US EMS Protocol Census
Indication

Fentanyl for Procedural sedation

1,335 under review39 sources33 named agencies15 statesas of 2026-09-20

Pediatric weight-based dosing has a median of 0.001 mg/kg across 28 published protocols, with the middle half between 0.001 and 0.001.

39sources
33named agencies
15states
75entries
30named 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

28sources
24named agencies
13states
31entries
0kept as written
minp25medianp75max
0.00050.0010.0010.0010.002

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/IM/IN 29%
  • IV 23%
  • IV/IM/IN 19%
  • IV/IO 19%
  • IO 3%
  • IV/IO/IM 3%
  • IV/IO/IN 3%

United States EMS Protocol Census, n=28 protocols from 24 named agencies / 13 states, updated Sep 2026

Adultmg

27sources
22named agencies
13states
29entries
0kept as written
minp25medianp75max
0.0250.03130.050.050.1

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 24%
  • IV/IO/IM/IN 24%
  • IV 21%
  • IV/IM/IN 17%
  • IV/IO/IN 7%
  • IN 3%
  • IV/IO/IM 3%

United States EMS Protocol Census, n=27 protocols from 22 named agencies / 13 states, updated Sep 2026

Adult, weight-basedmg/kg

14sources
13named agencies
7states
14entries
0kept as written
minp25medianp75max
0.00050.0010.0010.0010.002

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 36%
  • IV/IO/IM/IN 29%
  • IV 21%
  • IV/IM/IN 14%

United States EMS Protocol Census, n=14 protocols from 13 named agencies / 7 states, updated Sep 2026

Pediatricmg

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/IO 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.