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Medication

Atropine in US EMS protocols

233protocols
195named agencies
51states and regions
9indications
1,176dose entries
100% of 1,176machine-parsed

Includes 4 agencies outside the US.

IndicationSpread: box is the middle half, dot means most agreeRange
Beta-blocker / calcium-channel-blocker overdose Adult0.5 to 1 mg median 1, n=12
Pediatric, weight-basedAll use 0.02 mg/kg n=6
Bradycardia Adult0.5 to 1 mg median 1, n=212 median matches NASEMSO
Pediatric, weight-basedMost use 0.02 mg/kg matches AHA 2025 range 0.01 to 0.05 mg/kg, n=203
Cardiac arrest Pediatric, weight-based0.02 to 0.04 mg/kg median 0.02, n=5
Nerve agent exposure AdultMost use 2 mg range 1 to 6 mg, n=52
PediatricMost use 0.5 mg range 0.25 to 1 mg, n=9
Pediatric, weight-based0.02 to 0.05 mg/kg median 0.05, n=30
Organophosphate poisoning AdultMost use 2 mg range 1 to 4 mg, n=144
Pediatric0.5 to 2 mg median 1, n=9
Pediatric, weight-based0.02 to 0.1 mg/kg median 0.05, n=113
Other Adult0.5 to 2.1 mg median 1, n=79
Pediatric0.295 to 2 mg median 0.65, n=12
Pediatric, weight-based0.01 to 0.05 mg/kg median 0.02, n=64
RSI induction Pediatric, weight-based0.01 to 0.02 mg/kg median 0.02, n=12

Too few protocols to chart yet (protocols in brackets): Asystole / PEA (3), Hypotension / shock (2)

Doses far off from what other protocols give are likely misreads, so they are left out until checked. How that works.

Named agencies with a page191

Agencies whose protocols are a public record are named here. Their own doses are on their own pages; this list carries no values.

Cite this

United States EMS Protocol Census, Atropine: n=233 protocols from 195 named agencies / 51 states, as of 2026-10-31

MethodologyData licenseStudy your own protocol in the app

Training reference compiled from published protocols. Not a clinical order. Verify with your agency and medical director.