County
St. Johns County Fire Rescue
St. Johns County Fire Rescue (FL) carries 33 drugs across 151 dose entries in its current published protocol, effective 2025-03-01.
Drugs and doses33
Acetaminophen
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Fever | adult | 650 mg | PO | not captured | standing | pages 54, 56, 139 |
| Fever | peds | 15 mg/kg | PO | not captured | standing | pages 54, 56, 139 |
Adenosine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Narrow-complex tachycardia | adult | 6 mg | not captured | not captured | standing | pages 21, 23, 140 |
| Narrow-complex tachycardia | peds | 0.1 mg/kg | not captured | not captured | standing | pages 21, 23, 140 |
Albuterol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 5 mg | NEB | not captured | standing | pages 29, 30 |
| Allergic reaction | peds | 2.5 mg | NEB | not captured | standing | pages 29, 30 |
| Asthma / bronchospasm | adult | 5 mg | NEB | not captured | standing | pages 50, 51, 74, 75, 81, 82, 100, 141 |
| Asthma / bronchospasm | peds | 2.5 mg | NEB | not captured | standing | pages 50, 51, 74, 75, 81, 82, 100, 141 |
| Hyperkalemia | adult | 5 mg | NEB | not captured | standing | pages 43, 141 |
| Hyperkalemia | peds | 2.5 mg | NEB | not captured | standing | pages 43, 141 |
| Other | adult | 5 mg | NEB | not captured | standing | page 50 |
| Other | adult | 5 mg | NEB | not captured | standing | pages 81, 82 |
| Other | adult | 5 mg | NEB | not captured | standing | pages 94, 95 |
| Other | peds | 2.5 mg | NEB | not captured | standing | page 51 |
| Other | peds | 2.5 mg | NEB | not captured | standing | page 50 |
| Other | peds | 2.5 mg | NEB | not captured | standing | pages 81, 82 |
| Other | peds | 2.5 mg | NEB | not captured | standing | pages 94, 95 |
Amiodarone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 150 mg | IV/IO | not captured | standing | pages 17, 21, 23, 25, 27, 142 |
| Other | peds | 5 mg/kg | IV/IO | not captured | standing | pages 17, 21, 23, 25, 27, 142 |
| VF / pulseless VT | adult | 300 mg | IV/IO | not captured | standing | pages 12, 16, 142 |
| VF / pulseless VT | peds | 5 mg/kg | IV/IO | not captured | standing | pages 12, 16, 142 |
Aspirin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 324 mg | PO | not captured | standing | pages 19, 143 |
| Other | adult | 324 mg | PO | not captured | standing | page 143 |
Atropine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Bradycardia | adult | 1 mg | IV/IO | not captured | standing | pages 8, 9, 144 |
| Bradycardia | peds | 0.02 mg/kg | IV/IO | not captured | standing | pages 8, 9, 144 |
| Organophosphate poisoning | adult | 2 mg | IV/IO | not captured | standing | pages 105, 106, 144 |
| Organophosphate poisoning | peds | 0.05 mg/kg | IV/IO | not captured | standing | pages 105, 106, 144 |
| Other | adult | 1 mg | IV/IO | not captured | standing | pages 38, 144 |
Calcium Chloride
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Beta-blocker / calcium-channel-blocker overdose | adult | 1 g | IV/IO | not captured | standing | pages 34, 35, 145 |
| Beta-blocker / calcium-channel-blocker overdose | adult | 1 g | IV/IO | not captured | standing | pages 34, 35, 145 |
| Beta-blocker / calcium-channel-blocker overdose | peds | 20 mg/kg | IV/IO | not captured | standing | pages 34, 35, 145 |
| Beta-blocker / calcium-channel-blocker overdose | peds | 20 mg/kg | IV/IO | not captured | standing | pages 34, 35, 145 |
| Cardiac arrest | adult | 1 g | IV/IO | not captured | standing | pages 12, 16, 145 |
| Cardiac arrest | peds | 20 mg/kg | IV/IO | not captured | standing | pages 12, 16, 145 |
| Hyperkalemia | adult | 1 g | IV/IO | not captured | standing | pages 43, 145 |
| Hyperkalemia | peds | 20 mg/kg | IV/IO | not captured | standing | pages 43, 145 |
| Other | adult | 1 g | IV/IO | not captured | standing | pages 94, 95, 145 |
