IV | not captured | standing | page 446 |
| Wide-complex tachycardia | peds | 0.1 mg/kg | IV | not captured | standing | page 446 |
Albuterol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 2.5 mg | NEB | not captured | standing | page 145 |
| Asthma / bronchospasm | peds | 2.5 mg | NEB | not captured | standing | page 145 |
Amiodarone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Wide-complex tachycardia | adult | 150 mg | IV | not captured | standing | page 449 |
| VF / pulseless VT | adult | 300 mg | IV/IO | not captured | standing | page 449 |
| VF / pulseless VT | adult | 300 mg | IV/IO | not captured | standing | page 449 |
| VF / pulseless VT | peds | 5 mg/kg | IV/IO | not captured | standing | page 449 |
| VF / pulseless VT | peds | 5 mg/kg | IV/IO | not captured | standing | page 449 |
Aspirin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 324 mg | PO | not captured | standing | page 130 |
Atropine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Bradycardia | adult | 0.5 mg | IV | not captured | standing | page 451 |
| Bradycardia | peds | 0.02 mg/kg | IV | not captured | standing | page 451 |
| Organophosphate poisoning | adult | 2 mg | IM | not captured | standing | page 451 |
| Organophosphate poisoning | peds | 0.5 mg | IM | not captured | standing | page 451 |
Buprenorphine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 8–16 mg | SL | not captured | standing | page 453 |
Calcium Chloride
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hyperkalemia | adult | 1 g | IV/IO | not captured | standing | page 75 |
| Hyperkalemia | peds | 20 mg/kg | IV/IO | not captured | standing | page 75 |
| Trauma / hemorrhage | adult | 1 g | IV/IO | not captured | standing | page 300 |
Dextrose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 100 mL | IV/IO | not captured | standing | page 213 |
| Hypoglycemia | peds | 5 mL/kg | IV/IO | not captured | standing | page 213 |
Diazepam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Seizure | adult | 10 mg | IM | not captured | standing | page 456 |
| Seizure | adult | 2–10 mg | IV/IO/IM | not captured | standing | page 456 |
| Seizure | peds | 0.3 mg/kg | IV/IO/IM | not captured | standing | page 456 |
| Seizure | peds | 10 mg | IM | not captured | standing | page 456 |
Diphenhydramine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 25–75 mg | IV/IO/IM | not captured | standing | page 166 |
| Allergic reaction | peds | 1 mg/kg | IV/IO/IM | not captured | standing | page 166 |
| Dystonic reaction | adult | 50 mg | IV/IM | not captured | standing | page 169 |
Dou-Dote
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nerve agent exposure | adult | 1 auto-injector | IM | not captured | standing | page 320 |
| Nerve agent exposure | peds | 1 auto-injector | IM | not captured | standing | page 320 |
| Organophosphate poisoning | adult | 1 auto-injector | IM | not captured | standing | page 320 |
| Organophosphate poisoning | peds | 1 auto-injector | IM | not captured | standing | page 320 |
Enalaprilat
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| CHF / pulmonary edema | adult | 1.25 mg | IV | not captured | standing | page 135 |
| Other | adult | 1.25 mg | IV | not captured | standing | page 458 |
Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 0.3–0.5 mg | IM | not captured | standing | page 165 |
| Anaphylaxis | peds | 0.01 mg/kg | IM | not captured | standing | page 165 |
| Asthma / bronchospasm | adult | 0.3–0.5 mg | IM | not captured | standing | page 146 |
| Asthma / bronchospasm | peds | 0.01 mg/kg | IM | not captured | standing | page 146 |
| Bradycardia | adult | 2–10 mcg | IV/IO | not captured | standing | page 128 |
| Cardiac arrest | adult | 1 mg | IV/IO | not captured | standing | page 75 |
| Cardiac arrest | peds | 0.01 mg/kg | IV/IO | not captured | standing | page 75 |
Esmolol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Atrial fibrillation with RVR | adult | 0.5 mg/kg | IV/IO | not captured | standing | page 123 |
