US EMS Protocol Census
Indication

Diphenhydramine for Allergic reaction

1,335 under review120 sources109 named agencies35 statesas of 2026-09-20

Adult dosing has a median of 37.5 mg across 115 published protocols, with the middle half between 25 and 50.

120sources
109named agencies
35states
333entries
105named here

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

Adultmg

115sources
105named agencies
34states
156entries
0kept as written
minp25medianp75max
12.52537.55050

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 31%
  • IV/IM 19%
  • PO 17%
  • IM 8%
  • IV/IO/IM/PO 8%
  • IV 6%
  • IV/IM/PO 5%
  • IV/IO 4%
  • IO/IM 1%
  • IV/PO 1%

United States EMS Protocol Census, n=115 protocols from 105 named agencies / 34 states, updated Sep 2026

Pediatric, weight-basedmg/kg

106sources
98named agencies
32states
153entries
0kept as written
minp25medianp75max
0.51111.5

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

  • IV/IO/IM 29%
  • IV/IM 21%
  • PO 16%
  • IM 10%
  • IV 8%
  • IV/IO/IM/PO 7%
  • IV/IM/PO 4%
  • IV/IO 4%
  • IO/IM 1%
  • IV/PO 1%

United States EMS Protocol Census, n=106 protocols from 98 named agencies / 32 states, updated Sep 2026

Adult, weight-basedmg/kg

14sources
13named agencies
10states
22entries
0kept as written
minp25medianp75max
11111

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

  • IV/IM 23%
  • PO 23%
  • IM 14%
  • IV 14%
  • IV/IO/IM/PO 14%
  • IV/IO/IM 9%
  • IV/IM/PO 5%

United States EMS Protocol Census, n=14 protocols from 13 named agencies / 10 states, updated Sep 2026

Pediatricmg

2sources
2named agencies
2states
2entries
1kept as written

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

Routes

  • PO 100%

United States EMS Protocol Census, n=2 protocols from 2 named agencies / 2 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.