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OC MEDIC / MEDICATIONS

Medication guides.

Adult and pediatric guidance on every page. Find the indication, dose, route, limits, and source.

24 core field entriesAll required and optional medications in the 2026 ALS inventory, plus oxygen. Formulations share a page.18 special-use referencesTransport, FS-ARN OTC, and historical vaccination programs retain their specific scope.

Official adult drug chart ↗Official pediatric weight chart ↗Coverage & source reconciliation →

Medication scope

Medications & product references — A–Z

42 guides

Fire-service OTC

Acetaminophen

OTC analgesic/antipyretic listed for the FS-ARN program.

Adult & pediatric scope · FS-ARN Field medications

Adenosine

Regular narrow-complex tachycardia: adult treatment and pediatric base-order guidance.

Adult & pediatric guidance · ALS Field medications

Albuterol

Nebulized treatment for bronchospasm, with adult and pediatric protocol distinctions.

Adult & pediatric guidance · ALS Transport medications

Alteplase (tPA) infusion

Interfacility monitoring of a stroke thrombolytic infusion and its explicit stop criteria.

Adult & pediatric scope · IFT-ALS Field medications

Amiodarone

Separate cardiac-arrest dosing from treatment of unstable wide-complex tachycardia with a pulse.

Adult & pediatric guidance · ALS Fire-service OTC

Antacid preparations

Liquid or tablet OTC antacids under SO-F-02.

Adult & pediatric scope · FS-ARN Fire-service OTC

Antifungal powders & sprays

OTC antifungal product categories listed for fire-service personnel.

Adult & pediatric scope · FS-ARN Field medications

Aspirin

Adult suspected cardiac ischemia and the limits of pediatric and fire-service use.

Adult & pediatric guidance · ALS Field medications

Atropine

Symptomatic bradycardia and organophosphate poisoning require different doses and pediatric rules.

Adult & pediatric guidance · ALS Fire-service OTC

Bacitracin ointment

Topical bacitracin listed in the FS-ARN OTC program.

Adult & pediatric scope · FS-ARN Fire-service OTC

Body & foot powders

Talcum/corn-starch body powders and foot powders in the FS-ARN list.

Adult & pediatric scope · FS-ARN Fire-service OTC

Caladryl or equivalent

Topical OTC preparation listed for eligible firefighting personnel.

Adult & pediatric scope · FS-ARN Fire-service OTC

Claritin / OTC antihistamine

The non-prescription antihistamine example named in SO-F-02.

Adult & pediatric scope · FS-ARN Vaccination references

COVID-19 vaccine

COVID-19 vaccine: historical OCEMS program scope, adult/pediatric limits, and current-authorization requirements.

Adult & pediatric scope · Program-specific Field medications

Dextrose 10% (D10)

Treat hypoglycemia with a titrated adult dose or measured pediatric volume.

Adult & pediatric guidance · ALS Field medications

Diphenhydramine (Benadryl)

Allergic and dystonic reactions: weight-based pediatric dosing and adjunctive use in anaphylaxis.

Adult & pediatric guidance · ALS Field medications

DuoDote (atropine / pralidoxime)

Combination auto-injector for organophosphate/nerve-agent toxicity, with age and weight restrictions.

Adult & pediatric guidance · BLS / ALS Field medications

Epinephrine

Anaphylaxis, cardiac arrest, and push-dose shock treatment: concentrations and age-specific rules.

Adult & pediatric guidance · ALS Field medications

Fentanyl

Adult and pediatric analgesia, route-specific doses, and the young-child base-contact requirement.

Adult & pediatric guidance · ALS Field medications

Glucagon

IM hypoglycemia treatment when IV access cannot be established.

Adult & pediatric guidance · ALS Transport medications

Heparin infusion

Monitoring a prescribed infusion during interfacility transport; not a field initiation protocol.

Adult & pediatric scope · IFT-ALS Field medications

Hydroxocobalamin (Cyanokit)

Adult and pediatric cyanide-antidote treatment with base authorization and a dedicated infusion line.

Adult & pediatric guidance · ALS Fire-service OTC

Ibuprofen

OTC NSAID listed for the FS-ARN program.

Adult & pediatric scope · FS-ARN Fire-service OTC

Imodium A-D (loperamide)

The OTC antidiarrheal product listed in the fire-service source.

Adult & pediatric scope · FS-ARN Vaccination references

Influenza vaccine

Influenza vaccine: historical OCEMS program scope, adult/pediatric limits, and current-authorization requirements.

Adult & pediatric scope · Program-specific Field medications

Ketamine

OCEMS analgesia for eligible patients age 15 and older; pediatric exclusion is explicit.

Adult & pediatric guidance · ALS Field medications

Ketorolac (Toradol)

Non-opioid analgesia with strict age, renal, bleeding, and pregnancy exclusions.

Adult & pediatric guidance · ALS Field medications

Lidocaine

Separate antiarrhythmic dosing from preservative-free IO-infusion analgesia.

Adult & pediatric guidance · ALS Field medications

Midazolam (Versed)

Seizure control and indication-specific sedation, with distinct adult and pediatric limits.

Adult & pediatric guidance · ALS Fire-service OTC

Moisturizing eye drops

OTC ocular-lubrication products listed in SO-F-02.

Adult & pediatric scope · FS-ARN Field medications

Morphine sulfate

Adult formulation-dependent doses and pediatric weight-based analgesia.

Adult & pediatric guidance · ALS Fire-service OTC

Mouthwash preparations

Oral-care products listed in the fire-service OTC supply program.

Adult & pediatric scope · FS-ARN Field medications

Naloxone (Narcan)

Restore ventilation in suspected opioid toxicity; distinguish ALS routes from the BLS nasal-product pathway.

Adult & pediatric guidance · ALS Fire-service OTC

Neosporin ointment

The topical OTC ointment product listed in the fire-service source.

Adult & pediatric scope · FS-ARN Field medications

Nitroglycerin

Sublingual adult cardiac/pulmonary-edema treatment and separately authorized transport infusions.

Adult & pediatric guidance · ALS Field medications

Normal saline (0.9% sodium chloride)

Fluid resuscitation, pediatric bolus limits, and nebulized saline are different uses.

Adult & pediatric guidance · ALS Field medications

Ondansetron (Zofran)

Adult oral/IV treatment and the pediatric age-4-and-older ODT pathway.

Adult & pediatric guidance · ALS Field medications

Oral glucose

Adult and pediatric use depends on a safe swallow, intact airway reflexes, and the matching product.

Adult & pediatric guidance · ALS Fire-service OTC

OTC cough preparations

Alcohol-free liquid or tablet cough preparations in the FS-ARN list.

Adult & pediatric scope · FS-ARN Field medications

Oxygen

Adult and pediatric oxygen delivery, ventilation support, and condition-specific exceptions.

Adult & pediatric guidance · ALS Fire-service OTC

Poison oak / sumac products

OTC poison oak and sumac product-category guidance under SO-F-02.

Adult & pediatric scope · FS-ARN Field medications

Sodium bicarbonate

Indication-specific adult treatment and pediatric source-chart guidance.

Adult & pediatric guidance · ALS

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Source-linked OCEMS summaries. Each guide links to its official sources and applicable scope.