| VF / pulseless VT | adult | 0.5 mg/kg | IV/IO | not captured | standing | page 89 |
Fentanyl
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Burns | adult | 50–100 mcg | IV | not captured | standing | page 132 |
| Burns | peds | 1 mcg/kg | IV | not captured | standing | page 132 |
| Mild to moderate pain | adult | 25–50 mcg | IV | not captured | standing | page 132 |
| Mild to moderate pain | peds | 1 mcg/kg | IV | not captured | standing | page 132 |
Furosemide
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| CHF / pulmonary edema | adult | 20–40 mg | IV | not captured | standing | page 463 |
| CHF / pulmonary edema | adult | 20–40 mg | IV | not captured | standing | page 463 |
| CHF / pulmonary edema | peds | 0.5 mg/kg | IV | not captured | standing | page 463 |
| CHF / pulmonary edema | peds | 0.5 mg/kg | IV | not captured | standing | page 463 |
| Other | adult | 20–40 mg | IV | not captured | standing | page 463 |
| Other | peds | 0.5 mg/kg | IV | not captured | standing | page 463 |
Glucagon
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 1 mg | IV/IO/IM/IN | not captured | standing | page 464 |
| Anaphylaxis | peds | 0.5 mg | IV/IO/IM/IN | not captured | standing | page 464 |
| Beta-blocker / calcium-channel-blocker overdose | adult | 1 mg | IV/IO/IM/IN | not captured | standing | page 464 |
| Beta-blocker / calcium-channel-blocker overdose | adult | 1 mg | IV/IO/IM/IN | not captured | standing | page 464 |
| Beta-blocker / calcium-channel-blocker overdose | peds | 1 mg | IV/IO/IM/IN | not captured | standing | page 464 |
| Beta-blocker / calcium-channel-blocker overdose | peds | 1 mg | IV/IO/IM/IN | not captured | standing | page 464 |
| Hypoglycemia | adult | 1 mg | IM/IN | not captured | standing | page 464 |
| Hypoglycemia | peds | 0.5 mg | IM/IN | not captured | standing | page 464 |
Haloperidol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 5 mg | IM | not captured | standing | page 467 |
| Agitation | peds | 2 mg | IM | not captured | standing | page 467 |
Hydrocortisone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Adrenal crisis | adult | 100 mg | IV/IO/IM | not captured | standing | page 469 |
| Adrenal crisis | peds | 2 mg/kg | IV/IO/IM | not captured | standing | page 469 |
Hydroxocobalamin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cyanide poisoning | adult | 5 g | IV | not captured | standing | page 470 |
| Cyanide poisoning | adult | 5 g | IV | not captured | standing | page 470 |
| Cyanide poisoning | peds | 70 mg/kg | IV | not captured | standing | page 470 |
| Cyanide poisoning | peds | 70 mg/kg | IV | not captured | standing | page 470 |
Ipratropium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 500 mcg | NEB | not captured | standing | page 145 |
| Asthma / bronchospasm | peds | 500 mcg | NEB | not captured | standing | page 145 |
Ketamine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | adult | 1 mg/kg | IV/IO | not captured | standing | page 67 |
| Cardiac arrest | peds | 1 mg/kg | IV/IO | not captured | standing | page 67 |
| Mild to moderate pain | adult | 0.2 mg/kg | IV/IO/IM | not captured | standing | page 191 |
| Mild to moderate pain | peds | 0.2 mg/kg | IV/IO/IM | not captured | standing | page 191 |
| Procedural sedation | adult | 1 mg/kg | IV/IO | not captured | standing | page 439 |
| Procedural sedation | peds | 1 mg/kg | IV/IO | not captured | standing | page 439 |
| RSI induction | adult | 2 mg/kg | IV/IO | not captured | standing | page 345 |
| RSI induction | peds | 2 mg/kg | IV/IO | not captured | standing | page 345 |
Ketorolac
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 15 mg | IV | not captured | standing | page 192 |
| Mild to moderate pain | adult | 30 mg | IM | not captured | standing | page 192 |
| Mild to moderate pain | peds | 0.5 mg/kg | IV | not captured | standing | page 192 |
