Fire-district

Fairfax County Fire and Rescue Department

Name: Fairfax County Fire and Rescue Department EMS protocol doses
Creator: ProtoQuiz
License: https://protoquiz.com/census/data-license/

May be outdated120 dose entries29 drugs1 documentFairfax, VAeffective 2023-01-01100% machine-parsed of 120

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Drugs and doses29

A–C Acetaminophen, Adenosine, Albuterol, Amiodarone, Aspirin, Atropine, Calcium Chloride7

Acetaminophen

Indication	Population	Dose	Route	Repeat	Standing	Source
Mild to moderate pain	adult	650 mg	PO	not captured	standing	page 190
Mild to moderate pain	peds	650 mg	PO	not captured	standing	page 190

Adenosine

Indication	Population	Dose	Route	Repeat	Standing	Source
SVT	adult	6 mg	IV	not captured	standing	page 91
SVT	peds	0.1 mg/kg	IV	not captured	standing	page 91

Albuterol

Indication	Population	Dose	Route	Repeat	Standing	Source
Asthma / bronchospasm	adult	2.5–5 mg	NEB	not captured	standing	page 69
Asthma / bronchospasm	peds	2.5–5 mg	NEB	not captured	standing	page 69
COPD	adult	5 mg	NEB	not captured	standing	page 166
COPD	peds	5 mg	NEB	not captured	standing	page 166
Hyperkalemia	adult	10 mg	NEB	not captured	standing	page 123
Other	adult	2.5–5 mg	NEB	not captured	standing	page 168
Other	peds	2.5–5 mg	NEB	not captured	standing	page 168
Respiratory distress	adult	2.5–5 mg	NEB	not captured	standing	page 171
Respiratory distress	peds	2.5–5 mg	NEB	not captured	standing	page 171

Amiodarone

Indication	Population	Dose	Route	Repeat	Standing	Source
Wide-complex tachycardia	adult	150 mg	IV/IO	not captured	standing	page 94
Wide-complex tachycardia	peds	5 mg/kg	IV/IO	not captured	standing	page 94
VF / pulseless VT	adult	300 mg	IV/IO	not captured	standing	page 79
VF / pulseless VT	peds	5 mg/kg	IV/IO	not captured	standing	page 79

Aspirin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	324 mg	PO	not captured	standing	page 64

Atropine

Indication	Population	Dose	Route	Repeat	Standing	Source
Beta-blocker / calcium-channel-blocker overdose	peds	0.02 mg/kg	IV/IO	not captured	standing	page 289
Bradycardia	adult	1 mg	IV/IO	not captured	standing	page 96
Bradycardia	peds	0.02 mg/kg	IV/IO	not captured	standing	page 96
Nerve agent exposure	adult	2 mg	IV/IO/IM	not captured	standing	page 158
Nerve agent exposure	peds	0.05–0.1 mg/kg	IV/IO/IM	not captured	standing	page 158
Organophosphate poisoning	adult	2 mg	IV/IO/IM	not captured	standing	page 158
Organophosphate poisoning	peds	0.05–0.1 mg/kg	IV/IO/IM	not captured	standing	page 158

Calcium Chloride

Indication	Population	Dose	Route	Repeat	Standing	Source
Cardiac arrest	adult	10 mL	IV/IO	not captured	standing	page 123
Cardiac arrest	peds	10–20 mg/kg	IV/IO	not captured	standing	page 123
Hyperkalemia	adult	10 mL	IV/IO	not captured	standing	page 123
Hyperkalemia	peds	10–20 mg/kg	IV/IO	not captured	standing	page 123
Other	adult	10 mL	IV/IO	not captured	standing	page 123
Other	peds	10–20 mg/kg	IV/IO	not captured	standing	page 123

D–F Dextrose, Diphenhydramine, Epinephrine, Fentanyl4

Dextrose

Indication	Population	Dose	Route	Repeat	Standing	Source
Hyperkalemia	adult	25 g	IV/IO	not captured	standing	page 123
Hypoglycemia	adult	25 g	IV/IO	not captured	standing	page 126
Hypoglycemia	peds	2 mL/kg	IV/IO	not captured	standing	page 126

