Agency Information
Agency Name
Miami-Dade Fire Rescue
County
Miami-Dade County
State
Florida
Protocol Version
Updated Feb 2026
Official Source
What You'll Study
EMT / BLS
EMT BLS protocols for Miami-Dade County.
Paramedic / ALS
ALS paramedic protocols including heat emergency, drowning, and toxicology.
Sample Questions (Free Preview)
PARAMEDIC
Q1. A drowning patient is pulled from the water unconscious and apneic. After rescue breathing begins and the patient regains a pulse, which intervention is the MOST important next step per MDFR protocols?
A. High-flow O2, secure airway, spinal precautions, monitor ETCO2, transport
B. Administer epinephrine 1 mg IV/IO for potential cardiac arrest prevention
C. Place supine, administer Lasix 40 mg IV for pulmonary edema prevention
D. Perform Heimlich maneuver to remove water from lungs
Drowning patients with return of spontaneous circulation should receive high-flow O2, spinal precautions if trauma suspected, early airway management (intubation if unconscious), continuous monitoring, and rapid transport to hospital. Hypothermia management may also be needed. Ventilation to normalize ETCO2 is critical.
PARAMEDIC
Q2. A construction worker collapses in Miami-Dade in July with a core temperature of 105.8°F (41°C), hot dry skin, and altered mental status. This presentation is consistent with which condition requiring IMMEDIATE cooling?
A. Heat stroke — begin immediate cooling measures and rapid transport
B. Heat exhaustion — oral hydration and rest in cool environment
C. Heat cramps — stretch affected muscles and oral electrolyte replacement
D. Hyperthermia secondary to stimulant overdose — benzodiazepines and cooling
Classic heat stroke presents with elevated core temperature (>104°F), altered mental status, and absence of sweating (hot dry skin). This is a life-threatening emergency requiring immediate cooling. Treatment: remove from heat, ice packs to neck/axilla/groin, cool IV fluids, rapid transport. Heat exhaustion typically has sweating and normal mentation.
PARAMEDIC
Q3. During a pediatric cardiac arrest in Miami-Dade, you are using a Broselow tape. The child is in the PINK zone (approximately 8 kg). What is the correct epinephrine dose?
A. 0.08 mg (0.8 mL) IV/IO of 1:10,000 solution
B. 0.08 mg (0.08 mL) IV/IO of 1:1,000 solution
C. 0.8 mg (8 mL) IV/IO of 1:10,000 solution
D. 0.04 mg (0.4 mL) IV/IO of 1:10,000 solution
For an 8 kg child in cardiac arrest: Epi dose = 0.01 mg/kg × 8 kg = 0.08 mg IV/IO of 1:10,000 solution (0.8 mL). Broselow tape pink zone corresponds to approximately 6-7 kg or 8-9 kg depending on version. Correct calculation: 0.01 mg/kg × 8 kg = 0.08 mg.
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