| Other | adult | 10 mL | IV/IO | not captured | standing | pages 88, 89, 145 |
| Other | peds | 0.2 mL/kg | IV/IO | not captured | standing | pages 94, 95, 145 |
| Other | peds | 0.2 mL/kg | IV/IO | not captured | standing | pages 88, 89, 145 |
Ceftriaxone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 2 g | IV/IO | not captured | standing | pages 119, 120, 146 |
| Other | peds | 50 mg/kg | IV/IO | not captured | standing | pages 119, 120, 146 |
| Sepsis | adult | 2 g | IV/IO | not captured | standing | pages 55, 56, 146 |
| Sepsis | peds | 50 mg/kg | IV/IO | not captured | standing | pages 55, 56, 146 |
Dextrose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 25 g | IV/IO | not captured | standing | pages 36, 37, 148 |
| Hypoglycemia | peds | 2 mL/kg | IV/IO | not captured | standing | pages 36, 37, 148 |
Diltiazem
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 10 mg | IV/IO | not captured | standing | pages 21, 149 |
Diphenhydramine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 50 mg | IV/IO/IM | not captured | standing | pages 29, 30, 150 |
| Allergic reaction | peds | 1 mg/kg | IV/IO/IM | not captured | standing | pages 29, 30, 150 |
| Other | adult | 50 mg | IV/IO/IM | not captured | standing | pages 29, 30, 150 |
| Other | peds | 1 mg/kg | IV/IO/IM | not captured | standing | pages 29, 30, 150 |
Droperidol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 5 mg | IM | not captured | standing | pages 38, 151 |
Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 0.3 mg | IM | not captured | standing | pages 29, 30, 152 |
| Anaphylaxis | peds | 0.01 mg/kg | IM | not captured | standing | pages 29, 30, 152 |
| Asthma / bronchospasm | adult | 0.3 mg | IM | not captured | standing | pages 50, 51, 153 |
| Asthma / bronchospasm | peds | 0.01 mg/kg | IM | not captured | standing | pages 50, 51, 153 |
| Bradycardia | peds | 0.01 mg/kg | IV/IO | not captured | standing | pages 9, 152, 153 |
| Cardiac arrest | adult | 1 mg | IV/IO | not captured | standing | pages 12, 16, 153 |
| Cardiac arrest | peds | 0.01 mg/kg | IV/IO | not captured | standing | pages 12, 16, 153 |
Etomidate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 6 mg | IV/IO | not captured | standing | pages 8, 9, 34, 35, 154 |
| Other | adult | 6 mg | IV/IO | not captured | standing | pages 22, 23, 25, 27, 154 |
| Other | peds | 0.1 mg/kg | IV/IO | not captured | standing | pages 8, 9, 34, 35, 154 |
| Other | peds | 0.1 mg/kg | IV/IO | not captured | standing | pages 22, 23, 25, 27, 154 |
| RSI induction | adult | 0.3 mg/kg | IV/IO | not captured | standing | pages 29, 30, 52, 154 |
| RSI induction | peds | 0.3 mg/kg | IV/IO | not captured | standing | pages 29, 30, 52, 154 |
Fentanyl
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 100 mcg | IO/IM/IN | not captured | standing | pages 19, 155, 211 |
| Mild to moderate pain | peds | 1 mcg/kg | IO/IM/IN | not captured | standing | pages 19, 155, 211 |
Hydroxocobalamin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cyanide poisoning | adult | 5 g | IV/IO | not captured | standing | pages 85, 86 |
| Cyanide poisoning | peds | 70 mg/kg | IV/IO | not captured | standing | pages 85, 86 |
Ketamine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1 mg/kg | IO/IM/IN | not captured | standing | pages 8, 34, 156 |
| Other | adult | 1 mg/kg | IV/IO | not captured | standing | pages 53, 59, 60, 156 |
| Other | adult | 1 mg/kg | IO/IM/IN | not captured | standing | pages 22, 25, 27, 156 |
| Other | adult | 200 mg | IM | not captured | standing | pages 38, 156 |
| Other | peds | 0.5 mg/kg | IO/IM/IN | not captured | standing | pages 8, 34, 156 |
| Other | peds | 0.5 mg/kg | IO/IM/IN | not captured | standing | pages 22, 25, 27, 156 |
| Other | peds | 1 mg/kg | IV/IO | not captured | standing | pages 53, 59, 60, 156 |
