Atropine for Organophosphate poisoning
Adult dosing has a median of 2 mg across 144 published protocols, with the middle half between 2 and 2.
Includes 1 agency 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 |
|---|---|---|---|---|
| 1 | 2 | 2 | 2 | 4 |
Values in mg. One value per source (that source's median), so a document listing a medication five times still gets one vote.
Routes
- IV/IO 37%
- IV 24%
- IV/IO/IM 17%
- IV/IM 14%
- IM 6%
- IO 1%
- IV/ET 1%
- IV/IO/IM/ET 1%
- IV/IO/IM/SQ/ET 1%
United States EMS Protocol Census, n=144 protocols from 116 named agencies / 37 states, updated Oct 2026
Pediatric, weight-basedmg/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 0.02 | 0.02 | 0.05 | 0.05 | 0.1 |
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
- IV/IO 40%
- IV 21%
- IV/IO/IM 16%
- IV/IM 14%
- IM 3%
- ET 1%
- IO 1%
- IV/ET 1%
- IV/IO/ET 1%
- IV/IO/IM/ET 1%
- IV/IO/IM/SQ/ET 1%
United States EMS Protocol Census, n=113 protocols from 92 named agencies / 33 states, updated Oct 2026
Pediatricmg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 0.5 | 1 | 1 | 2 | 2 |
Values in mg. One value per source (that source's median), so a document listing a medication five times still gets one vote.
Routes
- IV 33%
- IV/IO/IM 33%
- IM 22%
- IV/IO 11%
United States EMS Protocol Census, n=9 protocols from 6 named agencies / 5 states, updated Oct 2026
Adult, weight-basedmg/kg
Below 5 sources, so no distribution is published for this group — only the counts above.
Routes
- IV/IO 50%
- IV 25%
- IV/IM 25%
United States EMS Protocol Census, n=4 protocols from 4 named agencies / 4 states, updated Oct 2026
Named agencies with a page120
Agencies whose protocols are a public record are named here. Their own doses are on their own pages; this list carries no values.
- Ada County-City Emergency Services System
- Adams, Benton, Franklin, Yakima Counties
- Alabama Department of Public Health Office of Emergency Medical Services
- Ambulance Victoria
- Anderson County Emergency Medical Services
- Arizona Department of Health Services
- Arlington EMS System
- Aurora Fire Rescue
- Benbrook Fire Department
- BEST EMS
- Bexar County ESD 4 Fire Rescue
- Bonner County Emergency Medical Services
- Boulder County Protocol Committee
- Brilliant Fire Department
- Brownsville Rural Fire District, Halsey-Shedd Fire Protection District, Jefferson Fire District, Lebanon Fire District, Scio Fire District & Sweet Home Fire & Ambulance District
- Brunswick County EMS
- Calhoun County EMS System
- Central Arizona Regional 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)
- Coos County Emergency Medical Services
- County of Los Angeles Department of Health Services Emergency Medical Services Agency
- County of San Diego Emergency Medical Services
- Cowlitz County EMS Council
- Dane County EMS System
- Denver Health Paramedic Division
- Department of Health Services, County of Los Angeles
- East Baton Rouge Parish Department of Emergency Medical Services
- Escambia County Emergency Medical Services
- Fairfax County Fire and Rescue Department
- Fern Creek Fire and Emergency Medical Services
- Fort Lauderdale Fire Rescue
- Fort Worth Regional EMS System
- Franklin County Emergency Medical Services
- Galveston Area Ambulance Authority
- Giles County EMS
- Greater Elgin Area EMS System
- Greenville County Emergency Medical Services
- Houston Fire Department
- Hunt County EMS
- Inland Counties Emergency Medical Agency
- Kentucky Board of Emergency Medical Services
- Kern County Public Health
- Kosciusko County Paramedics
- La Porte County Emergency Medical Service
- Lake County Emergency Medical System
- Lake Emergency Medical System
- Lane County Medical Control Board
- Laurens County Emergency Medical Services
- Levy County Department of Public Safety
- Lincoln County EMS
- Louisville Metro EMS
- County of Marin EMS
- Marion County
- Maryland Institute for Emergency Medical Services Systems
- Massachusetts Office of Emergency Medical Services
- McKinney Fire Department
- Mecklenburg EMS Agency
- MEP (Medical Emergency Partnership) in partnership with SSM Health
- MetroCare Services and Abilene Fire Department
- Miramar Fire Rescue Department
- Mountain West Ambulance
- National Emergency Medical Services
- Nebraska Medicine Division of Prehospital and Emergency Medical Services
- Nevada EMS Program
- New Mexico EMS Bureau
- New York State Department of Health, Bureau of Emergency Medical Services and Trauma Systems
- North Central Oregon EMS Agencies
- Northeast Ohio Regional EMS Protocol Committee
- Northwest Community EMS System
- Northwest Region Emergency Medical Services & Trauma Care Council
- Norton Sound Health Corporation
- Nueces County ESD4
- Ocala/Marion County/The Villages Public Safety EMS
- OCEMS
- Office of the EMS Medical Director for Kansas City, Missouri
- Okaloosa County EMS
- Oklahoma State Department of Health
- Old Dominion EMS Alliance, Inc.
- Osage Ambulance District
- Palm Beach Gardens Fire Rescue
- Pend Oreille County Emergency Medical Services
- Pettis County Ambulance District
- Platte Valley Ambulance Service
- Rappahannock EMS Council
- Region 1 Emergency Medical Services
- Region 11 Chicago EMS System
- Region 4 EMS
- Region One Metropolitan Ambulance Council
- Region One Metropolitan Ambulance Council (MAC)
- REMSA
- Richland County Emergency Medical Services
- Salem Fire Department
- Santa Barbara County Public Health Department
- Santa Cruz County EMS Agency
- Sierra – Sacramento Valley EMS Agency
- South Plains Emergency Medical Services
- Southern Fox Valley EMS System
- St. Johns County Fire Rescue
- Stanislaus County Emergency Medical Services Agency
- State Board of Emergency Medical, Fire, and Transportation Services
- State of Nebraska
- Stevens County Emergency Medical Services
- Susquehanna Regional EMS
- The Williamson County EMS System
- Thurston County Medic One
- Tidewater Emergency Medical Services Council, Inc.
- Tippecanoe Emergency Ambulance Service
- Tri County Emergency Medical Services, Inc.
- UNM EMS Consortium
- Virgin Islands Fire & Emergency Medical Services
- Washington County Emergency Medical Services
- Washington State Department of Health
- Weber County Paramedic Program
- Wilson County Emergency Management Agency
- Wilson County ESD #4