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Fire-district

Miramar Fire Rescue Department

May be outdated150 dose entries34 drugs1 documentMiramar, FLeffective 2024-01-01100% machine-parsed of 150

The current listed document is more than 24 months old and may be outdated.

Drugs and doses34

A–C Adenosine, Albuterol, Amiodarone, Aspirin, Atropine, Calcium Chloride, Calcium Gluconate7

Adenosine

IndicationPopulationDoseRouteRepeatStandingSource
SVT adult 6 mg IV not captured standing pages 39, 40, 285, 286, 287, 290, 292
SVT peds 0.1 mg/kg IV not captured standing pages 39, 40, 285, 286, 287, 290, 292

Albuterol

IndicationPopulationDoseRouteRepeatStandingSource
Asthma / bronchospasm adult 2.5 mg NEB not captured standing pages 12, 15, 266, 268
Asthma / bronchospasm peds 1.25 mg NEB not captured standing pages 12, 15, 266, 268
COPD adult 2.5 mg NEB not captured standing pages 16, 18
Hyperkalemia adult 2.5 mg NEB not captured standing pages 180, 182, 397, 399
Hyperkalemia peds 1.25 mg NEB not captured standing pages 180, 182, 397, 399
Other adult 2.5 mg NEB not captured standing pages 16, 18
Other adult 2.5 mg NEB not captured standing pages 23, 24
Other adult 2.5 mg NEB not captured standing pages 122, 124, 362, 364
Other peds 1.25 mg NEB not captured standing pages 122, 124, 362, 364

Amiodarone

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 150 mg IV/IO not captured standing pages 46, 47, 48, 290, 291, 292
Other adult 300 mg IV/IO not captured standing pages 54, 55, 56, 297, 298, 299
Other peds 5 mg/kg IV/IO not captured standing pages 46, 47, 48, 290, 291, 292
Other peds 5 mg/kg IV/IO not captured standing pages 54, 55, 56, 297, 298, 299

Aspirin

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 324 mg PO not captured standing pages 62, 65, 333
Other peds 324 mg PO not captured standing pages 62, 65, 333

Atropine

IndicationPopulationDoseRouteRepeatStandingSource
Bradycardia adult 1 mg IV/IO not captured standing pages 37, 282, 283
Bradycardia peds 0.02 mg/kg IV/IO not captured standing pages 37, 282, 283
Organophosphate poisoning peds 0.03 mg/kg IV not captured standing pages 132, 133, 373, 374
Organophosphate poisoning peds 0.03 mg/kg IV not captured standing pages 132, 133, 373, 374

Calcium Chloride

IndicationPopulationDoseRouteRepeatStandingSource
Beta-blocker / calcium-channel-blocker overdose adult 1 g IV not captured standing pages 113, 114, 353, 354
Beta-blocker / calcium-channel-blocker overdose adult 1 g IV not captured standing pages 116, 117, 356, 357
Beta-blocker / calcium-channel-blocker overdose peds 20 mg/kg IV not captured standing pages 113, 114, 353, 354
Beta-blocker / calcium-channel-blocker overdose peds 20 mg/kg IV not captured standing pages 116, 117, 356, 357
Hyperkalemia adult 1 g IV not captured standing pages 180, 182, 397, 399
Hyperkalemia peds 20 mg/kg IV not captured standing pages 180, 182, 397, 399

Calcium Gluconate

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 1–2 g IV not captured standing pages 126, 366
Other adult 10 mL TOP not captured standing pages 126, 366
Other peds 1 mL NEB not captured standing pages 126, 366
Other peds 100 mg/kg IV not captured standing pages 126, 366
D–F Dextrose, Diphenhydramine, Epinephrine, Fentanyl, Furosemide5

Dextrose

IndicationPopulationDoseRouteRepeatStandingSource
Hypoglycemia adult 25 g IV not captured standing pages 67, 68, 69, 83, 84, 304, 308, 309, 318, 321, 323, 324, 385, 386
Hypoglycemia peds 5 mL/kg IV not captured standing pages 67, 68, 69, 83, 84, 304, 308, 309, 318, 321, 323, 324, 385, 386