| Mild to moderate pain | adult | 0.2 mg/kg | IV/IO/IM/IN | not captured | standing | pages 156, 211 |
| Mild to moderate pain | peds | 0.2 mg/kg | IV/IO/IM/IN | not captured | standing | pages 156, 211 |
| RSI induction | adult | 2 mg/kg | IO | not captured | standing | pages 29, 30, 52, 156 |
| RSI induction | peds | 2 mg/kg | IO | not captured | standing | pages 29, 30, 52, 156 |
Magnesium Sulfate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 2 g | IV/IO | not captured | standing | pages 50, 157 |
| Asthma / bronchospasm | peds | 50 mg/kg | IV/IO | not captured | standing | pages 50, 157 |
| Eclampsia / pre-eclampsia | adult | 4 g | IV/IO | not captured | standing | pages 53, 133, 157 |
| Other | adult | 2 g | IV/IO | not captured | standing | pages 12, 16, 25, 27, 157 |
| Other | adult | 2 g | IV/IO | not captured | standing | pages 59, 60, 157 |
| Other | peds | 50 mg/kg | IV/IO | not captured | standing | pages 12, 16, 25, 27, 157 |
| Other | peds | 50 mg/kg | IV/IO | not captured | standing | pages 59, 60, 157 |
Methylene Blue
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1–2 mg/kg | IV/IO | not captured | standing | pages 102, 103 |
| Other | peds | 1–2 mg/kg | IV/IO | not captured | standing | pages 102, 103 |
Methylprednisolone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 125 mg | IV/IO/IM | not captured | standing | pages 29, 30, 158 |
| Allergic reaction | peds | 2 mg/kg | IV/IO/IM | not captured | standing | pages 29, 30, 158 |
| Asthma / bronchospasm | adult | 125 mg | IV/IO/IM | not captured | standing | pages 50, 158 |
| Asthma / bronchospasm | peds | 2 mg/kg | IV/IO/IM | not captured | standing | pages 50, 158 |
| Cardiac arrest | adult | 125 mg | IV/IO | not captured | standing | page 12 |
| Croup | peds | 2 mg/kg | IV/IO/IM | not captured | standing | pages 51, 158 |
| Other | adult | 125 mg | IV/IO | not captured | standing | pages 65, 158 |
| Other | adult | 125 mg | IV/IO/IM | not captured | standing | pages 81, 82, 158 |
| Other | adult | 125 mg | IV/IO/IM | not captured | standing | pages 91, 92, 158 |
| Other | peds | 2 mg/kg | IV/IO/IM | not captured | standing | pages 51, 158 |
| Other | peds | 2 mg/kg | IV/IO/IM | not captured | standing | pages 81, 82, 158 |
| Other | peds | 2 mg/kg | IV/IO/IM | not captured | standing | pages 91, 92, 158 |
Midazolam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 2.5 mg | IV/IO | not captured | standing | pages 38, 159 |
| Other | adult | 5 mg | IV/IO/IM/IN | not captured | standing | pages 53, 59, 60, 67, 159 |
| Other | adult | 5 mg | IM/IN | not captured | standing | pages 38, 159 |
| Other | peds | 0.1 mg/kg | IV/IO/IM/IN | not captured | standing | pages 53, 59, 60, 67, 159 |
| Procedural sedation | adult | 2.5 mg | IV/IO | not captured | standing | pages 8, 34 |
| Procedural sedation | adult | 5 mg | IM/IN | not captured | standing | pages 8, 34 |
Naloxone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Carbon monoxide poisoning | adult | 4 mg | IN | not captured | standing | pages 78, 79 |
| Carbon monoxide poisoning | peds | 0.1 mg/kg | IN | not captured | standing | pages 78, 79 |
| Cardiac arrest | adult | 2 mg | IV | not captured | standing | page 12 |
| Cardiac arrest | adult | 4 mg | IN | not captured | standing | page 12 |
| Opioid overdose | adult | 2 mg | IV/IO | not captured | standing | pages 48, 160 |
| Opioid overdose | peds | 0.1 mg/kg | IV/IO | not captured | standing | pages 48, 160 |
| Other | peds | 0.1 mg/kg | IN | not captured | standing | pages 91, 92 |
Nitroglycerin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 0.4 mg | SL | not captured | standing | pages 19, 161 |
| CHF / pulmonary edema | adult | 0.4 mg | SL | not captured | standing | pages 20, 161 |