| Mild to moderate pain | peds | 1 mg/kg | IM | not captured | standing | page 192 |
Lidocaine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 20–40 mg | IO | not captured | standing | page 476 |
| Other | peds | 20–40 mg | IO | not captured | standing | page 476 |
| RSI induction | adult | 1.5 mg/kg | IV/IO | not captured | standing | page 476 |
| RSI induction | peds | 1.5 mg/kg | IV/IO | not captured | standing | page 476 |
| Wide-complex tachycardia | adult | 1 mg/kg | IV/IO | not captured | standing | page 476 |
| Wide-complex tachycardia | peds | 1 mg/kg | IV/IO | not captured | standing | page 476 |
| VF / pulseless VT | adult | 1 mg/kg | IV/IO | not captured | standing | page 475 |
| VF / pulseless VT | adult | 1 mg/kg | IV/IO | not captured | standing | page 475 |
| VF / pulseless VT | peds | 1 mg/kg | IV/IO | not captured | standing | page 475 |
| VF / pulseless VT | peds | 1 mg/kg | IV/IO | not captured | standing | page 475 |
Magnesium Sulfate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 2 g | IV/IO | not captured | standing | page 478 |
| Asthma / bronchospasm | peds | 25–50 mg/kg | IV/IO | not captured | standing | page 478 |
| Eclampsia / pre-eclampsia | adult | 4 g | IV/IO | not captured | standing | page 478 |
| VF / pulseless VT | adult | 2 g | IV/IO | not captured | standing | page 477 |
| VF / pulseless VT | peds | 25–50 mg/kg | IV/IO | not captured | standing | page 477 |
Methylprednisolone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Adrenal crisis | adult | 125 mg | IV/IO/IM | not captured | standing | page 479 |
| Adrenal crisis | peds | 2 mg/kg | IV/IO/IM | not captured | standing | page 479 |
| Asthma / bronchospasm | adult | 125 mg | IV/IO/IM | not captured | standing | page 479 |
| Asthma / bronchospasm | peds | 2 mg/kg | IV/IO/IM | not captured | standing | page 479 |
| COPD | adult | 125 mg | IV/IO/IM | not captured | standing | page 479 |
| COPD | peds | 2 mg/kg | IV/IO/IM | not captured | standing | page 479 |
Midazolam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 2–5 mg | IV/IN | not captured | standing | page 481 |
| ACS / chest pain | peds | 0.1 mg/kg | IV/IN | not captured | standing | page 481 |
| Agitation | adult | 10 mg | IN | not captured | standing | page 206 |
| Agitation | adult | 2–5 mg | IV/IO | not captured | standing | page 206 |
| Agitation | adult | 5 or 10 mg | IM | not captured | standing | page 206 |
| Agitation | peds | 0.1 mg/kg | IV/IO | not captured | standing | page 206 |
| Agitation | peds | 0.2 mg/kg | IN | not captured | standing | page 206 |
| Agitation | peds | 0.2 mg/kg | IM | not captured | standing | page 206 |
| Nerve agent exposure | adult | 10 mg | IN | not captured | standing | page 323 |
| Nerve agent exposure | adult | 2–5 mg | IV/IO | not captured | standing | page 323 |
| Nerve agent exposure | adult | 5 or 10 mg | IM | not captured | standing | page 323 |
| Nerve agent exposure | peds | 0.1 mg/kg | IV/IO | not captured | standing | page 323 |
| Nerve agent exposure | peds | 0.2 mg/kg | IN | not captured | standing | page 323 |
| Nerve agent exposure | peds | 0.2 mg/kg | IM | not captured | standing | page 323 |
| Other | adult | 2–5 mg | IV/IO | not captured | standing | page 441 |
| Other | adult | 5 mg | IN | not captured | standing | page 441 |
| Other | adult | 5 mg | IM | not captured | standing | page 441 |
| Other | peds | 0.1 mg/kg | IV/IO | not captured | standing | page 441 |
| Other | peds | 0.2 mg/kg | IN | not captured | standing | page 441 |
| Other | peds | 0.2 mg/kg | IM | not captured | standing | page 441 |
| Procedural sedation | adult | 2–5 mg | IV/IO/IN | not captured | standing | page 481 |
| Procedural sedation | adult | 2–5 mg | IV/IO/IN | not captured | standing | page 481 |
| Procedural sedation | peds | 0.1 mg/kg | IV/IO/IN | not captured | standing | page 481 |
| Procedural sedation | peds | 0.1 mg/kg | IV/IO/IN | not captured | standing | page 481 |