Diphenhydramine

IndicationPopulationDoseRouteRepeatStandingSource
Allergic reaction adult 50 mg IV/IM not captured standing pages 157, 161, 379, 383
Allergic reaction peds 1 mg/kg IV/IM not captured standing pages 157, 161, 379, 383
Anaphylaxis adult 50 mg IV/IM not captured standing pages 158, 159, 161, 380, 381, 383, 384
Anaphylaxis peds 1 mg/kg IV/IM not captured standing pages 158, 159, 161, 380, 381, 383, 384
Dystonic reaction adult 50 mg IV/IO/IM not captured standing pages 183, 184, 400, 401
Dystonic reaction peds 1 mg/kg IV/IO/IM not captured standing pages 183, 184, 400, 401

Epinephrine

IndicationPopulationDoseRouteRepeatStandingSource
Allergic reaction adult 0.3 mg IM not captured standing pages 158, 159, 161, 380, 381, 383, 384
Allergic reaction peds 0.01 mg/kg IM not captured standing pages 158, 159, 161, 380, 381, 383, 384
Anaphylaxis adult 0.3 mg IM not captured standing pages 158, 159, 161, 380, 381, 383, 384
Anaphylaxis peds 0.01 mg/kg IM not captured standing pages 158, 159, 161, 380, 381, 383, 384
Asthma / bronchospasm adult 0.3 mg IM not captured standing pages 13, 15, 267, 268
Asthma / bronchospasm peds 0.01 mg/kg IM not captured standing pages 13, 15, 267, 268
Bradycardia peds 0.01 mg/kg IV/IO not captured standing pages 282, 283
Cardiac arrest adult 1 mg IV/IO not captured standing pages 32, 33, 34, 35, 54, 56, 277, 278, 279, 280, 297, 299, 303, 305
Cardiac arrest peds 0.01 mg/kg IV/IO not captured standing pages 32, 33, 34, 35, 54, 56, 277, 278, 279, 280, 297, 299, 303, 305

Fentanyl

IndicationPopulationDoseRouteRepeatStandingSource
Mild to moderate pain adult 50 mcg IV/IN not captured standing pages 63, 64, 65, 86, 87, 88, 89, 90, 92, 93, 94, 169, 170, 171, 172, 173, 174, 175, 176, 186, 187, 198, 199, 216, 217, 219, 220, 222, 224, 226, 228, 230, 231, 326, 329, 330, 332, 333, 393, 394, 395, 396, 403, 404, 415, 416, 434, 437, 438, 439, 441, 443, 445, 447, 449
Mild to moderate pain peds 0.5 mcg/kg IV/IN not captured standing pages 63, 64, 65, 86, 87, 88, 89, 90, 92, 93, 94, 169, 170, 171, 172, 173, 174, 175, 176, 186, 187, 198, 199, 216, 217, 219, 220, 222, 224, 226, 228, 230, 231, 326, 329, 330, 332, 333, 393, 394, 395, 396, 403, 404, 415, 416, 434, 437, 438, 439, 441, 443, 445, 447, 449

Furosemide

IndicationPopulationDoseRouteRepeatStandingSource
CHF / pulmonary edema adult 40 mg IV not captured standing page 20
G–L Glucagon, Hydroxocobalamin, Ipratropium, Ketamine, Ketorolac, Lidocaine6

Glucagon

IndicationPopulationDoseRouteRepeatStandingSource
Beta-blocker / calcium-channel-blocker overdose adult 1 mg IV not captured standing pages 113, 114, 353, 354
Beta-blocker / calcium-channel-blocker overdose adult 1 mg IV not captured standing pages 116, 117, 356, 357
Beta-blocker / calcium-channel-blocker overdose peds 0.5 mg IV not captured standing pages 113, 114, 353, 354
Beta-blocker / calcium-channel-blocker overdose peds 0.5 mg IV not captured standing pages 116, 117, 356, 357
Hypoglycemia peds 0.5 mg IM/IN not captured standing pages 308, 323

Hydroxocobalamin

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 5 g IV not captured standing pages 129, 369
Other peds 70 mg/kg IV not captured standing pages 129, 369

