US EMS Protocol Census
Indication

Fentanyl for ACS / chest pain

1,335 under review38 sources30 named agencies22 statesas of 2026-09-20

Adult dosing has a median of 0.025 mg across 21 published protocols, with the middle half between 0.025 and 0.05.

38sources
30named agencies
22states
49entries
29named here

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

Adultmg

21sources
15named agencies
14states
23entries
0kept as written
minp25medianp75max
0.0250.0250.0250.050.1

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/IN 30%
  • IV/IO 17%
  • IV 13%
  • IV/IM 9%
  • IV/IM/IN 9%
  • IN 4%
  • IV/IN 4%
  • IV/IO/IM 4%
  • IV/IO/IN 4%

United States EMS Protocol Census, n=21 protocols from 15 named agencies / 14 states, updated Sep 2026

Adult, weight-basedmg/kg

17sources
15named agencies
11states
19entries
0kept as written
minp25medianp75max
0.00050.0010.0010.0010.0025

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/IN 32%
  • IV 16%
  • IV/IO 16%
  • IV/IO/IN 16%
  • IV/IM/IN 11%
  • IN 5%
  • IV/IO/IM 5%

United States EMS Protocol Census, n=17 protocols from 15 named agencies / 11 states, updated Sep 2026

Pediatric, weight-basedmg/kg

7sources
7named agencies
5states
7entries
0kept as written
minp25medianp75max
0.0010.0010.0010.0010.001

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/IN 57%
  • IV/IO/IN 29%
  • IV 14%

United States EMS Protocol Census, n=7 protocols from 7 named agencies / 5 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.