US EMS Protocol Census
Indication

Pralidoxime for Nerve agent exposure

1,335 under review44 sources44 named agencies19 statesas of 2026-09-20

Adult dosing has a median of 600 mg across 44 published protocols, with the middle half between 600 and 800.

44sources
44named agencies
19states
90entries
42named here

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

Adultmg

44sources
44named agencies
19states
52entries
0kept as written
minp25medianp75max
6006006008001200

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

Routes

  • IM 37%
  • IV/IO/IM 21%
  • IV/IM 19%
  • IV/IO 12%
  • IV 10%

United States EMS Protocol Census, n=44 protocols from 44 named agencies / 19 states, updated Sep 2026

Pediatric, weight-basedmg/kg

26sources
26named agencies
12states
30entries
0kept as written
minp25medianp75max
151517.52550

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 33%
  • IM 30%
  • IV 17%
  • IV/IM 13%
  • IV/IO 3%

United States EMS Protocol Census, n=26 protocols from 26 named agencies / 12 states, updated Sep 2026

Pediatricmg

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

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

Routes

  • IV/IM 75%
  • IM 25%

United States EMS Protocol Census, n=4 protocols from 4 named agencies / 2 states, updated Sep 2026

Adult, weight-basedmg/kg

3sources
3named agencies
2states
4entries
0kept as written

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

Routes

  • IV/IO/IM 75%
  • IM 25%

United States EMS Protocol Census, n=3 protocols from 3 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.