Diphenhydramine

Indication	Population	Dose	Route	Repeat	Standing	Source
Allergic reaction	adult	50 mg	IV/IO	not captured	standing	page 68
Allergic reaction	adult	50 mg	IM	not captured	standing	page 68
Allergic reaction	peds	1 mg/kg	IV/IO	not captured	standing	page 68
Allergic reaction	peds	1 mg/kg	IM	not captured	standing	page 68
Dystonic reaction	adult	50 mg	IV/IO	not captured	standing	page 144
Dystonic reaction	adult	50 mg	IM	not captured	standing	page 144
Dystonic reaction	peds	1 mg/kg	IV/IO	not captured	standing	page 144
Dystonic reaction	peds	1 mg/kg	IM	not captured	standing	page 144

Epinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Anaphylaxis	adult	0.3 mg	IM	not captured	standing	page 68
Anaphylaxis	peds	0.01 mg/kg	IM	not captured	standing	page 68
Asthma / bronchospasm	peds	0.01 mg/kg	SQ	not captured	standing	page 165
Asthma / bronchospasm	peds	0.01 mg/kg	IM	not captured	standing	page 165
Bradycardia	peds	0.01 mg/kg	IV/IO	not captured	standing	page 261
Cardiac arrest	adult	1 mg	IV/IO	not captured	standing	page 78
Cardiac arrest	peds	0.01 mg/kg	IV/IO	not captured	standing	page 78

Fentanyl

Indication	Population	Dose	Route	Repeat	Standing	Source
Mild to moderate pain	adult	50–100 mcg	IV/IO	not captured	standing	page 65
Mild to moderate pain	adult	50–100 mcg	IM	not captured	standing	page 191
Mild to moderate pain	adult	50–100 mcg	IN	not captured	standing	page 191
Mild to moderate pain	peds	1 mcg/kg	IV/IO	not captured	standing	page 65
Mild to moderate pain	peds	2 mcg/kg	IN	not captured	standing	page 191

G–L Glucagon, Hydroxocobalamin, Ipratropium, Ketamine, Lidocaine5

Glucagon

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypoglycemia	adult	1 mg	IM	not captured	standing	page 126
Hypoglycemia	peds	0.1 mg/kg	IM	not captured	standing	page 126

Hydroxocobalamin

Indication	Population	Dose	Route	Repeat	Standing	Source
Cyanide poisoning	adult	5 g	IV/IO	not captured	standing	page 153
Cyanide poisoning	peds	70 mg/kg	IV/IO	not captured	standing	page 153

Ipratropium

Indication	Population	Dose	Route	Repeat	Standing	Source
Asthma / bronchospasm	adult	0.5 mg	NEB	not captured	standing	page 164
Asthma / bronchospasm	peds	0.5 mg	NEB	not captured	standing	page 164
COPD	adult	0.5 mg	NEB	not captured	standing	page 166
COPD	peds	0.5 mg	NEB	not captured	standing	page 166

Ketamine

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	250 mg	IM	not captured	standing	page 186
Agitation	peds	250 mg	IM	not captured	standing	page 186
Mild to moderate pain	adult	15 mg	IV/IO	not captured	standing	page 191
Mild to moderate pain	peds	15 mg	IV/IO	not captured	standing	page 191
Procedural sedation	adult	1 mg/kg	IV/IO	not captured	standing	page 362
Procedural sedation	adult	250 mg	IM	not captured	standing	page 362
Procedural sedation	peds	1 mg/kg	IV/IO	not captured	standing	page 362
Procedural sedation	peds	250 mg	IM	not captured	standing	page 362

Lidocaine

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	adult	2 drop	TOP	not captured	standing	page 204
Other	peds	2 drop	TOP	not captured	standing	page 204
Mild to moderate pain	adult	40 mg	IO	not captured	standing	page 191
Mild to moderate pain	peds	0.5 mg/kg	IO	not captured	standing	page 191
VF / pulseless VT	adult	1.5 mg/kg	IV/IO	not captured	standing	page 79
VF / pulseless VT	peds	1 mg/kg	IV/IO	not captured	standing	page 79
VF / pulseless VT	peds	2 mg/kg	ET	not captured	standing	page 250

M–O Magnesium Sulfate, Methylprednisolone, Midazolam, Morphine, Naloxone, Nerve Agent Antidote Kit, Nitroglycerin, Norepinephrine, Ondansetron, Oral Glucose10

Magnesium Sulfate

Indication	Population	Dose	Route	Repeat	Standing	Source
Asthma / bronchospasm	peds	25 mg/kg	IV/IO	not captured	standing	page 165
Eclampsia / pre-eclampsia	adult	4 g	IV/IO	not captured	standing	page 129
VF / pulseless VT	adult	2 g	IV/IO	not captured	standing	page 79
VF / pulseless VT	peds	50 mg/kg	IV/IO	not captured	standing	page 79