Ipratropium

IndicationPopulationDoseRouteRepeatStandingSource
Asthma / bronchospasm adult 0.5 mg NEB not captured standing pages 12, 15, 267, 268, 380, 381, 383
Asthma / bronchospasm peds 0.25 mg NEB not captured standing pages 12, 15, 267, 268, 380, 381, 383
COPD adult 0.5 mg NEB not captured standing pages 16, 18
Other adult 0.5 mg NEB not captured standing pages 16, 18
Other adult 0.5 mg NEB not captured standing pages 23, 24
Other adult 0.5 mg NEB not captured standing pages 122, 124, 363, 364
Other peds 0.25 mg NEB not captured standing pages 122, 124, 363, 364

Ketamine

IndicationPopulationDoseRouteRepeatStandingSource
Agitation adult 1 mg/kg IV not captured standing pages 71, 72, 311, 312
Agitation adult 2 mg/kg IN not captured standing pages 71, 72, 311, 312
Agitation adult 4 mg/kg IM not captured standing pages 71, 72, 311, 312
Agitation peds 1 mg/kg IV not captured standing pages 71, 72, 311, 312
Agitation peds 2 mg/kg IN not captured standing pages 71, 72, 311, 312
Agitation peds 4 mg/kg IM not captured standing pages 71, 72, 311, 312
Other adult 1 mg/kg IV not captured standing pages 26, 27, 270, 272
Other adult 2 mg/kg IN not captured standing pages 26, 27, 270, 272
Other peds 1 mg/kg IV not captured standing pages 26, 27, 270, 272
Other peds 2 mg/kg IN not captured standing pages 26, 27, 270, 272
Status epilepticus adult 1 mg/kg IV not captured standing pages 74, 76, 314, 315
Status epilepticus adult 2 mg/kg IN not captured standing pages 74, 76, 314, 315
Status epilepticus adult 4 mg/kg IM not captured standing pages 74, 76, 314, 315
Status epilepticus peds 1 mg/kg IV not captured standing pages 74, 76, 314, 315
Status epilepticus peds 2 mg/kg IN not captured standing pages 74, 76, 314, 315
Status epilepticus peds 4 mg/kg IM not captured standing pages 74, 76, 314, 315

Ketorolac

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 30 mg IV/IM not captured standing pages 173, 175

Lidocaine

IndicationPopulationDoseRouteRepeatStandingSource
Head injury / TBI adult 1.5 mg/kg IV not captured standing pages 26, 27, 270, 272
Head injury / TBI peds 1.5 mg/kg IV not captured standing pages 26, 27, 270, 272
Stroke adult 1.5 mg/kg IV not captured standing pages 26, 27, 270, 272
Stroke peds 1.5 mg/kg IV not captured standing pages 26, 27, 270, 272
Wide-complex tachycardia adult 1 mg/kg IV/IO not captured standing pages 47, 55, 298
Wide-complex tachycardia peds 1 mg/kg IV/IO not captured standing pages 47, 55, 298
VF / pulseless VT adult 1 mg/kg IV/IO not captured standing pages 47, 55, 298
VF / pulseless VT peds 1 mg/kg IV/IO not captured standing pages 47, 55, 298
M–O Magnesium Sulfate, Methylene Blue, Methylprednisolone, Metoprolol, Midazolam, Morphine, Naloxone, Nitroglycerin, Ondansetron, Oral Glucose10

Magnesium Sulfate

IndicationPopulationDoseRouteRepeatStandingSource
Asthma / bronchospasm adult 2 g IV not captured standing pages 13, 15, 267, 268
Asthma / bronchospasm peds 40 mg/kg IV not captured standing pages 13, 15, 267, 268
Eclampsia / pre-eclampsia adult 4 g IV not captured standing pages 74, 76, 153, 155
Eclampsia / pre-eclampsia peds 40 mg/kg IV not captured standing pages 74, 76, 153, 155
VF / pulseless VT adult 2 g IV/IO not captured standing pages 47, 48, 50, 51, 54, 58, 59, 291, 292, 294, 298, 299
VF / pulseless VT peds 40 mg/kg IV/IO not captured standing pages 47, 48, 50, 51, 54, 58, 59, 291, 292, 294, 298, 299

