Indication

Epinephrine for Anaphylaxis

205 sources168 named agencies47 statesas of 2026-10-31

Adult dosing has a median of 0.3 mg across 199 published protocols, with the middle half between 0.3 and 0.3.

205sources

168named agencies

47states

482entries

163named here

Includes 2 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

199sources

163named agencies

46states

238entries

0kept as written

min	p25	median	p75	max
0.1	0.3	0.3	0.3	0.5

Values in mg. One value per source (that source's median), so a document listing a medication five times still gets one vote.

Routes

IM 84%
IV/IO 8%
IV 5%
SQ 2%
IM/SQ 1%
IV/NEB 0%

United States EMS Protocol Census, n=199 protocols from 163 named agencies / 46 states, updated Oct 2026

Pediatric, weight-basedmg/kg

128sources

100named agencies

34states

152entries

0kept as written

min	p25	median	p75	max
0.01	0.01	0.01	0.01	0.02

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

IM 81%
IV/IO 9%
IV 6%
SQ 2%
IM/SQ 1%
IV/NEB 1%

United States EMS Protocol Census, n=128 protocols from 100 named agencies / 34 states, updated Oct 2026

Pediatricmg

69sources

63named agencies

35states

73entries

0kept as written

min	p25	median	p75	max
0.15	0.15	0.15	0.15	0.3

Values in mg. One value per source (that source's median), so a document listing a medication five times still gets one vote.

Routes

IM 96%
IM/SQ 1%
IV 1%
IV/IO 1%

United States EMS Protocol Census, n=69 protocols from 63 named agencies / 35 states, updated Oct 2026

AdultmL

7sources

7named agencies

5states

7entries

0kept as written

min	p25	median	p75	max
0.3	0.3	0.5	0.75	1

Values in mL. One value per source (that source's median), so a document listing a medication five times still gets one vote.

Routes

IM 43%
IV 43%
IV/IO 14%

United States EMS Protocol Census, n=7 protocols from 7 named agencies / 5 states, updated Oct 2026

Adult, weight-basedmg/kg

5sources

4named agencies

5states

7entries

0kept as written

min	p25	median	p75	max
0.01	0.01	0.01	0.01	0.01

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

IM 57%
IV 29%
IV/IO 14%

United States EMS Protocol Census, n=5 protocols from 4 named agencies / 5 states, updated Oct 2026

PediatricmL

3sources

3named agencies

2states

3entries

0kept as written

Below 5 sources, so no distribution is published for this group — only the counts above.

Routes

IV 67%
IM 33%

United States EMS Protocol Census, n=3 protocols from 3 named agencies / 2 states, updated Oct 2026

Pediatric, weight-basedmL/kg

2sources

2named agencies

2states

2entries

0kept as written

Below 5 sources, so no distribution is published for this group — only the counts above.

Routes

IV 50%
NEB 50%

United States EMS Protocol Census, n=2 protocols from 2 named agencies / 2 states, updated Oct 2026

Named agencies with a page163

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