Fire-district
Three Rivers Ambulance Authority & Fort Wayne Fire Department
Three Rivers Ambulance Authority & Fort Wayne Fire Department (Fort Wayne, IN) carries 41 drugs across 104 dose entries in its current published protocol, effective 2026-07-01.
Drugs and doses41
Acetaminophen
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 650 mg | PO | not captured | standing | page 157 |
| Mild to moderate pain | peds | 11-16 kg = 5ml, 16.1-21.4 kg = 7.5 ml, 21.5-26.8 kg = 10 ml, 26.9-32.2 kg = 12.5 ml, 32.3-43 kg = 15 ml, Over 43.2 kg = 20 ml | PO | not captured | standing | page 157 |
Adenosine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Narrow-complex tachycardia | adult | 12 mg | IV | not captured | standing | page 25 |
| Narrow-complex tachycardia | peds | 0.1 mg/kg | IV | not captured | standing | page 25 |
Albuterol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 5 mg | NEB | not captured | standing | page 18 |
| Allergic reaction | peds | 2.5 mg | NEB | not captured | standing | page 18 |
| Asthma / bronchospasm | adult | 5 mg | NEB | not captured | standing | page 21 |
| Asthma / bronchospasm | peds | 2.5 mg | NEB | not captured | standing | page 21 |
| Hyperkalemia | adult | 5 mg | NEB | not captured | standing | page 37 |
Amiodarone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Wide-complex tachycardia | adult | 150 mg | IV/IO | not captured | standing | page 25 |
| Wide-complex tachycardia | peds | 5 mg/kg | IV/IO | not captured | standing | page 25 |
| VF / pulseless VT | adult | 300 mg | IV/IO | not captured | standing | page 30 |
| VF / pulseless VT | peds | 5 mg/kg | IV/IO | not captured | standing | page 30 |
Aspirin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 324 mg | PO | not captured | standing | page 23 |
Atropine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Bradycardia | adult | 1 mg | IV/IO | not captured | standing | page 24 |
| Bradycardia | peds | 0.02 mg/kg | IV/IO | not captured | standing | page 24 |
Blood Products
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 1 unit | IV/IO | not captured | standing | page 64 |
| Other | peds | 10 mL/kg | IV/IO | not captured | standing | page 64 |
Calcium Chloride
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hyperkalemia | adult | 1 g | IV/IO | not captured | standing | page 40 |
| Other | adult | 1 g | IV/IO | not captured | standing | page 37 |
| Other | adult | 1 g | IV/IO | not captured | standing | page 64 |
Cefazolin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Trauma / hemorrhage | adult | 2 g | IV | not captured | standing | page 73 |
Cefepime
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Sepsis | adult | 2 g | IV | not captured | standing | page 62 |
Dextrose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 250 mL | IV/IO | not captured | standing | page 39 |
| Hypoglycemia | peds | 5 mL/kg | IV/IO | not captured | standing | page 39 |
Diltiazem
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Atrial fibrillation with RVR | adult | 0.25 mg/kg | IV | not captured | standing | page 25 |
Diphenhydramine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Allergic reaction | adult | 50 mg | IV/IO/IM | not captured | standing | page 18 |
| Allergic reaction | peds | 1 mg/kg | IV/IO/IM | not captured | standing | page 18 |
Droperidol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 5 mg | IM | not captured | standing | page 20 |
Epinephrine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Anaphylaxis | adult | 0.3 mg | IM | not captured | standing | page 18 |
| Anaphylaxis | peds | 0.01 mg/kg | IM | not captured | standing | page 18 |
| Asthma / bronchospasm | adult | 0.3 mg | IM | not captured | standing | page 21 |
| Asthma / bronchospasm | peds | 0.01 mg/kg | IM | not captured | standing | page 21 |
| Bradycardia | peds | 0.01 mg/kg | IV/IO | not captured | standing | page 80 |
| Cardiac arrest | adult | 1 mg | IV/IO | not captured | standing | page 26 |
| Cardiac arrest | peds | 0.01 mg/kg | IV/IO | not captured | standing | page 26 |
| Hypotension / shock | adult | 10 mcg | IV/IO | not captured | standing | page 14 |
Esmolol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| VF / pulseless VT | adult | 0.5 mg/kg | IV/IO | not captured | standing | page 30 |
Fentanyl
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 1 mcg/kg | IV/IO/IM/IN | not captured | standing | page 57 |
| Mild to moderate pain | peds | 1 mcg/kg | IV/IO/IM/IN | not captured | standing | page 57 |
Furosemide
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| CHF / pulmonary edema | adult | 40 mg | IV/IO | not captured | standing | page 36 |
Glucagon
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 1 mg | IM/IN | not captured | standing | page 39 |
| Hypoglycemia | peds | 0.5 mg | IM/IN | not captured | standing | page 39 |
Hydromorphone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 0.5–1 mg | IV/IO/IM | not captured | standing | page 58 |
Hydroxocobalamin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cyanide poisoning | adult | 5 g | IV/IO | not captured | standing | page 31 |
| Cyanide poisoning | peds | 70 mg/kg | IV/IO | not captured | standing | page 31 |
Ipratropium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 0.5 mg | NEB | not captured | standing | page 21 |
| Asthma / bronchospasm | peds | 0.5 mg | NEB | not captured | standing | page 21 |
Ketamine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 10 mg | IV/IM | not captured | standing | page 58 |
| Procedural sedation | adult | 300 mg | IM | not captured | standing | page 60 |