Methylene Blue

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 1–2 mg/kg IV not captured standing pages 135, 376
Other peds 1–2 mg/kg IV not captured standing pages 135, 376

Methylprednisolone

IndicationPopulationDoseRouteRepeatStandingSource
Allergic reaction adult 125 mg IV/IM not captured standing pages 158, 159, 161, 380, 382, 384
Allergic reaction peds 2 mg/kg IV/IM not captured standing pages 158, 159, 161, 380, 382, 384
Anaphylaxis adult 125 mg IV/IM not captured standing pages 158, 159, 161, 380, 382, 384
Anaphylaxis peds 2 mg/kg IV/IM not captured standing pages 158, 159, 161, 380, 382, 384
Asthma / bronchospasm adult 125 mg IV/IM not captured standing pages 12, 15, 267, 268
Asthma / bronchospasm peds 2 mg/kg IV/IM not captured standing pages 12, 15, 267, 268
COPD adult 125 mg IV/IM not captured standing pages 16, 18
Other adult 125 mg IV/IM not captured standing pages 16, 18

Metoprolol

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 5 mg IV not captured standing pages 63, 65

Midazolam

IndicationPopulationDoseRouteRepeatStandingSource
Agitation adult 2 mg IV/IO/IM/IN not captured standing pages 96, 97, 100, 101, 103, 104, 105, 107, 110, 111, 119, 123, 124, 129, 130, 132, 133, 135, 136, 336, 337, 340, 341, 343, 344, 345, 346, 347, 350, 351, 359, 360, 363, 364, 366, 369, 371, 373, 374, 376, 377
Agitation peds 0.1 mg/kg IV/IO/IM/IN not captured standing pages 96, 97, 100, 101, 103, 104, 105, 107, 110, 111, 119, 123, 124, 129, 130, 132, 133, 135, 136, 336, 337, 340, 341, 343, 344, 345, 346, 347, 350, 351, 359, 360, 363, 364, 366, 369, 371, 373, 374, 376, 377
Other adult 2 mg IV/IN not captured standing pages 13, 14, 16, 17, 20, 21, 28, 29
Procedural sedation adult 2 mg IV/IO/IM/IN not captured standing pages 37, 38, 282, 283
Procedural sedation adult 2 mg IV/IO/IM/IN not captured standing pages 41, 42, 43, 49, 51, 288, 289, 291, 292, 293, 295
Procedural sedation peds 0.1 mg/kg IV/IO/IM/IN not captured standing pages 37, 38, 282, 283
Procedural sedation peds 0.1 mg/kg IV/IO/IM/IN not captured standing pages 41, 42, 43, 49, 51, 288, 289, 291, 292, 293, 295
Seizure adult 2 mg IV/IO/IM/IN not captured standing pages 74, 76, 96, 97, 100, 101, 103, 104, 105, 107, 110, 111, 119, 123, 124, 129, 130, 132, 133, 135, 136, 153, 155, 314, 315, 336, 337, 340, 341, 343, 344, 345, 346, 347, 350, 351, 359, 360, 363, 364, 366, 369, 371, 373, 374, 376, 377
Seizure peds 0.1 mg/kg IV/IO/IM/IN not captured standing pages 74, 76, 96, 97, 100, 101, 103, 104, 105, 107, 110, 111, 119, 123, 124, 129, 130, 132, 133, 135, 136, 153, 155, 314, 315, 336, 337, 340, 341, 343, 344, 345, 346, 347, 350, 351, 359, 360, 363, 364, 366, 369, 371, 373, 374, 376, 377

Morphine

IndicationPopulationDoseRouteRepeatStandingSource
Mild to moderate pain adult 5 mg IV not captured standing pages 64, 86, 88, 91, 93, 169, 171, 173, 175, 186, 198, 216, 223, 227, 230, 326, 331, 333, 393, 395, 403, 415, 434, 437, 440, 444, 448
Mild to moderate pain peds 0.1 mg/kg IV not captured standing pages 64, 86, 88, 91, 93, 169, 171, 173, 175, 186, 198, 216, 223, 227, 230, 326, 331, 333, 393, 395, 403, 415, 434, 437, 440, 444, 448

