Acetaminophen for Mild to moderate pain
Adult dosing has a median of 662.5 mg across 116 published protocols, with the middle half between 500 and 1000.
Includes 4 agencies outside the US.
Doses far off from what other protocols give are likely misreads, so they are left out until checked. How that works.
Adultmg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 250 | 500 | 662.5 | 1000 | 1000 |
Values in mg. One value per source (that source's median), so a document listing a medication five times still gets one vote.
Routes
- PO 59%
- IV 27%
- IV/IO 13%
- IV/PO 1%
- PO/ODT 1%
- PO/PR 1%
United States EMS Protocol Census, n=116 protocols from 97 named agencies / 43 states, updated Oct 2026
Pediatric, weight-basedmg/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 10 | 15 | 15 | 15 | 15 |
Values in mg/kg. One value per source (that source's median), so a document listing a medication five times still gets one vote.
Routes
- PO 55%
- IV 25%
- IV/IO 13%
- IV/PO 4%
- IV/PO/PR 1%
- PO/ODT 1%
- PO/PR 1%
- PR 1%
United States EMS Protocol Census, n=109 protocols from 90 named agencies / 41 states, updated Oct 2026
Adult, weight-basedmg/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 12.5 | 15 | 15 | 15 | 15 |
Values in mg/kg. One value per source (that source's median), so a document listing a medication five times still gets one vote.
Routes
- PO 33%
- IV 22%
- IV/IO 22%
- IV/PO 22%
United States EMS Protocol Census, n=18 protocols from 15 named agencies / 11 states, updated Oct 2026
Pediatricmg
Below 5 sources, so no distribution is published for this group — only the counts above.
Routes
- PO 100%
United States EMS Protocol Census, n=4 protocols from 4 named agencies / 4 states, updated Oct 2026
PediatricmL
Below 5 sources, so no distribution is published for this group — only the counts above.
Routes
- PO 100%
United States EMS Protocol Census, n=3 protocols from 3 named agencies / 2 states, updated Oct 2026
Named agencies with a page104
Agencies whose protocols are a public record are named here. Their own doses are on their own pages; this list carries no values.
- Academy of Medicine of Cincinnati
- Adams, Benton, Franklin, Yakima Counties
- Alabama Department of Public Health Office of Emergency Medical Services
- Ambulance Victoria
- Anderson County Emergency Medical Services
- Arlington EMS System
- Ashwaubenon Public Safety, Howard Fire Rescue, & De Pere Fire Rescue
- BC Emergency Health Services
- Benbrook Fire Department
- Bexar County ESD 4 Fire Rescue
- Bonner County Emergency Medical Services
- Brunswick County EMS
- Cabarrus County EMS
- Central California Emergency Medical Services
- Charleston County EMS
- Chelan/Douglas/Okanogan/Grant County
- City of Austin / Austin-Travis County EMS System
- Clark County EMS System
- Clark County EMS (Washington)
- Coastal Valleys EMS Agency
- Confederated Tribes of Grand Ronde Department of Emergency Services
- Craven, Jones, Pamlico Counties EMS
- Dallas Fire-Rescue
- Dane County EMS System
- Davidson County Emergency Services
- Daviess County EMS
- DC Fire and EMS
- Delaware Office of Emergency Medical Services
- Dorchester County EMS
- Evansville Fire Department
- Fairfax County Fire and Rescue Department
- Galveston Area Ambulance Authority
- Giles County EMS
- Grant County
- Hays County ESD 9 EMS
- Haywood County EMS System
- Hunt County EMS
- Idaho EMS Physician Commission
- Illinois Region VIII Emergency Medical Services
- Inland Counties Emergency Medical Agency
- Kern County Public Health
- Kosciusko County Paramedics
- Lane County Medical Control Board
- Laurens County Emergency Medical Services
- Lincoln County EMS
- Maine Emergency Medical Services
- Manatee County Emergency Medical Services
- County of Marin EMS
- Marion County
- Maryland Institute for Emergency Medical Services Systems
- Massachusetts Office of Emergency Medical Services
- Mauston Area Ambulance
- Mecklenburg EMS Agency
- MEP (Medical Emergency Partnership) in partnership with SSM Health
- MetroCare Services and Abilene Fire Department
- Michigan Department of Health and Human Services (MDHHS) / Midland Gladwin MCA
- Michigan Department of Health and Human Services (MDHHS) / West Michigan Regional MCC
- Ministry of Health, Emergency Health Regulatory and Accountability Branch
- Montgomery County Hospital District
- Nash County Emergency Medical Services
- Nebraska Medicine Division of Prehospital and Emergency Medical Services
- Nevada EMS Program
- New Hampshire Bureau of Emergency Medical Services
- New Jersey Department of Health
- New York State Department of Health, Bureau of Emergency Medical Services and Trauma Systems
- North Carolina Office of Emergency Medical Services (NC OEMS)
- Northwest Region Emergency Medical Services & Trauma Care Council
- Oakland County Medical Control Authority
- Palm Beach Gardens Fire Rescue
- Pend Oreille County Emergency Medical Services
- Pennsylvania Department of Health, Bureau of Emergency Medical Services
- Pettis County Ambulance District
- Queensland Ambulance Service
- Region 1 Emergency Medical Services
- Region 4 EMS
- Regional Emergency Medical Advisory Committee of New York City
- REMSA
- REMSA Sioux Falls
- Reno County Emergency Medical Services
- Rhode Island Department of Health – Center for Emergency Medical Services
- County of Riverside EMS Agency
- Routt County EMS
- Rowan County Emergency Services EMS Division
- Salem Fire Department
- Salt Lake County EMS
- Santa Barbara County Public Health Department
- Sierra – Sacramento Valley EMS Agency
- Southern Fox Valley EMS System
- Stanislaus County Emergency Medical Services Agency
- Stanly County EMS
- State of Nebraska
- Stevens County Emergency Medical Services
- Susquehanna Regional EMS
- The Williamson County EMS System
- Three Rivers Ambulance Authority & Fort Wayne Fire Department
- Tidewater Emergency Medical Services Council, Inc.
- Tri-County Emergency Medical Control Authority
- UNM EMS Consortium
- Utah Department of Public Safety, Bureau of Emergency Medical Services
- UTSW/Parkland BioTel EMS System
- Vermont Department of Health
- Virgin Islands Fire & Emergency Medical Services
- Washington State Department of Health
- West Virginia Department of Health, Office of Emergency Medical Services