Contact: research@protoquiz.com

County

Wilson County ESD #4

Current176 dose entries35 drugs1 documentTXeffective 2026-04-01100% machine-parsed of 176

Drugs and doses35

A–C Acetaminophen, Adenosine, Albuterol, Amiodarone, Aspirin, Atropine, Calcium Chloride, Cefepime, Ceftriaxone9

Acetaminophen

IndicationPopulationDoseRouteRepeatStandingSource
Fever adult 15 mg/kg IV/IO not captured standing page 156
Fever adult 325–1000 mg PO not captured standing page 156
Fever peds 15 mg/kg PO not captured standing page 156
Fever peds 15 mg/kg IV/IO not captured standing page 156
Other adult 15 mg/kg IV/IO not captured standing page 156
Other adult 325–1000 mg PO not captured standing page 156
Other peds 15 mg/kg PO not captured standing page 156
Other peds 15 mg/kg IV/IO not captured standing page 156

Adenosine

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 12 mg IV not captured standing page 157
Narrow-complex tachycardia adult 12 mg IV not captured standing page 157
Narrow-complex tachycardia peds 0.1 mg/kg (max 12 mg) IV not captured standing page 157

Albuterol

IndicationPopulationDoseRouteRepeatStandingSource
Anaphylaxis adult 5 mg NEB not captured standing pages 80, 124
Anaphylaxis peds 2.5 mg NEB not captured standing pages 80, 124
Asthma / bronchospasm adult 5 mg NEB not captured standing page 158
Asthma / bronchospasm peds 2.5 mg NEB not captured standing page 158

Amiodarone

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 150 mg IV/IO not captured standing page 159
Other adult 300 mg IV/IO not captured standing page 159
Other peds 5 mg/kg IV/IO not captured standing page 159
Other peds 5 mg/kg IV/IO not captured standing page 159

Aspirin

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 324 mg PO not captured standing page 160
Other adult 324 mg PO not captured standing page 160

Atropine

IndicationPopulationDoseRouteRepeatStandingSource
Bradycardia adult 0.5 mg IV/IO not captured standing page 161
Bradycardia peds 0.02 mg/kg IV/IO not captured standing page 161
Organophosphate poisoning adult 2–4 mg IV/IO/IM not captured standing page 161
Organophosphate poisoning peds 0.05 mg/kg IV/IO/IM not captured standing page 161
Other adult 2–4 drop PO not captured standing pages 152, 161

Calcium Chloride

IndicationPopulationDoseRouteRepeatStandingSource
Beta-blocker / calcium-channel-blocker overdose adult 1 g IV/IO not captured standing pages 93, 163
Beta-blocker / calcium-channel-blocker overdose adult 1 g IV/IO not captured standing pages 93, 163
Hyperkalemia adult 1 g IV/IO not captured standing page 163
Hyperkalemia peds 20 mg/kg IV/IO not captured standing page 163
Other adult 1 g IV/IO not captured standing page 139

Cefepime

IndicationPopulationDoseRouteRepeatStandingSource
Sepsis adult 2 g IV/IO not captured standing pages 97, 131, 164
Sepsis peds 50 mg/kg IV/IO not captured standing pages 97, 131, 164

Ceftriaxone

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 2000 mg IV/IO not captured standing pages 105, 134, 165
Other peds 50 mg/kg IV/IO not captured standing pages 105, 134, 165
Sepsis adult 2000 mg IV/IO not captured standing page 165
Sepsis peds 50 mg/kg IV/IO not captured standing page 165
Trauma / hemorrhage adult 2000 mg IV/IO not captured standing pages 105, 134, 165
Trauma / hemorrhage peds 50 mg/kg IV/IO not captured standing pages 105, 134, 165
D–F Dexamethasone, Dextrose, Diltiazem, Diphenhydramine, Droperidol, Epinephrine, Fentanyl7

Dexamethasone

IndicationPopulationDoseRouteRepeatStandingSource
Allergic reaction adult 12 mg IV/IO/IM/PO not captured standing pages 66, 80, 116, 124, 132, 166
Allergic reaction peds 0.6 mg/kg IV/IO/IM/PO not captured standing pages 66, 80, 116, 124, 132, 166
Anaphylaxis adult 12 mg IV/IO/IM/PO not captured standing pages 66, 80, 116, 124, 132, 166
Anaphylaxis peds 0.6 mg/kg IV/IO/IM/PO not captured standing pages 66, 80, 116, 124, 132, 166
Asthma / bronchospasm adult 12 mg IV/IO/IM/PO not captured standing pages 66, 116, 132, 166
Asthma / bronchospasm peds 0.6 mg/kg IV/IO/IM/PO not captured standing pages 66, 116, 132, 166
COPD adult 12 mg IV/IO/IM/PO not captured standing pages 66, 116, 132, 166
COPD peds 0.6 mg/kg IV/IO/IM/PO not captured standing pages 66, 116, 132, 166
Respiratory distress adult 12 mg IV/IO/IM/PO not captured standing pages 66, 116, 132, 166
Respiratory distress peds 0.6 mg/kg IV/IO/IM/PO not captured standing pages 66, 116, 132, 166