Naloxone

IndicationPopulationDoseRouteRepeatStandingSource
Opioid overdose adult 2 mg IV/IM/IN not captured standing pages 68, 100, 101, 308, 309, 340, 341
Opioid overdose peds 0.1 mg/kg IV/IM/IN not captured standing pages 68, 100, 101, 308, 309, 340, 341

Nitroglycerin

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 0.4 mg SL not captured standing pages 63, 65
CHF / pulmonary edema adult 0.4 mg SL not captured standing pages 20, 22
Other adult 0.4 mg SL not captured standing pages 63, 65

Ondansetron

IndicationPopulationDoseRouteRepeatStandingSource
Nausea / vomiting adult 4 mg IV/IM/SL not captured standing pages 166, 169, 170, 175, 176, 192, 194, 390, 391, 393, 394
Nausea / vomiting peds 0.1 mg/kg IV/IM/SL not captured standing pages 166, 169, 170, 175, 176, 192, 194, 390, 391, 393, 394

Oral Glucose

IndicationPopulationDoseRouteRepeatStandingSource
Hypoglycemia adult 15 g PO not captured standing pages 67, 69, 82, 84, 307, 309, 318, 321, 322, 324, 385, 386
Hypoglycemia peds 15 g PO not captured standing pages 67, 69, 82, 84, 307, 309, 318, 321, 322, 324, 385, 386
P–R Pralidoxime, Rocuronium2

Pralidoxime

IndicationPopulationDoseRouteRepeatStandingSource
Organophosphate poisoning adult 1–2 g IV not captured standing pages 132, 133, 373, 374
Organophosphate poisoning adult 1–2 g IV not captured standing pages 132, 133, 373, 374
Organophosphate poisoning peds 25 mg/kg IV not captured standing pages 132, 133, 373, 374
Organophosphate poisoning peds 25 mg/kg IV not captured standing pages 132, 133, 373, 374

Rocuronium

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 1 mg/kg IV/IO not captured standing pages 26, 27, 270, 272
Other peds 1 mg/kg IV/IO not captured standing pages 26, 27, 270, 272
Status epilepticus adult 1 mg/kg IV/IO not captured standing pages 74, 76, 314, 315
Status epilepticus peds 1 mg/kg IV/IO not captured standing pages 74, 76, 314, 315
S–Z Sodium Bicarbonate, Succinylcholine, Tetracaine, Tranexamic Acid4

Sodium Bicarbonate

IndicationPopulationDoseRouteRepeatStandingSource
Hyperkalemia adult 1 mEq/kg IV not captured standing pages 180, 182, 397, 399
Hyperkalemia peds 1 mEq/kg IV not captured standing pages 180, 182, 397, 399
Other adult 1 mEq/kg IV not captured standing pages 129, 130, 369, 371
Other adult 3 mL NEB not captured standing pages 123, 124, 363, 364
Other peds 1 mEq/kg IV not captured standing pages 129, 130, 369, 371
Other peds 3 mL NEB not captured standing pages 123, 124, 363, 364
Tricyclic overdose adult 1 mEq/kg IV not captured standing pages 110, 111, 350, 351
Tricyclic overdose peds 1 mEq/kg IV not captured standing pages 110, 111, 350, 351

Succinylcholine

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 2 mg/kg IV not captured standing pages 26, 74, 270
Other peds 2 mg/kg IV not captured standing pages 26, 74, 270
Status epilepticus adult 2 mg/kg IV not captured standing pages 74, 314
Status epilepticus peds 2 mg/kg IV not captured standing pages 74, 314

Tetracaine

IndicationPopulationDoseRouteRepeatStandingSource
Mild to moderate pain adult 2 drop OPH not captured standing pages 215, 433
Mild to moderate pain peds 2 drop OPH not captured standing pages 215, 433

Tranexamic Acid

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 2 g IV not captured standing pages 209, 212, 216, 219, 223
Cite this

Miramar Fire Rescue Department, United States EMS Protocol Census. 150 dose entries, effective 2024-01-01.

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