US EMS Protocol Census
Indication

Hydromorphone for Mild to moderate pain

1,335 under review24 sources21 named agencies15 statesas of 2026-09-20

Adult dosing has a median of 0.5 mg across 20 published protocols, with the middle half between 0.4688 and 0.5625.

24sources
21named agencies
15states
47entries
20named here

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

Adultmg

20sources
17named agencies
15states
25entries
0kept as written
minp25medianp75max
0.20.46880.50.56251

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 28%
  • IV/IO/IM 20%
  • IM 16%
  • IV/IM 12%
  • IV/IO 12%
  • IV/IM/SQ 4%
  • IV/IO/IM/IN 4%
  • SQ 4%

United States EMS Protocol Census, n=20 protocols from 17 named agencies / 15 states, updated Sep 2026

Pediatric, weight-basedmg/kg

11sources
10named agencies
7states
16entries
0kept as written
minp25medianp75max
0.00750.010.010.0150.02

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 31%
  • IM 25%
  • IV/IM 13%
  • IV/IO 13%
  • IO 6%
  • IV/IO/IM 6%
  • IV/IO/IM/IN 6%

United States EMS Protocol Census, n=11 protocols from 10 named agencies / 7 states, updated Sep 2026

Adult, weight-basedmg/kg

4sources
4named agencies
2states
6entries
0kept as written

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

Routes

  • IV/IO/IM 33%
  • IM 17%
  • IO 17%
  • IV 17%
  • IV/IM 17%

United States EMS Protocol Census, n=4 protocols from 4 named agencies / 2 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.