US EMS Protocol Census
Indication

Hydromorphone for Severe pain

1,335 under review14 sources10 named agencies10 statesas of 2026-09-20

Adult dosing has a median of 0.5 mg across 12 published protocols, with the middle half between 0.5 and 0.5625.

14sources
10named agencies
10states
28entries
10named here

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

Adultmg

12sources
8named agencies
9states
14entries
0kept as written
minp25medianp75max
0.20.50.50.56251

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/IM 29%
  • IV/IO/IM 29%
  • IM 14%
  • IV/IO 14%
  • IV 7%
  • IV/IM/SQ 7%

United States EMS Protocol Census, n=12 protocols from 8 named agencies / 9 states, updated Sep 2026

Pediatric, weight-basedmg/kg

6sources
4named agencies
4states
9entries
0kept as written
minp25medianp75max
0.010.010.01250.0150.015

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

  • IM 33%
  • IV/IO 33%
  • IV/IO/IM 22%
  • IV 11%

United States EMS Protocol Census, n=6 protocols from 4 named agencies / 4 states, updated Sep 2026

Adult, weight-basedmg/kg

3sources
2named agencies
3states
5entries
0kept as written

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

Routes

  • IM 20%
  • IV/IM 20%
  • IV/IO 20%
  • IV/IO/IM 20%
  • PO 20%

United States EMS Protocol Census, n=3 protocols from 2 named agencies / 3 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.