Contact: [email protected]

Indication

Hydromorphone for Other

17 sources14 named agencies11 statesas of 2026-10-31

Adult dosing has a median of 0.5 mg across 13 published protocols, with the middle half between 0.5 and 0.5.

17sources
14named agencies
11states
54entries
14named here

Doses far off from what other protocols give are likely misreads, so they are left out until checked. How that works.

Adultmg

13sources
10named agencies
8states
37entries
0kept as written
minp25medianp75max
0.20.50.50.51

Values in mg. One value per source (that source's median), so a document listing a medication five times still gets one vote.

Routes

  • IV 49%
  • IV/IM 14%
  • IV/IO/IM 11%
  • IV/IO 8%
  • IV/IO/IM/IN 8%
  • IV/IM/SQ 5%
  • IM 3%
  • IV/IO/IN 3%

United States EMS Protocol Census, n=13 protocols from 10 named agencies / 8 states, updated Oct 2026

Pediatric, weight-basedmg/kg

10sources
9named agencies
8states
15entries
0kept as written
minp25medianp75max
0.0050.010.010.010.015

Values in mg/kg. One value per source (that source's median), so a document listing a medication five times still gets one vote.

Routes

  • IV/IO/IM 33%
  • IV/IO 27%
  • IV 20%
  • IV/IO/IM/IN 7%
  • IV/IO/IN 7%

United States EMS Protocol Census, n=10 protocols from 9 named agencies / 8 states, updated Oct 2026

Adult, weight-basedmg/kg

2sources
2named agencies
2states
2entries
0kept as written

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

Routes

  • IV/IO 50%
  • IV/IO/IM 50%

United States EMS Protocol Census, n=2 protocols from 2 named agencies / 2 states, updated Oct 2026

Named agencies with a page14

Agencies whose protocols are a public record are named here. Their own doses are on their own pages; this list carries no values.

Training reference compiled from published protocols. Not a clinical order. Verify with your agency and medical director.