| Procedural sedation | peds | 1 mg/kg | IM | not captured | standing | page 60 |
| RSI induction | adult | 2 mg/kg | IV/IO | not captured | standing | page 231 |
| Seizure | adult | 100 mg | IV/IO/IM | not captured | standing | page 61 |
| Seizure | peds | 100 mg | IV/IO/IM | not captured | standing | page 61 |
| Trauma / hemorrhage | adult | 1 mg/kg | IV | not captured | standing | page 125 |
| Trauma / hemorrhage | adult | 5 mg/kg | IM | not captured | standing | page 125 |
| Trauma / hemorrhage | peds | 1 mg/kg | IV | not captured | standing | page 125 |
| Trauma / hemorrhage | peds | 5 mg/kg | IM | not captured | standing | page 125 |
Ketorolac
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Severe pain | adult | 15 mg | IV/IM | not captured | standing | page 57 |
Labetalol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Eclampsia / pre-eclampsia | adult | 10 mg | IV | not captured | standing | page 52 |
| Other | adult | 10 mg | IV | not captured | standing | page 45 |
Lidocaine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Other | adult | 20–40 mg | IO | not captured | standing | page 126 |
| Other | peds | 0.5 mg/kg | IO | not captured | standing | page 126 |
| VF / pulseless VT | adult | 1 mg/kg | IV/IO | not captured | standing | page 30 |
Lorazepam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Procedural sedation | adult | 2 mg | IV | not captured | standing | page 60 |
| Procedural sedation | peds | 0.05 mg/kg | IV | not captured | standing | page 60 |
Magnesium Sulfate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 2 g | IV | not captured | standing | page 21 |
| Eclampsia / pre-eclampsia | adult | 4 g | IV | not captured | standing | page 52 |
| Wide-complex tachycardia | adult | 2 g | IV/IO | not captured | standing | page 25 |
| VF / pulseless VT | adult | 2 g | IV/IO | not captured | standing | page 25 |
| VF / pulseless VT | peds | 25 mg/kg | IV/IO | not captured | standing | page 25 |
Methylprednisolone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Asthma / bronchospasm | adult | 125 mg | IV/IO | not captured | standing | page 21 |
Midazolam
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Agitation | adult | 5 mg | IM/IN | not captured | standing | page 20 |
| Procedural sedation | adult | 2–2.5 mg | IV/IO/IM/IN | not captured | standing | page 15 |
| Procedural sedation | adult | 5 mg | IV/IO/IM/IN | not captured | standing | page 60 |
| Procedural sedation | peds | 0.1 mg/kg | IV/IO/IM/IN | not captured | standing | page 60 |
| Seizure | adult | 5 mg | IV/IO/IM/IN | not captured | standing | page 61 |
| Seizure | peds | 0.2 mg/kg | IV/IO/IM/IN | not captured | standing | page 61 |
Misoprostol
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Obstetric hemorrhage | adult | 800 mcg | SL | not captured | standing | page 54 |
Morphine
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Mild to moderate pain | adult | 4 mg | IV/IM | not captured | standing | page 58 |
| Mild to moderate pain | peds | 0.1 mg/kg | IV/IM | not captured | standing | page 58 |
Naloxone
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Cardiac arrest | adult | 2 mg | IV/IO/IM/IN | not captured | standing | page 241 |
| Opioid overdose | adult | 0.5–2 mg | IV/IO/IM | not captured | standing | page 55 |
| Opioid overdose | adult | 1 mg | IN | not captured | standing | page 55 |
| Opioid overdose | peds | 0.1 mg/kg | IV/IO/IM | not captured | standing | page 55 |
| Opioid overdose | peds | 1 mg | IN | not captured | standing | page 55 |
| Opioid overdose | peds | 1 mg | IV/IO/IM/IN | not captured | standing | page 96 |
Nerve Agent Antidote Kit
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Organophosphate poisoning | adult | One (1) DuoDote Kit | IM | not captured | standing | page 140 |
| Organophosphate poisoning | adult | One (1) or two (2) DuoDote Kits | IM | not captured | standing | page 140 |
| Organophosphate poisoning | adult | Three (3) DuoDote Kits | IM | not captured | standing | page 140 |
Nitroglycerin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| ACS / chest pain | adult | 0.4 mg | SL | not captured | standing | page 23 |
| CHF / pulmonary edema | adult | 0.4 mg | SL | not captured | standing | page 36 |
Ondansetron
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Nausea / vomiting | adult | 4 mg | IV/IM | not captured | standing | page 48 |
| Nausea / vomiting | peds | 0.1 mg/kg | IV/IM | not captured | standing | page 48 |
Oral Glucose
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Hypoglycemia | adult | 30 g | PO | not captured | standing | page 39 |
| Hypoglycemia | peds | 30 g | PO | not captured | standing | page 39 |
Oxytocin
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Obstetric hemorrhage | adult | 10 unit | IM | not captured | standing | page 54 |
| Other | adult | 10 unit | IM | not captured | standing | page 54 |
Rocuronium
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| RSI paralysis | adult | 1 mg/kg | IV/IO | not captured | standing | page 14 |
Sodium Bicarbonate
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Crush injury | adult | 1 mEq/kg | IV/IO | not captured | standing | page 37 |
| Hyperkalemia | adult | 50 mEq | IV/IO | not captured | standing | page 40 |
| Tricyclic overdose | adult | 100 mEq | IV/IO | not captured | standing | page 56 |
Tranexamic Acid
| Indication | Population | Dose | Route | Repeat | Standing | Source |
|---|---|---|---|---|---|---|
| Trauma / hemorrhage | adult | 2 g | IV/IO | not captured | standing | page 43 |
| Trauma / hemorrhage | peds | 15 mg/kg | IV/IO | not captured | standing | page 43 |