Fire-district
Houston Fire Department
Houston Fire Department (Houston, TX) carries 24 drugs across 91 dose entries in its current published protocol, effective 2025-11-10.
Drugs and doses24
Adenosine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| SVT | adult | 6 or 12 mg | IV | not captured | standing | page 153 |
| SVT | peds | 0.1 mg/kg | IV | not captured | standing | page 153 |
Albuterol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 2.5 mg | NEB | not captured | standing | page 155 |
| Asthma / bronchospasm | peds | 2.5 mg | NEB | not captured | standing | page 155 |
Amiodarone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Wide-complex tachycardia | adult | 150 mg | IV/IO | not captured | standing | page 157 |
| VF / pulseless VT | adult | 150 mg | IV/IO | not captured | standing | page 157 |
| VF / pulseless VT | peds | 5 mg/kg | IV/IO | not captured | standing | page 157 |
Aspirin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 324 mg | PO | not captured | standing | page 159 |
Atropine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Bradycardia | adult | 1 mg | IV/IO | not captured | standing | page 160 |
| Bradycardia | peds | 0.02 mg/kg | IV/IO | not captured | standing | page 160 |
| Organophosphate poisoning | adult | 2 mg | IV/IO | not captured | standing | page 160 |
| Organophosphate poisoning | peds | 0.05 mg/kg | IV/IO | not captured | standing | page 160 |
Calcium Chloride
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Beta-blocker / calcium-channel-blocker overdose | adult | 1 g | IV/IO | not captured | standing | page 162 |
| Beta-blocker / calcium-channel-blocker overdose | peds | 20 mg/kg | IV/IO | not captured | standing | page 162 |
| Bradycardia | adult | 1 g | IV/IO | not captured | standing | page 162 |
| Bradycardia | peds | 20 mg/kg | IV/IO | not captured | standing | page 162 |
| Hyperkalemia | adult | 1 g | IV/IO | not captured | standing | page 162 |
| Hyperkalemia | peds | 20 mg/kg | IV/IO | not captured | standing | page 162 |
Dexamethasone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 10 mg | IV/IM/PO | not captured | standing | page 163 |
| Anaphylaxis | peds | 0.6 mg/kg | IV/IM/PO | not captured | standing | page 163 |
| Asthma / bronchospasm | adult | 10 mg | IV/IM/PO | not captured | standing | page 163 |
| Asthma / bronchospasm | peds | 0.6 mg/kg | IV/IM/PO | not captured | standing | page 163 |
| Croup | adult | 10 mg | IV/IM/PO | not captured | standing | page 163 |
| Croup | peds | 0.6 mg/kg | IV/IM/PO | not captured | standing | page 163 |
Dextrose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 15 g | PO | not captured | standing | page 113 |
| Hypoglycemia | adult | 250 mL | IV/IO | not captured | standing | page 113 |
| Hypoglycemia | peds | 15 g | PO | not captured | standing | page 113 |
| Hypoglycemia | peds | 5 mL/kg | IV/IO | not captured | standing | page 113 |
Diltiazem
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Atrial fibrillation with RVR | adult | 10–25 mg | IV/IO | not captured | standing | page 126 |
Diphenhydramine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 50 mg | IV/IM | not captured | standing | page 91 |
| Allergic reaction | peds | 1 mg/kg | IV/IM | not captured | standing | page 91 |
| Dystonic reaction | adult | 50 mg | IV/IM | not captured | standing | page 168 |
| Dystonic reaction | peds | 1 mg/kg | IV/IM | not captured | standing | page 168 |
Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 0.5 mg | IM | not captured | standing | page 91 |
| Anaphylaxis | peds | 0.01 mg/kg | IM | not captured | standing | page 91 |
| Asthma / bronchospasm | adult | 0.3 mg | IM | not captured | standing | page 169 |
| Asthma / bronchospasm | peds | 0.01 mg/kg | IM | not captured | standing | page 169 |
| Bradycardia | peds | 0.01 mg/kg | IV/IO | not captured | standing | page 170 |
| Cardiac arrest | adult | 1 mg | IV/IO | not captured | standing | page 83 |
| Cardiac arrest | peds | 0.01 mg/kg | IV/IO | not captured | standing | page 83 |
| Croup | peds | 3 mL | NEB | not captured | standing | page 170 |
| Other | peds | 3 mL | NEB | not captured | standing | page 170 |
Fentanyl
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 50–100 mcg | IV/IO/IN | not captured | standing | page 101 |
| ACS / chest pain | peds | 1 mcg/kg | IV/IO/IN | not captured | standing | page 101 |
| Mild to moderate pain | adult | 50–100 mcg | IV/IO/IN | not captured | standing | page 144 |
