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Medication

Dexamethasone in US EMS protocols

100protocols
82named agencies
37states and regions
13indications
463dose entries
100% of 463machine-parsed

Includes 4 agencies outside the US.

IndicationSpread: box is the middle half, dot means most agreeRange
Adrenal crisis AdultMost use 10 mg range 4 to 16 mg, n=18
Pediatric, weight-basedMost use 0.6 mg/kg matches NASEMSO range 0.3 to 0.6 mg/kg, n=13
Allergic reaction AdultMost use 10 mg range 4 to 20 mg, n=25
Pediatric, weight-basedMost use 0.6 mg/kg range 0.25 to 0.6 mg/kg, n=21
Anaphylaxis AdultMost use 10 mg range 4 to 16 mg, n=23
Adult, weight-basedMost use 0.6 mg/kg range 0.5 to 0.6 mg/kg, n=5
Pediatric, weight-basedMost use 0.6 mg/kg range 0.2 to 0.6 mg/kg, n=26
Asthma / bronchospasm AdultMost use 10 mg range 4 to 16 mg, n=35
Adult, weight-basedMost use 0.6 mg/kg range 0.5 to 0.6 mg/kg, n=6
Pediatric, weight-based0.2 to 0.6 mg/kg median 0.6, n=40 median matches NASEMSO
COPD AdultMost use 10 mg range 10 to 12 mg, n=8
Croup AdultMost use 10 mg range 4 to 16 mg, n=13
Adult, weight-basedMost use 0.6 mg/kg range 0.5 to 0.6 mg/kg, n=5
Pediatric, weight-basedMost use 0.6 mg/kg matches NASEMSO range 0.2 to 0.6 mg/kg, n=36
Other AdultMost use 10 mg range 4 to 16 mg, n=32
Pediatric, weight-based0.25 to 0.6 mg/kg median 0.6, n=30
Respiratory distress AdultMost use 10 mg range 10 to 20 mg, n=12
Pediatric, weight-basedMost use 0.6 mg/kg matches NASEMSO range 0.25 to 0.6 mg/kg, n=13
Stridor Pediatric, weight-basedAll use 0.6 mg/kg n=6

Too few protocols to chart yet (protocols in brackets): Fever (1), Hypotension / shock (2), Preterm labor (1), Sepsis (1)

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 page81

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, Dexamethasone: n=100 protocols from 82 named agencies / 37 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.