Fire-district
Lake Cities Fire Department
Lake Cities Fire Department (Hickory Creek, TX) carries 34 drugs across 140 dose entries in its current published protocol, effective 2024-05-15.
The current listed document is more than 24 months old and may be outdated.
Drugs and doses34
Acetaminophen
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Fever | adult | 650 mg | PO | not captured | standing | page 74 |
| Fever | peds | 15 mg/kg | PO | not captured | standing | page 74 |
| Mild to moderate pain | adult | 650 mg | PO | not captured | standing | page 74 |
| Mild to moderate pain | peds | 15 mg/kg | PO | not captured | standing | page 74 |
Albuterol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 2.5–3 mg | NEB | not captured | standing | page 35 |
| Asthma / bronchospasm | peds | 2.5–3 mg | NEB | not captured | standing | page 35 |
Amiodarone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Atrial fibrillation with RVR | adult | 150 mg | IV/IO | not captured | standing | page 53 |
| Atrial fibrillation with RVR | adult | 150 mg | IV/IO | not captured | standing | page 53 |
| Wide-complex tachycardia | adult | 150 mg | IV/IO | not captured | standing | page 57 |
| Wide-complex tachycardia | peds | 5 mg/kg | IV/IO | not captured | standing | page 57 |
| VF / pulseless VT | adult | 300 mg | IV/IO | not captured | standing | page 47 |
| VF / pulseless VT | peds | 5 mg/kg | IV/IO | not captured | standing | page 47 |
Aspirin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 324 mg | PO | not captured | standing | page 50 |
| ACS / chest pain | adult | 324 mg | PO | not captured | standing | page 50 |
Atropine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Bradycardia | adult | 1 mg | IV/IO | not captured | standing | page 54 |
| Bradycardia | peds | 0.02 mg/kg | IV/IO | not captured | standing | page 54 |
| Organophosphate poisoning | adult | 2 mg | IV/IO/IM | not captured | standing | page 80 |
| Organophosphate poisoning | peds | 0.02 mg/kg | IV/IO/IM | not captured | standing | page 80 |
| RSI induction | peds | 0.02 mg/kg | IV/IO | not captured | standing | page 40 |
Bismuth Subsalicylate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | adult | 262 mg | PO | not captured | standing | page 144 |
| Other | adult | 262 mg | PO | not captured | standing | page 144 |
| Other | adult | 262 mg | PO | not captured | standing | page 144 |
Calcium Gluconate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | adult | 1 g | IV/IO | not captured | standing | page 49 |
| Cardiac arrest | peds | 100 mg/kg | IV/IO | not captured | standing | page 49 |
| Hyperkalemia | adult | 1 g | IV/IO | not captured | standing | page 49 |
| Hyperkalemia | peds | 100 mg/kg | IV/IO | not captured | standing | page 49 |
| Other | adult | 1 g | IV/IO | not captured | standing | page 49 |
| Other | adult | 1 g | IV/IO | not captured | standing | page 49 |
| Other | peds | 100 mg/kg | IV/IO | not captured | standing | page 49 |
| Other | peds | 100 mg/kg | IV/IO | not captured | standing | page 49 |
Dextrose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 25 g | IV/IO | not captured | standing | page 49 |
| Hypoglycemia | peds | 2 mL/kg | IV/IO | not captured | standing | page 49 |
Diltiazem
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Atrial fibrillation with RVR | adult | 10 mg | IV/IO | not captured | standing | page 53 |
| Atrial fibrillation with RVR | adult | 10 mg | IV/IO | not captured | standing | page 53 |
| Narrow-complex tachycardia | adult | 10 mg | IV/IO | not captured | standing | page 53 |
Diphenhydramine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 50 mg | IV/IO/IM | not captured | standing | page 61 |
| Allergic reaction | peds | 1 mg/kg | IV/IO/IM | not captured | standing | page 61 |
| Dystonic reaction | adult | 50 mg | IV/IO/IM | not captured | standing | page 61 |
| Dystonic reaction | peds | 1 mg/kg | IV/IO/IM | not captured | standing | page 61 |
Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 0.5 mg | IM | not captured | standing | page 61 |
| Anaphylaxis | adult | 0.5 mg | IV/IO | not captured | standing | page 61 |
| Anaphylaxis | adult | 0.5 mg | NEB | not captured | standing | page 61 |
| Anaphylaxis | peds | 0.01 mg/kg | IM | not captured | standing | page 61 |
| Anaphylaxis | peds | 0.01 mg/kg | IV/IO | not captured | standing | page 61 |
