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Fire-district

Nueces County ESD4

Current130 dose entries31 drugs1 documentTXeffective 2025-10-0199% machine-parsed of 130

Drugs and doses31

A–C Adenosine, Albuterol, Amiodarone, Aspirin, Atropine, Clonidine6

Adenosine

IndicationPopulationDoseRouteRepeatStandingSource
SVT adult 6 mg IV not captured standing page 18 · source
SVT peds 0.1 mg/kg IV not captured standing page 18 · source

Albuterol

IndicationPopulationDoseRouteRepeatStandingSource
Asthma / bronchospasm adult 2.5 mg NEB not captured standing pages 20, 67, 78, 141 · source
Asthma / bronchospasm peds 0.05 mg/kg NEB not captured standing pages 20, 67, 78, 141 · source

Amiodarone

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 150 mg IV/IO not captured standing page 21 · source
Other peds 5 mg/kg IV/IO not captured standing page 21 · source
VF / pulseless VT adult 300 mg IV/IO not captured standing pages 21, 81, 91, 151 · source
VF / pulseless VT peds 5 mg/kg IV/IO not captured standing pages 21, 81, 91, 151 · source

Aspirin

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 324 mg PO not captured standing pages 22, 82 · source

Atropine

IndicationPopulationDoseRouteRepeatStandingSource
Bradycardia adult 0.5–1 mg IV/IO not captured standing pages 23, 24, 84, 153 · source
Bradycardia peds 0.02 mg/kg IV/IO not captured standing pages 23, 24, 84, 153 · source
Organophosphate poisoning adult 1–2 mg IV not captured standing pages 23, 160 · source
Organophosphate poisoning peds 0.05 mg/kg IV not captured standing pages 23, 160 · source
Other adult 2 mg IV not captured standing page 23 · source

Clonidine

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 0.1 mg PO not captured standing pages 25, 107 · source
D–F Dextrose, Diltiazem, Diphenhydramine, Dopamine, Epinephrine, Etomidate, Fentanyl, Furosemide8

Dextrose

IndicationPopulationDoseRouteRepeatStandingSource
Hypoglycemia adult 25 g IV not captured standing pages 26, 100, 149 · source
Hypoglycemia peds 0.5 g/kg IV not captured standing pages 26, 100, 149 · source

Diltiazem

IndicationPopulationDoseRouteRepeatStandingSource
Atrial fibrillation with RVR adult 0.25 mg/kg IV not captured standing page 28 · source
Atrial fibrillation with RVR adult 0.25 mg/kg IV not captured standing page 28 · source
Other adult 0.25 mg/kg IV not captured standing page 28 · source
SVT adult 0.25 mg/kg IV not captured standing page 28 · source

Diphenhydramine

IndicationPopulationDoseRouteRepeatStandingSource
Anaphylaxis adult 25–50 mg IV/IM not captured standing pages 29, 30 · source
Anaphylaxis peds 1–2 mg/kg IV/IM not captured standing pages 29, 30 · source
Dystonic reaction adult 25–50 mg IV/IM not captured standing pages 29, 30 · source
Dystonic reaction peds 1–2 mg/kg IV/IM not captured standing pages 29, 30 · source
Other adult 25–50 mg IV/IM not captured standing pages 29, 30 · source
Other peds 1–2 mg/kg IV/IM not captured standing pages 29, 30 · source

Dopamine

IndicationPopulationDoseRouteRepeatStandingSource
Cardiogenic shock adult 2 mcg/kg IV not captured standing page 31 · source
Cardiogenic shock peds 2 mcg/kg IV not captured standing page 31 · source
Other adult 2 mcg/kg IV not captured standing page 31 · source
Other adult 2 mcg/kg IV not captured standing page 31 · source
Other adult 2 mcg/kg IV not captured standing page 31 · source
Other peds 2 mcg/kg IV not captured standing page 31 · source
Other peds 2 mcg/kg IV not captured standing page 31 · source
Other peds 2 mcg/kg IV not captured standing page 31 · source

Epinephrine

IndicationPopulationDoseRouteRepeatStandingSource
Anaphylaxis adult 0.5 mg IM not captured standing page 33 · source
Anaphylaxis peds 0.01 mg/kg IM not captured standing page 33 · source
Asthma / bronchospasm adult 0.3–0.5 mg IM not captured standing page 33 · source
Asthma / bronchospasm peds 0.01 mg/kg IM not captured standing page 33 · source
Asystole / PEA adult 0.5–1 mg IV/IO not captured standing pages 32, 33 · source
Asystole / PEA adult 0.5–1 mg IV/IO not captured standing pages 32, 33 · source
Asystole / PEA peds 0.01 mg/kg IV/IO not captured standing pages 32, 33 · source
Asystole / PEA peds 0.01 mg/kg IV/IO not captured standing pages 32, 33 · source
Cardiac arrest adult 0.5–1 mg IV/IO not captured standing pages 32, 33 · source
Cardiac arrest peds 0.01 mg/kg IV/IO not captured standing pages 32, 33 · source
Hypotension / shock adult 12 mcg IV not captured standing pages 33, 108 · source
VF / pulseless VT adult 0.5–1 mg IV/IO not captured standing pages 32, 33 · source
VF / pulseless VT peds 0.01 mg/kg IV/IO not captured standing pages 32, 33 · source

