US EMS Protocol Census
Indication

Atropine for Nerve agent exposure

1,335 under review58 sources55 named agencies22 statesas of 2026-09-20

Adult dosing has a median of 2 mg across 53 published protocols, with the middle half between 2 and 2.

58sources
55named agencies
22states
103entries
52named here

1,335 rows are under review across the census and excluded from every number on this page. How that works.

Adultmg

53sources
50named agencies
20states
60entries
1kept as written
minp25medianp75max
12224

Values in mg. One value per source (that source's median), so a document listing a drug five times still gets one vote.

Routes

  • IV/IO/IM 28%
  • IV/IM 23%
  • IM 22%
  • IV/IO 15%
  • IV 12%

United States EMS Protocol Census, n=53 protocols from 50 named agencies / 20 states, updated Sep 2026

Pediatric, weight-basedmg/kg

29sources
27named agencies
13states
35entries
0kept as written
minp25medianp75max
0.020.0350.050.050.1

Values in mg/kg. One value per source (that source's median), so a document listing a drug five times still gets one vote.

Routes

  • IM 23%
  • IV/IO/IM 23%
  • IV 20%
  • IV/IM 20%
  • IV/IO 14%

United States EMS Protocol Census, n=29 protocols from 27 named agencies / 13 states, updated Sep 2026

Pediatricmg

7sources
7named agencies
6states
7entries
2kept as written
minp25medianp75max
0.250.50.50.51

Values in mg. One value per source (that source's median), so a document listing a drug five times still gets one vote.

Routes

  • IM 57%
  • IV/IO/IM 43%

United States EMS Protocol Census, n=7 protocols from 7 named agencies / 6 states, updated Sep 2026

Adult, weight-basedmg/kg

1sources
0named agencies
1states
1entries
0kept as written

Below 5 sources, so no distribution is published for this group — only the counts above.

Routes

  • IV/IM 100%

United States EMS Protocol Census, n=1 protocols from 0 named agencies / 1 states, updated Sep 2026

Named agencies

Agencies whose protocols are a public record are named here. Their own doses are on their own pages; this list carries no values.