Drug
Fentanyl in US EMS protocols
181 published protocols carry Fentanyl across 20 indications, from 159 named agencies in 42 states.
181protocols
159named agencies
42states
20indications
780dose entries
99% of 780machine-parsed
1,335 rows are under review across the census and excluded from every number on this page. How that works.
Indications20
- ACS / chest pain n=38
- Agitation n=2
- Bradycardia n=2
- Burns n=4
- Cardiac arrest n=3
- CHF / pulmonary edema n=2
- Crush injury n=2
- Nausea / vomiting n=1
- Other n=41
- Mild to moderate pain n=141
- Severe pain n=34
- Post-intubation sedation n=27
- Post-ROSC care n=6
- Procedural sedation n=39
- RSI induction n=18
- STEMI n=5
- SVT n=1
- Narrow-complex tachycardia n=2
- Wide-complex tachycardia n=1
- Trauma / hemorrhage n=2
Published distributions20
Only groups with at least 5 sources publish a distribution; thinner groups show their count alone.
| Indication | Population | Sources | Median | Middle half | Unit |
|---|---|---|---|---|---|
| ACS / chest pain | Adult | 21 | 0.025 | 0.025–0.05 | mg |
| ACS / chest pain | Adult, weight-based | 17 | 0.001 | 0.001–0.001 | mg/kg |
| ACS / chest pain | Pediatric, weight-based | 7 | 0.001 | 0.001–0.001 | mg/kg |
| Other | Adult | 21 | 0.0375 | 0.025–0.05 | mg |
| Other | Adult, weight-based | 20 | 0.001 | 0.0009–0.001 | mg/kg |
| Other | Pediatric, weight-based | 18 | 0.001 | 0.001–0.0012 | mg/kg |
| Mild to moderate pain | Adult | 77 | 0.05 | 0.025–0.05 | mg |
| Mild to moderate pain | Adult, weight-based | 71 | 0.001 | 0.001–0.001 | mg/kg |
| Mild to moderate pain | Pediatric, weight-based | 116 | 0.001 | 0.001–0.001 | mg/kg |
| Severe pain | Adult | 15 | 0.05 | 0.025–0.05 | mg |
| Severe pain | Adult, weight-based | 21 | 0.001 | 0.001–0.001 | mg/kg |
| Severe pain | Pediatric, weight-based | 29 | 0.001 | 0.001–0.001 | mg/kg |
| Post-intubation sedation | Adult | 17 | 0.05 | 0.05–0.1 | mg |
| Post-intubation sedation | Adult, weight-based | 9 | 0.001 | 0.001–0.001 | mg/kg |
| Post-intubation sedation | Pediatric, weight-based | 19 | 0.001 | 0.001–0.001 | mg/kg |
| Procedural sedation | Adult | 27 | 0.05 | 0.0313–0.05 | mg |
| Procedural sedation | Adult, weight-based | 14 | 0.001 | 0.001–0.001 | mg/kg |
| Procedural sedation | Pediatric, weight-based | 28 | 0.001 | 0.001–0.001 | mg/kg |
| RSI induction | Adult, weight-based | 15 | 0.001 | 0.001–0.0015 | mg/kg |
| RSI induction | Pediatric, weight-based | 14 | 0.001 | 0.001–0.001 | mg/kg |
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.
- Ada County-City Emergency Services System
- Adams, Benton, Franklin, Yakima Counties
- Adams, Benton, Franklin, Yakima Counties EMS
- Alabama Department of Public Health (ADPH) Office of EMS (OEMS)
- Alabama Department of Public Health Office of Emergency Medical Services
- Alameda County Emergency Medical Services
- Alameda County EMS
- Anderson County Emergency Medical Services
- Arlington EMS System
- Ascension Saint Joseph Hospital EMS System
- BC Emergency Health Services
- Berrien County
- Berrien County Medical Control Authority
- BEST EMS
- Bexar County ESD 4 Fire Rescue
- Boulder County EMS
- Boulder County Protocol Committee
- Brigham City, Cache County, Logan City, Smithfield Fire Departments
- Brilliant Fire Department
- Brunswick County EMS
- Bureau of EMS, Trauma & Preparedness
- Cabarrus County EMS
- Campbell County Emergency Medical Service
- Central Arizona Regional EMS
- Central California Emergency Medical Services
- Chelan/Douglas/Okanogan/Grant County
- City of Austin
- City of Austin / Austin-Travis County EMS System
- City of Austin Office of the Chief Medical Officer
- Clark County EMS System
- Cochran County Emergency Medical Services
- Confederated Tribes of Grand Ronde Department of Emergency Services
- County of Marin EMS
- County of Riverside Emergency Medical Services Agency
- County of Riverside Emergency Medical Services (EMS) Agency (REMSA)
- County of San Diego Emergency Medical Services
- Craven, Jones, Pamlico Counties EMS
- Crowley Fire Department
- Davidson County Emergency Services
- Daviess County EMS
- Delaware Office of Emergency Medical Services
- Denver Health Paramedic Division
- Denver Metro EMS Medical Directors
- Department of Health Services, County of Los Angeles
- District of Columbia Fire and EMS Department
- Dorchester County EMS
- Escambia County Emergency Medical Services
- Evansville Fire Department
- Fairfax County Fire and Rescue Department
- Fern Creek Fire and Emergency Medical Services
- FirstHealth of the Carolinas
- Fort Lauderdale Fire Rescue
- Franklin County Emergency Medical Services
- Galveston Area Ambulance Authority
