US EMS Protocol Census
Indication

Naloxone for Opioid overdose

1,335 under review143 sources123 named agencies33 statesas of 2026-09-20

Adult dosing has a median of 1 mg across 142 published protocols, with the middle half between 0.4 and 2.

143sources
123named agencies
33states
460entries
120named here

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

Adultmg

142sources
122named agencies
32states
260entries
0kept as written
minp25medianp75max
0.40.4122

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

Routes

  • IN 24%
  • IV/IO/IM/IN 10%
  • IM 10%
  • IM/IN 10%
  • IV 10%
  • IV/IO 9%
  • IV/IO/IM 8%
  • IV/IM/IN 5%
  • IV/IM 3%
  • IV/IO/IM/IN/ET 3%
  • IO 1%
  • IV/IM/SQ 1%
  • ET 1%
  • IV/IO/ET 1%
  • IV/IO/IN 1%
  • NEB 1%
  • SQ 1%
  • IM/SQ 0%
  • IV/IN 0%
  • IV/IO/IM/IN/NEB 0%
  • IV/IO/IM/IN/SL/ET 0%
  • IV/IO/IM/SQ/NEB 0%

United States EMS Protocol Census, n=142 protocols from 122 named agencies / 32 states, updated Sep 2026

Pediatric, weight-basedmg/kg

96sources
87named agencies
26states
156entries
0kept as written
minp25medianp75max
0.10.10.10.10.15

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

  • IN 22%
  • IM/IN 12%
  • IV/IO/IM 12%
  • IV/IO 10%
  • IV/IO/IM/IN 9%
  • IV 8%
  • IM 7%
  • IV/IM/IN 6%
  • IV/IM 5%
  • IV/IO/IM/IN/ET 4%
  • IV/IM/SQ 1%
  • IV/IO/ET 1%
  • IO 1%
  • IV/IN 1%
  • IV/IO/IM/IN/NEB 1%
  • IV/IO/IM/IN/SL/ET 1%

United States EMS Protocol Census, n=96 protocols from 87 named agencies / 26 states, updated Sep 2026

Pediatricmg

24sources
18named agencies
15states
33entries
2kept as written
minp25medianp75max
0.40.5122

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

Routes

  • IN 42%
  • IV/IO/IM/IN 18%
  • IM 12%
  • IM/IN 6%
  • IV/IM/IN 6%
  • IV/IM 3%
  • IV/IO 3%
  • IV/IO/IN 3%
  • NEB 3%
  • SQ 3%

United States EMS Protocol Census, n=24 protocols from 18 named agencies / 15 states, updated Sep 2026

Adult, weight-basedmg/kg

7sources
6named agencies
6states
10entries
0kept as written
minp25medianp75max
0.10.10.10.10.1

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

  • IN 20%
  • IV/IO/IM/IN 20%
  • IV/IO/IM/IN/ET 20%
  • IM 10%
  • IV 10%
  • IV/IM/IN 10%

United States EMS Protocol Census, n=7 protocols from 6 named agencies / 6 states, updated Sep 2026

PediatricmL

1sources
1named agencies
1states
1entries
2kept as written

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

Routes

  • IN 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.