Fire-district

Houston Fire Department

Name: Houston Fire Department EMS protocol doses
Creator: ProtoQuiz
License: https://protoquiz.com/census/data-license/

Current90 dose entries24 drugs1 documentHouston, TXeffective 2025-11-10100% machine-parsed of 90

Drugs and doses24

A–C Adenosine, Albuterol, Amiodarone, Aspirin, Atropine, Calcium Chloride6

Adenosine

Indication	Population	Dose	Route	Repeat	Standing	Source
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

D–F Dexamethasone, Dextrose, Diltiazem, Diphenhydramine, Epinephrine, Fentanyl6

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

G–L Hydroxocobalamin, Ipratropium, Labetalol, Lidocaine4

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

M–O Magnesium Sulfate, Midazolam, Naloxone, Nitroglycerin, Norepinephrine, Ondansetron6

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

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

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

Norepinephrine

Indication	Population	Dose	Route	Repeat	Standing	Source
Hypotension / shock	adult	8–16 mcg	IV	not captured	standing	page 185
Hypotension / shock	adult	8–16 mcg	IV	not captured	standing	page 185

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

S–Z Sodium Bicarbonate, Tranexamic Acid2

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

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Houston Fire Department, United States EMS Protocol Census. 90 dose entries, effective 2025-11-10.

https://protoquiz.com/census/agencies/houston-fire-department/

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