US EMS Protocol Census
Indication

Fentanyl for Severe pain

1,335 under review34 sources28 named agencies20 statesas of 2026-09-20

Pediatric weight-based dosing has a median of 0.001 mg/kg across 29 published protocols, with the middle half between 0.001 and 0.001.

34sources
28named agencies
20states
84entries
28named 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

29sources
24named agencies
19states
37entries
0kept as written
minp25medianp75max
0.00050.0010.0010.0010.0015

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 27%
  • IV/IM/IN 19%
  • IN 11%
  • IV/IO/IM 11%
  • IM/IN 8%
  • IV 8%
  • IV/IO 8%
  • IV/IM 3%
  • IV/IN 3%
  • IV/IO/IN 3%

United States EMS Protocol Census, n=29 protocols from 24 named agencies / 19 states, updated Sep 2026

Adult, weight-basedmg/kg

21sources
19named agencies
15states
29entries
0kept as written
minp25medianp75max
0.00050.0010.0010.0010.0015

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 31%
  • IM/IN 14%
  • IN 10%
  • IV/IO 10%
  • IV/IO/IM 10%
  • IV/IM/IN 7%
  • IV 3%
  • IV/IM 3%
  • IV/IN 3%
  • IV/IO/IM/IN/NEB 3%
  • IV/IO/IN 3%

United States EMS Protocol Census, n=21 protocols from 19 named agencies / 15 states, updated Sep 2026

Adultmg

15sources
11named agencies
12states
18entries
1kept as written
minp25medianp75max
0.0250.0250.050.050.075

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/IM/IN 22%
  • IV 17%
  • IM 6%
  • IM/IN 6%
  • IN 6%
  • IV/IO 6%
  • IV/IO/IM 6%
  • IV/IO/IN 6%

United States EMS Protocol Census, n=15 protocols from 11 named agencies / 12 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.