| Seizure | adult | 5 mg | IM | not captured | standing | page 202 |
| Seizure | adult | 5 mg | IV/IO | not captured | standing | page 202 |
| Seizure | adult | 5 mg | IN | not captured | standing | page 202 |
| Seizure | peds | 0.1 mg/kg | IV/IO | not captured | standing | page 202 |
| Seizure | peds | 0.2 mg/kg | IM | not captured | standing | page 202 |
| Seizure | peds | 0.2 mg/kg | IN | not captured | standing | page 202 |
Morphine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 2 mg | IV | not captured | standing | page 132 |
| ACS / chest pain | peds | 0.1 mg/kg | IV | not captured | standing | page 132 |
| Burns | adult | 2 mg | IV | not captured | standing | page 270 |
| Burns | peds | 0.1 mg/kg | IV | not captured | standing | page 270 |
| Mild to moderate pain | adult | 2 mg | IV | not captured | standing | page 132 |
| Mild to moderate pain | peds | 0.1 mg/kg | IV | not captured | standing | page 132 |
Naloxone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Opioid overdose | adult | 2 mg | IN | not captured | standing | page 484 |
| Opioid overdose | adult | 2 mg | IV/IM/IN | not captured | standing | page 150 |
| Opioid overdose | peds | 0.1 mg/kg | IV/IM/IN | not captured | standing | page 150 |
Nerve Agent Antidote Kit
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nerve agent exposure | adult | 1 kit | IM | not captured | standing | page 321 |
| Nerve agent exposure | peds | 1 kit | IM | not captured | standing | page 321 |
| Organophosphate poisoning | adult | 1 kit | IM | not captured | standing | page 321 |
| Organophosphate poisoning | peds | 1 kit | IM | not captured | standing | page 321 |
Nitroglycerin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 0.4 mg | SL | not captured | standing | page 131 |
| CHF / pulmonary edema | adult | 0.4 mg | SL | not captured | standing | page 135 |
| Other | adult | 0.4 mg | SL | not captured | standing | page 486 |
Ondansetron
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | adult | 4 mg | IV/IO/IM/ODT | not captured | standing | page 208 |
| Nausea / vomiting | peds | 0.15 mg/kg | IV/IO/IM/ODT | not captured | standing | page 208 |
Oral Glucose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | One single dose tube | PO | not captured | standing | page 466 |
| Hypoglycemia | peds | One single dose tube | PO | not captured | standing | page 466 |
Pralidoxime
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nerve agent exposure | adult | 600 mg | IM | not captured | standing | page 490 |
| Organophosphate poisoning | adult | 600 mg | IM | not captured | standing | page 490 |
Prednisone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 60 mg | PO | not captured | standing | page 491 |
| Asthma / bronchospasm | peds | 1–2 mg/kg | PO | not captured | standing | page 491 |
Racemic Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 0.5 mL | NEB | not captured | standing | page 492 |
| Asthma / bronchospasm | peds | 0.25 mL | NEB | not captured | standing | page 492 |
| Croup | adult | 0.5 mL | NEB | not captured | standing | page 492 |
| Croup | peds | 0.25 mL | NEB | not captured | standing | page 492 |
Sodium Bicarbonate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hyperactive delirium | adult | 1 mEq/kg | IV/IO | not captured | standing | page 76 |
| Hyperactive delirium | peds | 1 mEq/kg | IV/IO | not captured | standing | page 76 |
| Hyperkalemia | adult | 1 mEq/kg | IV/IO | not captured | standing | page 75 |
| Hyperkalemia | peds | 1 mEq/kg | IV/IO | not captured | standing | page 75 |
| Tricyclic overdose | adult | 1 mEq/kg | IV/IO | not captured | standing | page 76 |
| Tricyclic overdose | peds | 1 mEq/kg | IV/IO | not captured | standing | page 76 |
Tranexamic Acid
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Trauma / hemorrhage | adult | 1 g | IV/IO | not captured | standing | page 299 |
| Trauma / hemorrhage | peds | 25 mg/kg | IV/IO | not captured | standing | page 299 |