Indication

Fentanyl for Mild to moderate pain

1,335 under review140 sources125 named agencies39 statesas of 2026-09-20

Pediatric weight-based dosing has a median of 0.001 mg/kg across 116 published protocols, with the middle half between 0.001 and 0.001.

140sources

125named agencies

39states

342entries

118named here

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

Pediatric, weight-basedmg/kg

116sources

104named agencies

36states

151entries

0kept as written

min	p25	median	p75	max
0.0005	0.001	0.001	0.001	0.002

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/IM/IN 34%
IN 12%
IV/IM/IN 9%
IV/IO 8%
IV/IO/IM 7%
IV 7%
IM 6%
IV/IO/IN 5%
IM/IN 4%
IV/IN 4%
IV/IM 3%
IO 1%
IO/IM/IN 1%

United States EMS Protocol Census, n=116 protocols from 104 named agencies / 36 states, updated Sep 2026

Adultmg

77sources

68named agencies

27states

99entries

1kept as written

min	p25	median	p75	max
0.025	0.025	0.05	0.05	0.1

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 28%
IV 12%
IN 9%
IM 8%
IV/IM/IN 8%
IV/IO 8%
IV/IO/IM 7%
IV/IN 6%
IM/IN 4%
IV/IO/IN 4%
IV/IM 3%
IM/IN/SQ 1%
IO/IM/IN 1%

United States EMS Protocol Census, n=77 protocols from 68 named agencies / 27 states, updated Sep 2026

Adult, weight-basedmg/kg

71sources

65named agencies

28states

91entries

0kept as written

min	p25	median	p75	max
0.0005	0.001	0.001	0.001	0.0025

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 40%
IN 18%
IV/IO 9%
IV/IM/IN 8%
IM 6%
IV/IO/IN 6%
IV/IO/IM 4%
IV 3%
IV/IM 3%
IM/IN 1%
IO 1%
IV/IN 1%
IV/IO/IM/IN/NEB 1%

United States EMS Protocol Census, n=71 protocols from 65 named agencies / 28 states, updated Sep 2026

Pediatricmg

1sources

1named agencies

1states

1entries

4kept as written

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

Routes

IV/IN 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.