Agency Information
Agency Name
Austin-Travis County EMS
County
Travis County
State
Texas
Protocol Version
Updated Feb 2026
Official Source
What You'll Study
EMT / BLS
EMT BLS protocols for Travis County.
Paramedic / ALS
Full ALS paramedic protocols including community paramedicine protocols.
Protocol Documents
ATCEMS Clinical Operating Guidelines
full manual
External →
Austin-Travis County EMS Clinical Operating Guidelines 2024
full manual
External →
Sample Questions (Free Preview)
PARAMEDIC
Q1. A 15 kg child is in active status epilepticus. Per ATCEMS protocol, you administer Midazolam IM. What is the correct dose?
A. 1.5 mg IM (0.1 mg/kg, max 5 mg)
B. 5 mg IM (maximum dose)
C. 0.75 mg IM (0.05 mg/kg)
D. 3 mg IM (0.2 mg/kg)
Midazolam for pediatric seizures via IM or IN route is 0.1 mg/kg, with a maximum dose of 5 mg. For 15 kg: 0.1 × 15 = 1.5 mg IM.
PARAMEDIC
Q2. A 15 kg child's seizure did not respond to the first dose of Midazolam given IM. You establish IV access. What is the correct IV dose of Midazolam for the second round?
A. 0.75 mg IV (0.05 mg/kg)
B. 1.5 mg IV (same as IM dose)
C. 2.5 mg IV (half of max)
D. 0.1 mg/kg — same dose regardless of route
For IV Midazolam in pediatric seizure, the dose is reduced to 0.05 mg/kg IV due to faster absorption and more potent effect via IV route. For 15 kg: 0.05 × 15 = 0.75 mg IV.
PARAMEDIC
Q3. An 8 kg infant presents with suspected hypoglycemia (glucose 38 mg/dL). Per ATCEMS protocol, which dextrose preparation and dose is correct for this pediatric patient?
A. D10W 40 mL IV/IO (5 mL/kg)
B. D50W 8 mL IV (1 mL/kg)
C. D25W 16 mL IV (2 mL/kg)
D. D10W 80 mL IV (10 mL/kg)
In pediatric patients, D10W at 5 mL/kg IV/IO is used — NOT D50W, which can cause significant osmotic injury in neonates and infants. For 8 kg: 5 × 8 = 40 mL of D10W.
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