| CHF / pulmonary edema | adult | 0.4 mg | SL | not captured | standing | pages 20, 161 |
| Other | adult | 0.4 mg | SL | not captured | standing | pages 74, 97, 161 |
Norepinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypotension / shock | adult | 0.1 mcg/kg | IV/IO | not captured | standing | pages 8, 9, 17, 34, 35, 55, 56, 57, 59, 60, 65, 67, 78, 79, 81, 82, 85, 86, 88, 89, 91, 92, 94, 95, 97, 98, 102, 103, 162 |
| Hypotension / shock | peds | 0.1 mcg/kg | IV/IO | not captured | standing | pages 8, 9, 17, 34, 35, 55, 56, 57, 59, 60, 65, 67, 78, 79, 81, 82, 85, 86, 88, 89, 91, 92, 94, 95, 97, 98, 102, 103, 162 |
Ondansetron
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | adult | 4 mg | IV/IO | not captured | standing | pages 19, 40, 67, 164 |
| Nausea / vomiting | peds | 0.1 mg/kg | IV/IO | not captured | standing | pages 19, 40, 67, 164 |
Oral Glucose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 15 g | PO | not captured | standing | pages 36, 37, 165 |
| Hypoglycemia | peds | 15 g | PO | not captured | standing | pages 36, 37, 165 |
Pralidoxime
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Organophosphate poisoning | adult | 1 g | IV/IO | not captured | standing | pages 105, 106 |
| Organophosphate poisoning | peds | 25 mg/kg | IV/IO | not captured | standing | pages 105, 106 |
Rocuronium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| RSI induction | adult | 100 mg | IV/IO | not captured | standing | pages 52, 167 |
| RSI induction | peds | 1 mg/kg | IV/IO | not captured | standing | pages 52, 167 |
Sodium Bicarbonate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | adult | 1 mEq/kg | IV/IO | not captured | standing | pages 12, 16, 168 |
| Cardiac arrest | peds | 1 mEq/kg | IV/IO | not captured | standing | pages 12, 16, 168 |
| Crush injury | adult | 50 mEq | IV/IO | not captured | standing | pages 118, 168 |
| Crush injury | peds | 1 mEq/kg | IV/IO | not captured | standing | pages 118, 168 |
| Hyperkalemia | adult | 100 mEq | IV/IO | not captured | standing | pages 43, 168 |
| Hyperkalemia | peds | 1 mEq/kg | IV/IO | not captured | standing | pages 43, 168 |
| Other | adult | 2.5 mL | NEB | not captured | standing | pages 81, 82, 168 |
| Other | adult | 50 mEq | IV/IO | not captured | standing | page 168 |
| Other | adult | 50 mEq | IV/IO | not captured | standing | pages 38, 168 |
| Other | peds | 1 mEq/kg | IV/IO | not captured | standing | page 168 |
| Other | peds | 2.5 mL | NEB | not captured | standing | pages 81, 82, 168 |
| Tricyclic overdose | adult | 1 mEq/kg | IV/IO | not captured | standing | pages 59, 60, 168 |
| Tricyclic overdose | peds | 1 mEq/kg | IV/IO | not captured | standing | pages 59, 60, 168 |
Sodium Nitrite
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 10 mL | not captured | not captured | standing | pages 97, 98 |
| Other | peds | 0.33 mL/kg | not captured | not captured | standing | pages 97, 98 |
Tetracaine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 2 drop | not captured | not captured | standing | pages 81, 82, 94, 95, 97, 98, 100, 169 |
| Other | adult | 2 drop | not captured | not captured | standing | pages 81, 82, 94, 95, 97, 98, 100, 169 |
| Other | peds | 2 drop | not captured | not captured | standing | pages 81, 82, 94, 95, 97, 98, 100, 169 |
| Other | peds | 2 drop | not captured | not captured | standing | pages 81, 82, 94, 95, 97, 98, 100, 169 |
Tranexamic Acid
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1 g | NEB/TOP | not captured | standing | pages 123, 170 |
| Trauma / hemorrhage | adult | 2 g | IV/IO | not captured | standing | pages 57, 112, 119, 170 |
| Trauma / hemorrhage | peds | 15 mg/kg | IV/IO | not captured | standing | pages 57, 112, 119, 170 |
Vasopressin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | adult | 20 unit | IV/IO | not captured | standing | page 171 |