Dextrose

IndicationPopulationDoseRouteRepeatStandingSource
Hyperkalemia adult 25 g IV/IO not captured standing page 167
Hyperkalemia peds 0.5 g/kg IV/IO not captured standing page 167
Hypoglycemia adult 25 g IV/IO not captured standing pages 81, 125, 167
Hypoglycemia peds 0.5 g/kg IV/IO not captured standing pages 81, 125, 167

Diltiazem

IndicationPopulationDoseRouteRepeatStandingSource
Atrial fibrillation with RVR adult 0.25 mg/kg IV not captured standing pages 76, 77, 122, 168
Atrial fibrillation with RVR peds 0.25 mg/kg IV not captured standing pages 76, 77, 122, 168
Other adult 0.25 mg/kg IV not captured standing pages 77, 122, 168
Other adult 0.25 mg/kg (max 25 mg) IV not captured standing page 168
Other peds 0.25 mg/kg IV not captured standing pages 77, 122, 168

Diphenhydramine

IndicationPopulationDoseRouteRepeatStandingSource
Allergic reaction adult 25–50 mg PO not captured standing pages 80, 124, 169
Allergic reaction adult 50 mg IV/IO/IM not captured standing pages 80, 124, 169
Allergic reaction peds 1 mg/kg PO not captured standing pages 80, 124, 169
Allergic reaction peds 1 mg/kg IV/IO/IM not captured standing pages 80, 124, 169
Anaphylaxis adult 25–50 mg PO not captured standing pages 80, 124, 169
Anaphylaxis adult 50 mg IV/IO/IM not captured standing pages 80, 124, 169
Anaphylaxis peds 1 mg/kg PO not captured standing pages 80, 124, 169
Anaphylaxis peds 1 mg/kg IV/IO/IM not captured standing pages 80, 124, 169
Dystonic reaction adult 25–50 mg PO not captured standing pages 93, 169
Dystonic reaction adult 50 mg IV/IO/IM not captured standing pages 93, 169
Dystonic reaction peds 1 mg/kg PO not captured standing pages 93, 169
Dystonic reaction peds 1 mg/kg IV/IO/IM not captured standing pages 93, 169

Droperidol

IndicationPopulationDoseRouteRepeatStandingSource
Agitation adult 2.5 mg IV/IO not captured standing pages 82, 170
Agitation adult 2.5 mg IV/IO not captured standing page 170
Agitation adult 5 mg IM not captured standing pages 82, 170
Agitation adult 5 mg IM not captured standing page 170
Alcohol withdrawal adult 2.5 mg IV/IO not captured standing page 170
Alcohol withdrawal adult 5 mg IM not captured standing page 170
Hyperactive delirium adult 2.5 mg IV/IO not captured standing page 170
Hyperactive delirium adult 5 mg IM not captured standing page 170
Nausea / vomiting adult 1.25 mg IV/IO/IM not captured standing pages 92, 128, 170
Nausea / vomiting adult 1.25 mg IV/IO/IM not captured standing pages 92, 128, 170
Other adult 1.25 mg IV/IO/IM not captured standing page 170
Other adult 1.25 mg IV/IO/IM not captured standing page 170

Epinephrine

IndicationPopulationDoseRouteRepeatStandingSource
Anaphylaxis adult 0.5 mg IM not captured standing pages 80, 124
Anaphylaxis peds 0.01 mg/kg IM not captured standing pages 80, 124
Bradycardia peds 5–10 mcg IV/IO not captured standing pages 75, 121
Cardiac arrest adult 0.5 mg IV/IO not captured standing page 69
Cardiac arrest peds 0.01 mg/kg IV/IO not captured standing page 69
Hypotension / shock adult 5–20 mcg IV/IO not captured standing pages 72, 80, 90, 124, 127
Hypotension / shock peds 5–10 mcg IV/IO not captured standing pages 72, 80, 90, 124, 127
Other adult 0.5 mg IM not captured standing page 116
Other peds 0.01 mg/kg IM not captured standing page 116

