Agency Information
Agency Name
Houston Fire Department
County
Harris County
State
Texas
Official Source
What You'll Study
EMT / BLS
BLS EMT protocols for Harris County operations.
Paramedic / ALS
ALS paramedic protocols for Houston metro including STEMI and stroke protocols.
Sample Questions (Free Preview)
PARAMEDIC
Q1. A 20 kg pediatric patient is in cardiac arrest. Per Houston FD EMS pediatric protocols, what is the correct initial epinephrine dose (1:10,000)?
A. 0.2 mg (2 mL) IV/IO of 1:10,000 solution
B. 0.5 mg (5 mL) IV/IO of 1:10,000 solution
C. 1.0 mg (10 mL) IV/IO of 1:10,000 solution
D. 0.2 mg (0.2 mL) IV/IO of 1:1,000 solution
Pediatric epinephrine for cardiac arrest is 0.01 mg/kg of 1:10,000 solution IV/IO. For a 20 kg child: 0.01 × 20 = 0.2 mg (2 mL of 1:10,000). Maximum single dose is 1 mg. Repeat every 3-5 minutes.
PARAMEDIC
Q2. A 15 kg pediatric patient presents with SVT at 240 bpm. You have established IV access. Per peds protocols, what is the correct initial adenosine dose?
A. 1.5 mg rapid IVP followed by NS flush
B. 3.0 mg rapid IVP followed by NS flush
C. 6.0 mg rapid IVP followed by NS flush
D. 0.15 mg rapid IVP followed by NS flush
Pediatric adenosine for SVT: First dose = 0.1 mg/kg rapid IVP, maximum 6 mg. For a 15 kg child: 0.1 × 15 = 1.5 mg rapid IVP followed immediately by 10-20 mL NS flush. The drug must be given rapidly and proximal to the heart.
PARAMEDIC
Q3. The initial adenosine dose for your 15 kg pediatric SVT patient was unsuccessful. Per pediatric protocols, what is the correct SECOND dose of adenosine?
A. 3.0 mg rapid IVP followed by NS flush
B. 1.5 mg rapid IVP followed by NS flush
C. 6.0 mg rapid IVP followed by NS flush
D. 12.0 mg rapid IVP followed by NS flush
Second dose of pediatric adenosine for SVT = 0.2 mg/kg rapid IVP, maximum 12 mg. For a 15 kg child: 0.2 × 15 = 3.0 mg rapid IVP followed immediately by NS flush. This doubled dose is given if the first dose fails to convert SVT.
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