US EMS Protocol Census
Indication

Tranexamic Acid for Trauma / hemorrhage

1,335 under review133 sources117 named agencies40 statesas of 2026-09-20

Adult dosing has a median of 1000 mg across 130 published protocols, with the middle half between 1000 and 2000.

133sources
117named agencies
40states
234entries
114named here

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

Adultmg

130sources
115named agencies
40states
163entries
0kept as written
minp25medianp75max
5001000100020002000

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/IO 53%
  • IV 32%
  • NEB 4%
  • IM 3%
  • TOP 3%
  • IN/TOP 2%
  • TD 1%

United States EMS Protocol Census, n=130 protocols from 115 named agencies / 40 states, updated Sep 2026

Pediatric, weight-basedmg/kg

47sources
43named agencies
21states
56entries
0kept as written
minp25medianp75max
1515151530

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 55%
  • IV 32%
  • IN/TOP 5%
  • NEB 5%

United States EMS Protocol Census, n=47 protocols from 43 named agencies / 21 states, updated Sep 2026

Pediatricmg

8sources
4named agencies
6states
9entries
0kept as written
minp25medianp75max
500500100012502000

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/IO 44%
  • IV 33%
  • NEB 22%

United States EMS Protocol Census, n=8 protocols from 4 named agencies / 6 states, updated Sep 2026

Adult, weight-basedmg/kg

5sources
3named agencies
3states
5entries
0kept as written
minp25medianp75max
1015203030

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 80%
  • IV 20%

United States EMS Protocol Census, n=5 protocols from 3 named agencies / 3 states, updated Sep 2026

AdultmL

1sources
1named agencies
1states
1entries
0kept as written

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

Routes

  • TOP 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.