US EMS Protocol Census
Indication

Epinephrine for Anaphylaxis

1,335 under review154 sources132 named agencies38 statesas of 2026-09-20

Adult dosing has a median of 0.3 mg across 151 published protocols, with the middle half between 0.3 and 0.3.

154sources
132named agencies
38states
360entries
127named here

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

Adultmg

151sources
130named agencies
38states
193entries
3kept as written
minp25medianp75max
0.10.30.30.30.5

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 82%
  • IV/IO 9%
  • IV 6%
  • SQ 2%
  • NEB 1%

United States EMS Protocol Census, n=151 protocols from 130 named agencies / 38 states, updated Sep 2026

Pediatric, weight-basedmg/kg

89sources
73named agencies
26states
100entries
0kept as written
minp25medianp75max
0.010.010.010.010.01

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 83%
  • IV/IO 8%
  • IV 6%
  • SQ 3%

United States EMS Protocol Census, n=89 protocols from 73 named agencies / 26 states, updated Sep 2026

Pediatricmg

47sources
44named agencies
24states
50entries
7kept as written
minp25medianp75max
0.1250.150.150.150.3

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 94%
  • IV/IO 4%

United States EMS Protocol Census, n=47 protocols from 44 named agencies / 24 states, updated Sep 2026

AdultmL

5sources
5named agencies
5states
5entries
3kept as written
minp25medianp75max
0.30.50.512

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

Routes

  • IV 60%
  • IM 20%
  • IV/IO 20%

United States EMS Protocol Census, n=5 protocols from 5 named agencies / 5 states, updated Sep 2026

Adult, weight-basedmg/kg

5sources
4named agencies
5states
7entries
0kept as written
minp25medianp75max
0.010.010.010.010.01

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 57%
  • IV 29%
  • IV/IO 14%

United States EMS Protocol Census, n=5 protocols from 4 named agencies / 5 states, updated Sep 2026

PediatricmL

3sources
2named agencies
3states
3entries
7kept as written

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

Routes

  • IM 33%
  • IV 33%
  • NEB 33%

United States EMS Protocol Census, n=3 protocols from 2 named agencies / 3 states, updated Sep 2026

Pediatric, weight-basedmL/kg

2sources
2named agencies
2states
2entries
0kept as written

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

Routes

  • IV 50%
  • NEB 50%

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.