Methylprednisolone

Indication	Population	Dose	Route	Repeat	Standing	Source
Allergic reaction	adult	125 mg	IV/IO	not captured	standing	page 69
Allergic reaction	peds	1 mg/kg	IV/IO	not captured	standing	page 69
Asthma / bronchospasm	adult	125 mg	IV/IO	not captured	standing	page 164
Asthma / bronchospasm	peds	1 mg/kg	IV/IO	not captured	standing	page 164

Midazolam

Indication	Population	Dose	Route	Repeat	Standing	Source
Agitation	adult	2 mg	IV/IO	not captured	standing	page 186
Agitation	adult	5 mg	IM	not captured	standing	page 186
Agitation	peds	0.1 mg/kg	IV/IO	not captured	standing	page 186
Agitation	peds	0.1 mg/kg	IM	not captured	standing	page 186
Procedural sedation	adult	2 mg	IV/IO	not captured	standing	page 96
Procedural sedation	peds	0.1 mg/kg	IV/IO	not captured	standing	page 96
Seizure	adult	5 mg	IV/IO	not captured	standing	page 173
Seizure	adult	5 mg	IN	not captured	standing	page 173
Seizure	peds	0.1 mg/kg	IV/IO	not captured	standing	page 173
Seizure	peds	0.2 mg/kg	IN	not captured	standing	page 173

Morphine

Indication	Population	Dose	Route	Repeat	Standing	Source
Mild to moderate pain	adult	1–5 mg	IV/IO/IM	not captured	standing	page 422

Naloxone

Indication	Population	Dose	Route	Repeat	Standing	Source
Opioid overdose	adult	0.4 mg	IV/IO	not captured	standing	page 142
Opioid overdose	adult	2 mg	IM	not captured	standing	page 142
Opioid overdose	adult	2–4 mg	IN	not captured	standing	page 142
Opioid overdose	peds	2 mg	IM	not captured	standing	page 142
Opioid overdose	peds	2–4 mg	IN	not captured	standing	page 142

Nerve Agent Antidote Kit

Indication	Population	Dose	Route	Repeat	Standing	Source
Nerve agent exposure	adult	2.1 mg	IM	not captured	standing	page 157
Organophosphate poisoning	adult	2.1 mg	IM	not captured	standing	page 157

Nitroglycerin

Indication	Population	Dose	Route	Repeat	Standing	Source
ACS / chest pain	adult	0.4 mg	SL	not captured	standing	page 65
CHF / pulmonary edema	adult	0.4 mg	SL	not captured	standing	page 169

Norepinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Other	peds	0.05–0.1 mcg/kg	IV/IO	not captured	standing	page 83

Ondansetron

Indication	Population	Dose	Route	Repeat	Standing	Source
Nausea / vomiting	adult	4 mg	PO/ODT	not captured	standing	page 188
Nausea / vomiting	adult	4 mg	IV/IO	not captured	standing	page 188
Nausea / vomiting	adult	4 mg	IM	not captured	standing	page 188
Nausea / vomiting	peds	2 mg	PO/ODT	not captured	standing	page 188
Nausea / vomiting	peds	4 mg	IM	not captured	standing	page 188
Nausea / vomiting	peds	4 mg	IV/IO	not captured	standing	page 188

Oral Glucose

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypoglycemia	peds	15 g	PO	not captured	standing	page 125

P–R Racemic Epinephrine1

Racemic Epinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Croup	peds	0.5 mL	NEB	not captured	standing	page 317

S–Z Sodium Bicarbonate, Tranexamic Acid2

Sodium Bicarbonate

Indication	Population	Dose	Route	Repeat	Standing	Source
Head injury / TBI	adult	100 mEq	IV/IO	not captured	standing	page 183
Hyperkalemia	adult	50 mEq	IV/IO	not captured	standing	page 123
Hyperkalemia	peds	1 mEq/kg	IV/IO	not captured	standing	page 123
Tricyclic overdose	adult	50 mEq	IV/IO	not captured	standing	page 146
Tricyclic overdose	peds	1 mEq/kg	IV/IO	not captured	standing	page 146

Tranexamic Acid

Indication	Population	Dose	Route	Repeat	Standing	Source
Trauma / hemorrhage	adult	1 g	IV/IO	not captured	standing	page 104

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Fairfax County Fire and Rescue Department, United States EMS Protocol Census. 120 dose entries, effective 2023-01-01.

https://protoquiz.com/census/agencies/fairfax-county-fire-and-rescue-department/

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