Etomidate

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 0.3 mg/kg IV not captured standing page 34 · source
Other adult 0.3 mg/kg IV not captured standing page 34 · source
Other peds 0.3 mg/kg IV not captured standing page 34 · source
Other peds 0.3 mg/kg IV not captured standing page 34 · source

Fentanyl

IndicationPopulationDoseRouteRepeatStandingSource
Burns adult 50–100 mcg IV/IO/IM/IN not captured standing pages 35, 121 · source
Burns peds 1–2 mcg/kg IV/IO/IM/IN not captured standing pages 35, 121 · source
Other adult 100 mcg IV not captured standing pages 73, 76 · source
Other adult 50–100 mcg IV/IO/IM/IN not captured standing pages 35, 121 · source
Other peds 1–2 mcg/kg IV/IO/IM/IN not captured standing pages 35, 121 · source
Severe pain adult 50–100 mcg IV/IO/IM/IN not captured standing pages 35, 121 · source
Severe pain peds 1–2 mcg/kg IV/IO/IM/IN not captured standing pages 35, 121 · source
Procedural sedation adult 50–100 mcg IV/IO/IM/IN not captured standing pages 35, 121 · source
Procedural sedation peds 1–2 mcg/kg IV/IO/IM/IN not captured standing pages 35, 121 · source
Trauma / hemorrhage adult 50–100 mcg IV/IO/IM/IN not captured standing pages 35, 121 · source
Trauma / hemorrhage adult 50–100 mcg IV/IO/IM/IN not captured standing pages 35, 121 · source
Trauma / hemorrhage peds 1–2 mcg/kg IV/IO/IM/IN not captured standing pages 35, 121 · source
Trauma / hemorrhage peds 1–2 mcg/kg IV/IO/IM/IN not captured standing pages 35, 121 · source

Furosemide

IndicationPopulationDoseRouteRepeatStandingSource
CHF / pulmonary edema adult 40 mg IV not captured standing page 36 · source
CHF / pulmonary edema adult 40 mg IV not captured standing page 36 · source
CHF / pulmonary edema peds 1 mg/kg IV not captured standing page 36 · source
CHF / pulmonary edema peds 1 mg/kg IV not captured standing page 36 · source
Other adult 40 mg IV not captured standing page 36 · source
Other peds 1 mg/kg IV not captured standing page 36 · source
G–L Haloperidol, Ipratropium, Ketamine, Labetalol, Lidocaine5

Haloperidol

IndicationPopulationDoseRouteRepeatStandingSource
Hyperactive delirium adult 5 mg IM not captured standing pages 102, 128 · source
Nausea / vomiting adult 2.5 mg IV/IM not captured standing page 37 · source
Other adult 5 mg IV/IM not captured standing page 37 · source

Ipratropium

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 0.5 mg NEB not captured standing page 39 · source

Ketamine

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 1 mg/kg IV/IO not captured standing page 40 · source
Other adult 1 mg/kg IV/IO not captured standing pages 102, 128 · source
Other adult 2 mg/kg IV/IO not captured standing page 40 · source
Mild to moderate pain adult 0.1–0.3 mg/kg IV not captured standing page 40 · source
Mild to moderate pain adult 0.3–0.5 mg/kg IM not captured standing page 40 · source
Mild to moderate pain adult 0.5 mg/kg IN not captured standing page 40 · source
Mild to moderate pain peds 0.1–0.2 mg/kg IM not captured standing page 40 · source
Procedural sedation adult 1 mg/kg IV/IO not captured standing page 40 · source

Labetalol

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 5–10 mg IV not captured standing pages 41, 118 · source
Other peds 0.2–0.5 mg/kg IV not captured standing pages 41, 118 · source

