Dexamethasone for Anaphylaxis
Pediatric weight-based dosing has a median of 0.6 mg/kg across 26 published protocols, with the middle half between 0.6 and 0.6.
Doses far off from what other protocols give are likely misreads, so they are left out until checked. How that works.
Pediatric, weight-basedmg/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 0.2 | 0.6 | 0.6 | 0.6 | 0.6 |
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/IM/PO 39%
- IV/IM/PO 32%
- IV/IO/IM 11%
- IV 4%
- IV/IM 4%
- IV/IO 4%
- IV/IO/PO 4%
- PO 4%
United States EMS Protocol Census, n=26 protocols from 19 named agencies / 16 states, updated Oct 2026
Adultmg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 4 | 10 | 10 | 10 | 16 |
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/IM/PO 38%
- IV/IM/PO 29%
- IV/IM 13%
- IV/IO/IM 13%
- IV 4%
- IV/IO 4%
United States EMS Protocol Census, n=23 protocols from 17 named agencies / 15 states, updated Oct 2026
Adult, weight-basedmg/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 0.5 | 0.6 | 0.6 | 0.6 | 0.6 |
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/IM/PO 40%
- IV/IO/IM/PO 40%
- IV/IO/PO 20%
United States EMS Protocol Census, n=5 protocols from 4 named agencies / 5 states, updated Oct 2026
Named agencies with a page22
Agencies whose protocols are a public record are named here. Their own doses are on their own pages; this list carries no values.
- Anderson County Emergency Medical Services
- Bexar County ESD 4 Fire Rescue
- City of Austin / Austin-Travis County EMS System
- Clark County EMS (Washington)
- Confederated Tribes of Grand Ronde Department of Emergency Services
- Dorchester County EMS
- Galveston Area Ambulance Authority
- Houston Fire Department
- Iowa County Ambulance Service
- Lincoln County EMS
- Maryland Institute for Emergency Medical Services Systems
- MEP (Medical Emergency Partnership) in partnership with SSM Health
- Montgomery County Hospital District
- New Hampshire Bureau of Emergency Medical Services
- Northwest Region Emergency Medical Services & Trauma Care Council
- Pend Oreille County Emergency Medical Services
- Region 1 Emergency Medical Services
- Region One Metropolitan Ambulance Council (MAC)
- Regional Emergency Medical Advisory Committee of New York City
- Tidewater Emergency Medical Services Council, Inc.
- Vermont Department of Health
- Wilson County ESD #4