| Asthma / bronchospasm | adult | 0.5 mg | IM | not captured | standing | page 35 |
| Asthma / bronchospasm | peds | 0.01 mg/kg | IM | not captured | standing | page 35 |
| Bradycardia | adult | 0.5–2 mL | IV/IO | not captured | standing | page 54 |
| Bradycardia | peds | 0.5–2 mL | IV/IO | not captured | standing | page 54 |
| Cardiac arrest | adult | 1 mg | IV/IO | not captured | standing | page 46 |
| Cardiac arrest | peds | 0.01 mg/kg | IV/IO | not captured | standing | page 46 |
Fentanyl
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 50 mcg | IV/IM | not captured | standing | page 50 |
| ACS / chest pain | adult | 50 mcg | IV/IM | not captured | standing | page 50 |
| Mild to moderate pain | adult | 2 mcg/kg | IV/IO/IM/IN | not captured | standing | page 74 |
| Mild to moderate pain | peds | 2 mcg/kg | IV/IO/IM/IN | not captured | standing | page 74 |
Hydroxocobalamin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cyanide poisoning | adult | 5 g | IV/IO | not captured | standing | page 158 |
| Cyanide poisoning | peds | 70 mg/kg | IV/IO | not captured | standing | page 158 |
Ibuprofen
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Fever | adult | 400 mg | PO | not captured | standing | page 74 |
| Fever | peds | 10 mg/kg | PO | not captured | standing | page 74 |
| Mild to moderate pain | adult | 400 mg | PO | not captured | standing | page 74 |
| Mild to moderate pain | peds | 10 mg/kg | PO | not captured | standing | page 74 |
Ipratropium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 0.5 mg | NEB | not captured | standing | page 35 |
| Asthma / bronchospasm | peds | 0.5 mg | NEB | not captured | standing | page 35 |
Ketamine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 1 mg/kg | IV/IO/IN | not captured | standing | page 63 |
| Agitation | adult | 4 mg/kg | IM | not captured | standing | page 63 |
| Agitation | peds | 1 mg/kg | IV/IO/IN | not captured | standing | page 63 |
| Agitation | peds | 2–4 mg/kg | IM | not captured | standing | page 63 |
| Other | adult | 2 mg/kg | IV/IO | not captured | standing | page 40 |
| Other | peds | 2 mg/kg | IV/IO | not captured | standing | page 40 |
| Severe pain | adult | 25 mg | IV/IO/IM/IN | not captured | standing | page 54 |
| Severe pain | peds | 10 mg | IV/IO/IM/IN | not captured | standing | page 54 |
| Procedural sedation | adult | 2 mg/kg | IV/IO | not captured | standing | page 40 |
| Procedural sedation | peds | 2 mg/kg | IV/IO | not captured | standing | page 40 |
| Seizure | adult | 1 mg/kg | IV/IO | not captured | standing | page 76 |
| Seizure | adult | 2 mg/kg | IM | not captured | standing | page 76 |
| Seizure | peds | 1 mg/kg | IV/IO | not captured | standing | page 76 |
| Seizure | peds | 2 mg/kg | IM | not captured | standing | page 76 |
Ketorolac
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 15 mg | IV/IO | not captured | standing | page 74 |
| Mild to moderate pain | adult | 30 mg | IM | not captured | standing | page 74 |
Labetalol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 10–20 mg | IV | not captured | standing | page 70 |
Lidocaine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1% | not captured | not captured | standing | page 132 |
| Other | adult | 1% | not captured | not captured | standing | page 133 |
| Mild to moderate pain | adult | 1% | not captured | not captured | standing | page 132 |
Magnesium Sulfate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 2 g | IV/IO | not captured | standing | page 35 |
| Asthma / bronchospasm | peds | 2 g | IV/IO | not captured | standing | page 35 |
| Eclampsia / pre-eclampsia | adult | 4–5 g | IV/IO | not captured | standing | page 88 |
| VF / pulseless VT | adult | 2 g | IV/IO | not captured | standing | page 47 |
| VF / pulseless VT | peds | 50 mg/kg | IV/IO | not captured | standing | page 47 |
Methylprednisolone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 125 mg | IV/IO/IM | not captured | standing | page 61 |
| Anaphylaxis | peds | per guidelines on p. 166 | IV/IO/IM | not captured | standing | page 61 |
| Asthma / bronchospasm | adult | 125 mg | IV/IO/IM | not captured | standing | page 35 |
| Asthma / bronchospasm | peds | per guidelines on p. 166 | IV/IO/IM | not captured | standing | page 35 |
Metoclopramide
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | adult | 5 mg | IV/IO/IM | not captured | standing | page 71 |