Lidocaine

IndicationPopulationDoseRouteRepeatStandingSource
Cardiac arrest adult 1.5 mg/kg IV/IO not captured standing pages 44, 91 · source
Cardiac arrest peds 1 mg/kg IV/IO not captured standing pages 44, 91 · source
Other adult 1–1.5 mg/kg IV not captured standing pages 44, 45, 89, 90 · source
Other peds 1 mg/kg IV not captured standing pages 44, 45, 89, 90 · source
Mild to moderate pain adult 40 mg IO not captured standing page 126 · source
Mild to moderate pain peds 0.5 mg/kg IO not captured standing page 126 · source
M–O Magnesium Sulfate, Methylprednisolone, Midazolam, Morphine, Naloxone, Nitroglycerin, Norepinephrine, Ondansetron8

Magnesium Sulfate

IndicationPopulationDoseRouteRepeatStandingSource
Asthma / bronchospasm adult 2 g IV not captured standing page 46 · source
Asthma / bronchospasm adult 3 g IV not captured standing page 46 · source
Other adult 2 g IV not captured standing page 46 · source
Other adult 2 g IV not captured standing page 46 · source
Other adult 4–6 g IV not captured standing page 46 · source
Other peds 25–50 mg/kg IV not captured standing page 46 · source

Methylprednisolone

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 125 mg IV/IM not captured standing pages 57, 67, 141 · source
Other peds 1–2 mg/kg IV/IM not captured standing pages 57, 67, 141 · source

Midazolam

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 0.1 mg/kg IV not captured standing page 47 · source
Other peds 0.1 mg/kg IV not captured standing page 47 · source
Post-intubation sedation adult 2.5–5 mg not captured not captured standing page 11 · source
Post-intubation sedation adult 2.5–5 mg IV/IO/IM/IN not captured standing page 11 · source
Post-intubation sedation peds 0.1 mg/kg IV/IO/IM/IN not captured standing page 11 · source
Procedural sedation adult 1–2 mg IV not captured standing page 85 · source
Seizure peds 0.2–0.3 mg/kg IN not captured standing pages 47, 131, 132 · source

Morphine

IndicationPopulationDoseRouteRepeatStandingSource
CHF / pulmonary edema adult 2 mg IV not captured standing page 48 · source
CHF / pulmonary edema peds 0.1–0.2 mg/kg IV not captured standing page 48 · source
Severe pain adult 2 mg IV not captured standing page 48 · source
Severe pain peds 0.1–0.2 mg/kg IV not captured standing page 48 · source

Naloxone

IndicationPopulationDoseRouteRepeatStandingSource
Opioid overdose adult 0.4 mg IV/IO/IM/IN/ET not captured standing page 49 · source
Other adult 0.4 mg IV/IO/IM/IN/ET not captured standing page 49 · source
Other adult 0.4 mg IV/IO/IM/IN/ET not captured standing page 49 · source

Nitroglycerin

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 0.4 mg SL not captured standing page 50 · source
CHF / pulmonary edema adult 0.4 mg SL not captured standing page 50 · source
Other adult 0.4 mg SL not captured standing page 107 · source

Norepinephrine

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 4 mcg IV not captured standing pages 43, 130 · source
Other peds 0.1 mcg/kg IV not captured standing pages 43, 130 · source

Ondansetron

IndicationPopulationDoseRouteRepeatStandingSource
Nausea / vomiting adult 4–8 mg IV not captured standing page 53 · source
Nausea / vomiting peds 0.1 mg/kg IV not captured standing page 53 · source
P–R Rocuronium1

Rocuronium

IndicationPopulationDoseRouteRepeatStandingSource
RSI induction adult 1 mg/kg IV not captured standing pages 54, 73, 74, 77 · source
RSI induction peds 1 mg/kg IV not captured standing pages 54, 73, 74, 77 · source
S–Z Sodium Bicarbonate, Terbutaline, Tranexamic Acid3

Sodium Bicarbonate

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 1 mEq/kg IV not captured standing pages 55, 56 · source
Other adult 1 mEq/kg IV not captured standing pages 95, 160 · source
Other peds 1 mEq/kg IV not captured standing pages 95, 160 · source
Other peds 2 mEq/kg IV not captured standing pages 55, 56 · source
Tricyclic overdose adult 1 mEq/kg IV not captured standing pages 95, 160 · source
Tricyclic overdose peds 1 mEq/kg IV not captured standing pages 95, 160 · source

Terbutaline

IndicationPopulationDoseRouteRepeatStandingSource
Asthma / bronchospasm adult 0.25 mg SQ not captured standing pages 58, 78 · source

Tranexamic Acid

IndicationPopulationDoseRouteRepeatStandingSource
Trauma / hemorrhage adult 1 g IV not captured standing pages 59, 114, 116 · source
Cite this

Nueces County ESD4, United States EMS Protocol Census. 130 dose entries, effective 2025-10-01.

https://protoquiz.com/census/agencies/nueces-county-esd4/

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Training reference compiled from published protocols. Not a clinical order. Verify with your agency and medical director.