| Mild to moderate pain | peds | 1 mcg/kg | IV/IO/IN | not captured | standing | page 144 |
Hydroxocobalamin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cyanide poisoning | adult | 5 g | IV/IO | not captured | standing | page 106 |
| Cyanide poisoning | peds | 100 mg/kg | IV/IO | not captured | standing | page 106 |
Ipratropium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 1 unit | NEB | not captured | standing | page 98 |
| Asthma / bronchospasm | peds | 1 unit | NEB | not captured | standing | page 98 |
| COPD | adult | 1 unit | NEB | not captured | standing | page 98 |
| COPD | peds | 1 unit | NEB | not captured | standing | page 98 |
Labetalol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 10–20 mg | IV | not captured | standing | page 111 |
Lidocaine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | adult | 1.5 mg/kg | IV/IO | not captured | standing | page 177 |
| Cardiac arrest | peds | 1 mg/kg | IV/IO | not captured | standing | page 177 |
| Other | adult | 1.5 mg/kg | IV/IO | not captured | standing | page 177 |
| Other | adult | 40 mg | IO | not captured | standing | page 60 |
| Other | peds | 0.5 mg/kg | IO | not captured | standing | page 60 |
| Other | peds | 1 mg/kg | IV/IO | not captured | standing | page 177 |
| Wide-complex tachycardia | adult | 1.5 mg/kg | IV/IO | not captured | standing | page 177 |
| Wide-complex tachycardia | peds | 1 mg/kg | IV/IO | not captured | standing | page 177 |
Magnesium Sulfate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 2 g | IV/IO | not captured | standing | page 98 |
| Asthma / bronchospasm | peds | 40 mg/kg | IV/IO | not captured | standing | page 98 |
| Eclampsia / pre-eclampsia | adult | 4 g | IV/IO | not captured | standing | page 108 |
| VF / pulseless VT | adult | 2 g | IV | not captured | standing | page 179 |
Midazolam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hyperactive delirium | adult | 10 mg | IM/IN | not captured | standing | page 107 |
| Hyperactive delirium | adult | 5 mg | IV/IO | not captured | standing | page 107 |
| Procedural sedation | adult | 2.5 mg | IV | not captured | standing | page 88 |
| Seizure | adult | 10 mg | IM/IN | not captured | standing | page 120 |
| Seizure | peds | per Pedi Dosing Chart | IM | not captured | standing | page 120 |
Naloxone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Opioid overdose | adult | 0.4–2 mg | IV/IO/IM/IN | not captured | standing | page 181 |
| Opioid overdose | peds | 0.1 mg/kg | IV/IO/IM/IN | not captured | standing | page 181 |
Nerve Agent Antidote Kit
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Organophosphate poisoning | adult | 1 kit | IM | not captured | standing | page 116 |
Nitroglycerin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 0.4 mg | SL | not captured | standing | page 101 |
| CHF / pulmonary edema | adult | 0.4 mg | SL | not captured | standing | page 97 |
Ondansetron
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | adult | 8 mg | IV | not captured | standing | page 115 |
| Nausea / vomiting | peds | 0.15 mg/kg | IV | not captured | standing | page 115 |
Sodium Bicarbonate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | adult | 1 mEq/kg | IV/IO | not captured | standing | page 83 |
| Cardiac arrest | peds | 1 mEq/kg | IV/IO | not captured | standing | page 83 |
| Hyperkalemia | adult | 1 mEq/kg | IV/IO | not captured | standing | page 83 |
| Hyperkalemia | peds | 1 mEq/kg | IV/IO | not captured | standing | page 83 |
| Wide-complex tachycardia | adult | 1 mEq/kg | IV/IO | not captured | standing | page 127 |
| Wide-complex tachycardia | peds | 1 mEq/kg | IV/IO | not captured | standing | page 127 |
| Tricyclic overdose | adult | 1 mEq/kg | IV/IO | not captured | standing | page 83 |
| Tricyclic overdose | peds | 1 mEq/kg | IV/IO | not captured | standing | page 83 |
Tranexamic Acid
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Obstetric hemorrhage | adult | 1 g | IV/IO | not captured | standing | page 102 |
| Obstetric hemorrhage | adult | 500 mg | IM | not captured | standing | page 102 |
| Trauma / hemorrhage | adult | 1 g | IV/IO | not captured | standing | page 135 |
| Trauma / hemorrhage | adult | 500 mg | IM | not captured | standing | page 135 |
| Trauma / hemorrhage | adult | 500 mg | NEB | not captured | standing | page 109 |
| Trauma / hemorrhage | peds | 500 mg | NEB | not captured | standing | page 109 |