- Giles County EMS
- Greater Miami Valley EMS Council
- Hays County ESD 9 EMS
- Haywood County EMS System
- HEMS, Inc
- Houston Fire Department
- Hunt County EMS
- Idaho EMS Physician Commission
- Inland Counties Emergency Medical Agency
- Kentucky Board of Emergency Medical Services
- Kern County Public Health
- Kershaw County Emergency Medical Services
- Lake Cities Fire Department
- Laurens County Emergency Medical Services
- Madison Fire Department
- Manatee County Emergency Medical Services
- Marin County Emergency Medical Services Agency
- Maryland Institute for Emergency Medical Services Systems
- Massachusetts Department of Public Health, Office of Emergency Medical Services
- Massachusetts Office of Emergency Medical Services
- Mecklenburg EMS Agency
- MEP (In partnership with SSM Health)
- MEP (Medical Emergency Partnership) in partnership with SSM Health
- Metro Regional EMS
- Metro Regional EMS Consortium
- MetroCare Services and Abilene Fire Department
- Michigan Department of Health and Human Services (MDHHS)
- Michigan Department of Health and Human Services (MDHHS) / Berrien County
- Michigan Department of Health and Human Services (MDHHS) / Berrien County MCA
- Michigan Department of Health and Human Services (MDHHS) / Midland Gladwin MCA
- Michigan Department of Health and Human Services (MDHHS) / West Michigan Regional MCC
- Michigan Department of Health & Human Services, Bureau of Emergency Preparedness, EMS and Systems of Care
- Ministry of Health, Emergency Health Regulatory and Accountability Branch
- Miramar Fire Rescue Department
- Montana Board of Medical Examiners
- Muskegon County
- Muskogee County EMS
- Nash County Emergency Medical Services
- National Emergency Medical Services
- Nebraska Board of Emergency Medical Services
- Nebraska Medicine Division of Prehospital and Emergency Medical Services
- New Hampshire Bureau of Emergency Medical Services
- New Jersey Department of Health
- New York State Department of Health, Bureau of Emergency Medical Services and Trauma Systems
- North Carolina Office of Emergency Medical Services (NC OEMS)
- Northwest Community EMS System
- Northwest Region Emergency Medical Services & Trauma Care Council
- Oakland County Medical Control Authority
- Oakland County Medical Control Authority (OCMCA)
- Ocala/Marion County Fire Rescue
- Ocala/Marion County/The Villages Public Safety EMS
- Office of the EMS Medical Director for Kansas City, Missouri
- Oklahoma State Department of Health
- Old Dominion EMS Alliance, Inc.
- Palm Beach Gardens Fire Rescue
- Pend Oreille County Emergency Medical Services
- Peninsulas EMS Council, Inc.
- Pennsylvania Department of Health, Bureau of Emergency Medical Services
- Pettis County Ambulance District
- Pierce County Emergency Medical Services
- Platte Valley Ambulance Service
- Queensland Ambulance Service
- Region 11 Chicago EMS System
- Region 4 EMS (Alton Memorial Hospital, Anderson Hospital, HSHS St. Elizabeth's Hospital, OSF St. Anthony's Health Center)
- Region One Metropolitan Ambulance Council (MAC)
- Region X EMS
- Regional Emergency Medical Advisory Committee of New York City
- Richland County Emergency Medical Services
- Riverside County Emergency Medical Services Agency (REMSA)
- Riverside County EMS Agency
- Rowan County Emergency Services EMS Division
- Salt Lake County EMS
- San Diego County Emergency Medical Services Office
- Santa Barbara County Emergency Medical Services Agency
- Santa Barbara County Public Health Department
- Sierra – Sacramento Valley EMS Agency
- South Carolina Department of Public Health (DPH) Division of EMS
- South Plains Emergency Medical Services
- Southern Fox Valley EMS System
- Spokane County EMS
- St. Johns County Fire Rescue
- Stanislaus County Emergency Medical Services Agency
- Stanly County EMS
- State Board of Emergency Medical, Fire, and Transportation Services
- State Board of Emergency Medical, Fire, and Transportation Services (EMFTS Board)
- Stevens County Emergency Medical Services
- Susquehanna Regional EMS
- The Williamson County EMS System
- Three Rivers Ambulance Authority & Fort Wayne Fire Department
- Thurston County Medic One
- Tidewater Emergency Medical Services Council, Inc.
- Tri County Emergency Medical Services, Inc.
- Utah Department of Public Safety, Bureau of Emergency Medical Services
- Vermont Department of Health
- Vermont Department of Health, Office of Emergency Medical Services
- West Palm Beach Fire Department
- West Virginia Department of Health, Office of Emergency Medical Services
- Wilson County Emergency Management Agency
7 more agencies are counted but have too little published detail for a page yet.