Medication Reference for Combat Medics

Searchable medication guide covering TCCC battlefield medications, Prolonged Field Care drips and pressors, antibiotics for penetrating trauma, pain management including ketamine and OTFC, RSI drugs, and common garrison sick call medications. Includes dosing, routes, indications, timing, warnings, and clinical notes.

Categories

Hemorrhage and Resuscitation: TXA, calcium chloride, 3% hypertonic saline, epinephrine
Pain Management: ketamine analgesic, OTFC, meloxicam, acetaminophen
Sedation: ketamine procedural, ketamine drip, midazolam
Antibiotics: moxifloxacin, ceftriaxone, metronidazole, ertapenem
Pressors and Drips: push-dose epinephrine, norepinephrine drip
Airway and RSI: ketamine induction, succinylcholine, rocuronium
Neuro and Seizure: levetiracetam (Keppra)
Nausea and GI: ondansetron, promethazine, loperamide
Garrison and Sick Call: ibuprofen, naproxen, diphenhydramine, cetirizine, amoxicillin, azithromycin, ciprofloxacin, mupirocin, hydrocortisone, clotrimazole

Medication Reference

TCCC / PFC / Garrison

Training Reference Only

Verify all dosages against your unit SOPs and current references. Not a substitute for clinical judgment.

40 medications

Hemorrhage/Resus

Tranexamic Acid (TXA)TCCC

2g IV/IO slow push

Route: IV/IO

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Calcium Chloride 10%TCCC

1g (10ml) IV slow push

Route: IV/IO

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3% Hypertonic Saline (HTS)TCCC

250ml IV bolus

Route: IV

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Epinephrine (Cardiac Arrest)TCCC

1mg (1:10,000) IV/IO every 3-5 min

Route: IV/IO

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Pain

Ketamine (Analgesic)TCCC

20-30mg IV/IO slow push (over 1 min) OR 50-75mg IM/IN

Route: IV/IO/IM/IN

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Oral Transmucosal Fentanyl (OTFC)TCCC

800mcg lozenge, placed buccally (between cheek and gum)

Route: Oral transmucosal

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MeloxicamTCCC

15mg PO once daily

Route: PO

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Acetaminophen (Tylenol)TCCC

650-1000mg PO/PR every 6 hrs. Max 4g/24hr.

Route: PO/PR/IV

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Sedation

Ketamine (Procedural Sedation)TCCC/PFC

1-2mg/kg IV over 1 min OR 4-5mg/kg IM

Route: IV/IM

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Ketamine Drip (PFC Sedation)PFC

Start 0.1-0.3mg/kg/hr IV. Titrate by 0.05mg/kg/hr every 15 min.

Route: IV

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Midazolam (Versed)TCCC

2-5mg IV/IM/IN

Route: IV/IM/IN

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Antibiotics

CefadroxilTCCC

1g PO once daily

Route: PO

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Cephalexin (Keflex)TCCC

500mg PO

Route: PO

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Ceftriaxone (Rocephin)TCCC

2g IV/IO/IM once daily

Route: IV/IO/IM

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Metronidazole (Flagyl)TCCC/PFC

500mg IV/PO every 8 hours

Route: IV/PO

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Ertapenem (Invanz) -- REMOVEDHistorical

No longer recommended

Route: N/A

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Pressors/Drips

Push-Dose EpinephrinePFC

5-20mcg IV push every 2-5 min

Route: IV

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Norepinephrine DripPFC

Start 2-5mcg/min, titrate to MAP >65

Route: IV (central preferred)

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Airway/RSI

Ketamine (RSI Induction)TCCC

1-2mg/kg IV push

Route: IV/IO

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SuccinylcholineTCCC

1.5mg/kg IV push

Route: IV/IO

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RocuroniumTCCC

1mg/kg IV push

Route: IV/IO

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Neuro/Seizure

Levetiracetam (Keppra)TCCC

1500mg IV over 15 min OR 1000mg PO

Route: IV/PO

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Naloxone (Narcan)TCCC/Garrison

0.04-0.4mg IV/IM/IN. Titrate to respiratory effort, NOT full reversal.

Route: IV/IM/IN

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AtropineTCCC

2mg IM. Repeat every 5-10 min until secretions dry.

Route: IM/IV

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Nausea/GI

Ondansetron (Zofran)TCCC

4mg IV/IM/ODT every 6-8 hrs

Route: IV/IM/PO (ODT)

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Promethazine (Phenergan)TCCC

25mg IV/IM/PO/PR every 6 hrs

Route: IV/IM/PO/PR

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Loperamide (Imodium)Garrison

4mg initial, then 2mg after each loose stool. Max 16mg/24hr.

Route: PO

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Garrison/Sick Call

Ibuprofen (Motrin)Garrison

400-800mg PO every 6-8 hrs. Max 3200mg/24hr.

Route: PO

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Naproxen (Aleve)Garrison

250-500mg PO every 12 hrs. Max 1250mg/24hr.

Route: PO

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Diphenhydramine (Benadryl)Garrison

25-50mg PO/IV/IM every 6-8 hrs

Route: PO/IV/IM

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Cetirizine (Zyrtec)Garrison

10mg PO once daily

Route: PO

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Epinephrine Auto-Injector (EpiPen)Garrison/TCCC

0.3mg IM (adult) / 0.15mg IM (pediatric <30kg)

Route: IM (lateral thigh)

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Meclizine (Antivert)Garrison

25mg PO every 6-8 hrs

Route: PO

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Docusate (Colace)Garrison

100mg PO twice daily

Route: PO

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AmoxicillinGarrison

500mg PO every 8 hrs OR 875mg PO every 12 hrs

Route: PO

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Azithromycin (Z-Pack)Garrison

500mg day 1, then 250mg days 2-5

Route: PO

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Ciprofloxacin (Cipro)Garrison

500mg PO every 12 hrs

Route: PO

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Mupirocin (Bactroban)Garrison

Apply thin layer to affected area 3x daily

Route: Topical

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Hydrocortisone Cream 1%Garrison

Apply thin layer to affected area 2-3x daily

Route: Topical

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Clotrimazole/TolnaftineGarrison

Apply to affected area 2x daily

Route: Topical

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