US EMS Protocol Census
Indication

Fentanyl for Other

1,335 under review40 sources32 named agencies23 statesas of 2026-09-20

Adult dosing has a median of 0.0375 mg across 21 published protocols, with the middle half between 0.025 and 0.05.

40sources
32named agencies
23states
87entries
31named 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
13states
35entries
1kept as written
minp25medianp75max
0.0250.0250.03750.050.1

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 29%
  • IV 20%
  • IV/IO/IM/IN 14%
  • IV/IN 9%
  • IM 6%
  • IM/IN 6%
  • IN 6%
  • IV/IM 3%
  • IV/IO/IM 3%

United States EMS Protocol Census, n=21 protocols from 15 named agencies / 13 states, updated Sep 2026

Adult, weight-basedmg/kg

20sources
18named agencies
16states
24entries
0kept as written
minp25medianp75max
0.00050.00090.0010.0010.002

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 50%
  • IV/IO/IM/IN 21%
  • IV 8%
  • IV/IM/IN 8%
  • IV/IO/IN 8%
  • IV/IO/IM 4%

United States EMS Protocol Census, n=20 protocols from 18 named agencies / 16 states, updated Sep 2026

Pediatric, weight-basedmg/kg

18sources
12named agencies
11states
27entries
0kept as written
minp25medianp75max
0.00050.0010.0010.00120.002

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 41%
  • IV 15%
  • IM/IN 7%
  • IV/IM/IN 7%
  • IV/IN 7%
  • IM 4%
  • IN 4%
  • IV/IM 4%
  • IV/IO/IM 4%
  • IV/IO/IM/IN 4%

United States EMS Protocol Census, n=18 protocols from 12 named agencies / 11 states, updated Sep 2026

Pediatric, weight-basedmL/kg

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

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

Routes

  • IV 100%

United States EMS Protocol Census, n=1 protocols from 1 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.