Fentanyl

IndicationPopulationDoseRouteRepeatStandingSource
Severe pain adult 1 mcg/kg IV/IO/IM/IN not captured standing page 174
Severe pain peds 1 mcg/kg IV/IO/IM/IN not captured standing page 174
Post-intubation sedation adult 1 mcg/kg IV/IO not captured standing page 174
RSI induction adult 1 mcg/kg IV/IO not captured standing pages 67, 174
G–L Glucagon, Hydroxocobalamin, Ipratropium, Ketamine, Ketorolac, Lidocaine6

Glucagon

IndicationPopulationDoseRouteRepeatStandingSource
Beta-blocker / calcium-channel-blocker overdose adult 5 mg IV/IO not captured standing page 175
Beta-blocker / calcium-channel-blocker overdose adult 5 mg IV/IO not captured standing page 175
Beta-blocker / calcium-channel-blocker overdose peds 50 mcg/kg IV/IO not captured standing page 175
Beta-blocker / calcium-channel-blocker overdose peds 50 mcg/kg IV/IO not captured standing page 175
Hypoglycemia adult 1 mg IV/IO/IM not captured standing page 175
Hypoglycemia peds 0.5 mg IV/IO/IM not captured standing page 175

Hydroxocobalamin

IndicationPopulationDoseRouteRepeatStandingSource
Cyanide poisoning adult 5 g IV not captured standing pages 138, 177
Cyanide poisoning peds 70 mg/kg IV not captured standing pages 138, 177
Other adult 5 g IV not captured standing pages 138, 177
Other adult 5 g IV not captured standing pages 138, 177
Other peds 70 mg/kg IV not captured standing pages 138, 177
Other peds 70 mg/kg IV not captured standing pages 138, 177

Ipratropium

IndicationPopulationDoseRouteRepeatStandingSource
Anaphylaxis adult 0.5 mg NEB not captured standing page 179
Anaphylaxis peds 0.25 mg NEB not captured standing page 179
Asthma / bronchospasm adult 0.5 mg NEB not captured standing page 179
Asthma / bronchospasm peds 0.25 mg NEB not captured standing page 179

Ketamine

IndicationPopulationDoseRouteRepeatStandingSource
Cardiac arrest adult 0.5 mg/kg IV/IO not captured standing page 73
Hyperactive delirium adult 2 mg/kg IV/IO not captured standing page 82
Hyperactive delirium adult 4 mg/kg IM not captured standing page 82
Other adult 1 mg/kg IV/IO not captured standing page 181
Other adult 1 mg/kg IV/IO not captured standing page 73
Other adult 1–2 mg/kg IV/IO not captured standing page 67
Other adult 1–2 mg/kg IV/IO not captured standing page 95
Other peds 1 mg/kg IV/IO not captured standing page 181
Mild to moderate pain adult 0.25 mg/kg IV/IO not captured standing pages 94, 129
Mild to moderate pain peds 0.25 mg/kg IV/IO not captured standing pages 94, 129
Mild to moderate pain peds 0.5 mg/kg IN not captured standing pages 94, 129
Seizure adult 1–2 mg/kg IV/IO not captured standing pages 96, 130
Seizure peds 1–2 mg/kg IV/IO not captured standing pages 96, 130

Ketorolac

IndicationPopulationDoseRouteRepeatStandingSource
Fever adult 15 mg IV/IO/IM not captured standing pages 182, 183

Lidocaine

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 40 mg IO not captured standing pages 57, 185
Other peds 0.5 mg/kg IO not captured standing pages 57, 185
Wide-complex tachycardia adult 1 mg/kg IV/IO not captured standing page 185
Wide-complex tachycardia peds 1 mg/kg IV/IO not captured standing page 185
M–O Magnesium Sulfate, Midazolam, Naloxone, Nitroglycerin, Norepinephrine, Ondansetron, Oral Glucose, Oxytocin8

Magnesium Sulfate

IndicationPopulationDoseRouteRepeatStandingSource
Asthma / bronchospasm adult 2 g IV/IO not captured standing pages 66, 116, 186
Asthma / bronchospasm peds 50 mg/kg IV/IO not captured standing pages 66, 116, 186
Eclampsia / pre-eclampsia adult 4 g IV/IO not captured standing pages 111, 186
Other adult 2 g IV/IO not captured standing pages 71, 78, 119, 123, 186
Other peds 2 g IV/IO not captured standing page 139
Other peds 50 mg/kg IV/IO not captured standing pages 71, 78, 119, 123, 186