| Nausea / vomiting | peds | 0.1 mg/kg | IV/IO/IM | not captured | standing | page 71 |
Midazolam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 5–10 mg | IV/IO/IM/IN | not captured | standing | page 63 |
| Agitation | adult | 2.5 mg | IV/IO/IM/IN | not captured | standing | page 62 |
| Agitation | peds | 0.1 mg/kg | IV/IO/IM/IN | not captured | standing | page 63 |
| Agitation | peds | 0.1 mg/kg | IV/IO/IM/IN | not captured | standing | page 62 |
| Procedural sedation | adult | 5 mg | IV/IO/IM/IN | not captured | standing | page 40 |
| Procedural sedation | peds | 0.1 mg/kg | IV/IO/IM/IN | not captured | standing | page 40 |
| Seizure | adult | 5 mg | IV/IO/IM/IN | not captured | standing | page 76 |
| Seizure | peds | 0.1 mg/kg | IV/IO/IM/IN | not captured | standing | page 76 |
Morphine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 4 mg | IV/IO/IM | not captured | standing | page 74 |
| Mild to moderate pain | peds | 0.1 mg/kg | IV/IO/IM | not captured | standing | page 74 |
Naloxone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Opioid overdose | adult | 0.5 mg | IV/IO/IM | not captured | standing | page 80 |
| Opioid overdose | adult | 1 mg | IM/IN | not captured | standing | page 80 |
| Opioid overdose | adult | 2 mg | IV/IO | not captured | standing | page 49 |
| Opioid overdose | peds | 0.1 mg/kg | IV/IO/IM | not captured | standing | page 80 |
| Opioid overdose | peds | 0.1 mg/kg | IO | not captured | standing | page 87 |
| Opioid overdose | peds | 0.2 mg/kg | IM/IN | not captured | standing | page 80 |
Nitroglycerin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 0.4 mg | SL | not captured | standing | page 50 |
| ACS / chest pain | adult | 0.4 mg | SL | not captured | standing | page 50 |
| CHF / pulmonary edema | adult | 0.4 mg | SL | not captured | standing | page 70 |
| Other | adult | 0.4 mg | SL | not captured | standing | page 70 |
Ondansetron
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | adult | 4 mg | IV/IO/IM | not captured | standing | page 71 |
| Nausea / vomiting | adult | 4 mg | PO | not captured | standing | page 71 |
| Nausea / vomiting | peds | 2 mg | IV/IO/IM | not captured | standing | page 71 |
| Nausea / vomiting | peds | 4 mg | PO | not captured | standing | page 71 |
Oral Glucose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 30 g | PO | not captured | standing | page 66 |
| Hypoglycemia | peds | 15 g | PO | not captured | standing | page 66 |
Oxymetazoline
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 2 spray | IN | not captured | standing | page 102 |
| Other | peds | 2 spray | IN | not captured | standing | page 102 |
Promethazine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | adult | 12.5 mg | IV | not captured | standing | page 71 |
Rocuronium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| RSI induction | adult | 100 mg | IV/IO | not captured | standing | page 42 |
| RSI induction | peds | 1 mg/kg | IV/IO | not captured | standing | page 42 |
Sodium Bicarbonate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | adult | 1 mEq/kg | IV/IO | not captured | standing | page 49 |
| Cardiac arrest | peds | 1 mEq/kg | IV/IO | not captured | standing | page 49 |
| Hyperkalemia | adult | 1 mEq/kg | IV/IO | not captured | standing | page 49 |
| Hyperkalemia | peds | 1 mEq/kg | IV/IO | not captured | standing | page 49 |
| Other | adult | 1 mEq/kg | IV/IO | not captured | standing | page 49 |
| Other | adult | 1 mEq/kg | IV/IO | not captured | standing | page 90 |
| Other | peds | 1 mEq/kg | IV/IO | not captured | standing | page 49 |
| Other | peds | 1 mEq/kg | IV/IO | not captured | standing | page 90 |
| Tricyclic overdose | adult | 1 mEq/kg | IV/IO | not captured | standing | page 49 |
| Tricyclic overdose | peds | 1 mEq/kg | IV/IO | not captured | standing | page 49 |
Tranexamic Acid
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1 g | IV/IO | not captured | standing | page 94 |
| Other | peds | 15 mg/kg | IV/IO | not captured | standing | page 94 |
| Trauma / hemorrhage | adult | 1 g | IV/IO | not captured | standing | page 94 |
| Trauma / hemorrhage | peds | 15 mg/kg | IV/IO | not captured | standing | page 94 |
Vecuronium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| RSI induction | adult | 10 mg | IV/IO | not captured | standing | page 42 |
| RSI induction | peds | 0.1 mg/kg | IV/IO | not captured | standing | page 42 |