Midazolam

IndicationPopulationDoseRouteRepeatStandingSource
Hyperactive delirium adult 2.5–5 mg IV/IO/IM not captured standing pages 82, 170
Other adult 2.5–5 mg IV/IO not captured standing pages 65, 66, 116
Other adult 5–10 mg IM/IN/SQ not captured standing page 152
Post-intubation sedation adult 2–5 mg IV/IO not captured standing pages 67, 174
Seizure adult 5–10 mg IV/IO/IM not captured standing pages 96, 130
Seizure peds 0.2 mg/kg IV/IO/IM not captured standing pages 96, 130

Naloxone

IndicationPopulationDoseRouteRepeatStandingSource
Opioid overdose adult 0.4–4 mg IV/IO/IM/IN not captured standing page 188
Opioid overdose peds 0.1 mg/kg IV/IO/IM/IN not captured standing page 188

Nitroglycerin

IndicationPopulationDoseRouteRepeatStandingSource
ACS / chest pain adult 0.4 mg SL not captured standing page 189
CHF / pulmonary edema adult 0.4 mg SL not captured standing page 189
CHF / pulmonary edema adult 0.4 mg SL not captured standing page 65
CHF / pulmonary edema adult 1000 mcg IV not captured standing page 190

Norepinephrine

IndicationPopulationDoseRouteRepeatStandingSource
Hypotension / shock adult 4 mcg IV/IO not captured standing page 191
Hypotension / shock peds 0.1 mcg/kg IV/IO not captured standing page 191

Ondansetron

IndicationPopulationDoseRouteRepeatStandingSource
Nausea / vomiting adult 4 mg IV/IO/ODT not captured standing page 193
Nausea / vomiting adult 4 mg IV/IO/ODT not captured standing page 193
Nausea / vomiting peds 0.15 mg/kg IV/IO/ODT not captured standing page 193
Nausea / vomiting peds 0.15 mg/kg IV/IO/ODT not captured standing page 193

Oral Glucose

IndicationPopulationDoseRouteRepeatStandingSource
Hypoglycemia adult 15 g PO not captured standing page 176
Hypoglycemia peds 15 g PO not captured standing page 176

Oxytocin

IndicationPopulationDoseRouteRepeatStandingSource
Obstetric hemorrhage adult 10 unit IV/IO/IM not captured standing page 195
P–R Rocuronium1

Rocuronium

IndicationPopulationDoseRouteRepeatStandingSource
Other adult 1 mg/kg IV/IO not captured standing page 196
Other peds 1 mg/kg IV/IO not captured standing page 196
S–Z Sodium Bicarbonate, Sodium Chloride, Tetracaine, Tranexamic Acid4

Sodium Bicarbonate

IndicationPopulationDoseRouteRepeatStandingSource
Cardiac arrest adult 1 mEq/kg IV/IO not captured standing page 197
Cardiac arrest peds 1 mEq/kg IV/IO not captured standing page 197
Crush injury adult 1 mEq/kg IV/IO not captured standing page 197
Crush injury peds 1 mEq/kg IV/IO not captured standing page 197
Hyperkalemia adult 1 mEq/kg IV/IO not captured standing page 197
Hyperkalemia peds 1 mEq/kg IV/IO not captured standing page 197
Other adult 1 mEq/kg IV/IO not captured standing page 197
Other adult 1 mEq/kg IV/IO not captured standing page 197
Other peds 1 mEq/kg IV/IO not captured standing page 197
Other peds 1 mEq/kg IV/IO not captured standing page 197
Tricyclic overdose adult 1 mEq/kg IV/IO not captured standing page 197
Tricyclic overdose peds 1 mEq/kg IV/IO not captured standing page 197

Sodium Chloride

IndicationPopulationDoseRouteRepeatStandingSource
Head injury / TBI adult 250 mL IV/IO not captured standing page 178
Other adult 250 mL IV/IO not captured standing page 178

Tetracaine

IndicationPopulationDoseRouteRepeatStandingSource
Mild to moderate pain adult 2 drop OPH not captured standing page 198
Mild to moderate pain peds 1 drop OPH not captured standing page 198

Tranexamic Acid

IndicationPopulationDoseRouteRepeatStandingSource
Trauma / hemorrhage adult 2 g IV not captured standing page 199
Trauma / hemorrhage peds 10 mg/kg IV not captured standing page 199
Cite this

Wilson County ESD #4, United States EMS Protocol Census. 176 dose entries, effective 2026-04-01.

https://protoquiz.com/census/agencies/wilson-county-esd-4/

Outdated or wrong? Fix or remove itAll Texas agenciesMethodologyData licenseStudy these protocols in the app

The census is free and not for sale. Only public agencies are named.

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