Epinephrine for Asthma / bronchospasm
Adult dosing has a median of 0.3 mg across 98 published protocols, with the middle half between 0.3 and 0.3.
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 |
|---|---|---|---|---|
| 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 87%
- IM/SQ 5%
- IV 4%
- SQ 3%
- IV/IO 2%
United States EMS Protocol Census, n=98 protocols from 77 named agencies / 34 states, updated Oct 2026
Pediatric, weight-basedmg/kg
| 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 87%
- IM/SQ 5%
- IV 2%
- IV/IO 2%
- SQ 2%
- ET 1%
United States EMS Protocol Census, n=80 protocols from 65 named agencies / 30 states, updated Oct 2026
Pediatricmg
| 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 100%
United States EMS Protocol Census, n=16 protocols from 13 named agencies / 11 states, updated Oct 2026
Adult, weight-basedmg/kg
| 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 80%
- SQ 20%
United States EMS Protocol Census, n=5 protocols from 5 named agencies / 5 states, updated Oct 2026
AdultmL
Below 5 sources, so no distribution is published for this group — only the counts above.
Routes
- NEB 67%
- IM 33%
United States EMS Protocol Census, n=3 protocols from 3 named agencies / 2 states, updated Oct 2026
Pediatric, weight-basedmL/kg
Below 5 sources, so no distribution is published for this group — only the counts above.
Routes
- NEB 100%
United States EMS Protocol Census, n=1 protocols from 1 named agencies / 1 states, updated Oct 2026
Named agencies with a page84
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
- Benbrook Fire Department
- BEST EMS
- 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
- Calhoun County EMS System
- Campbell County Emergency Medical Service
- Central California Emergency Medical Services
- Chelan/Douglas/Okanogan/Grant County
- Coastal Valleys EMS Agency
- Confederated Tribes of Grand Ronde Department of Emergency Services
- Coos County Emergency Medical Services
- Craven, Jones, Pamlico Counties EMS
- Daviess County EMS
- DC Fire and EMS
- Denver Health Paramedic Division
- El Campo Emergency Medical Service
- Evansville Fire Department
- 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
- Grant County
- Greater Elgin Area EMS System
- Greenville County Emergency Medical Services
- Hays County ESD 9 EMS
- Houston Fire Department
- La Porte County Emergency Medical Service
- Lincoln County EMS
- Louisville Metro EMS
- County of Marin EMS
- Mauston Area Ambulance
- Mecklenburg EMS Agency
- MEP (Medical Emergency Partnership) in partnership with SSM Health
- MetroCare Services and Abilene Fire Department
- Miramar Fire Rescue Department
- Montgomery County Hospital District
- Mountain West Ambulance
- National Emergency Medical Services
- Nebraska Medicine Division of Prehospital and Emergency Medical Services
- New Jersey Department of Health
- New Mexico EMS Bureau
- New York State Department of Health, Bureau of Emergency Medical Services and Trauma Systems
- North Central Oregon EMS Agencies
- Northeastern Montana Stat Air Ambulance Cooperative
- Northwest Region Emergency Medical Services & Trauma Care Council
- Norton Sound Health Corporation
- Nueces County ESD4
- Ocala/Marion County/The Villages Public Safety EMS
- Oklahoma State Department of Health
- Old Dominion EMS Alliance, Inc.
- Pend Oreille County Emergency Medical Services
- Pennsylvania Department of Health, Bureau of Emergency Medical Services
- Pinellas County Emergency Medical Services
- Platte Valley Ambulance Service
- Region 1 Emergency Medical Services
- Region One Metropolitan Ambulance Council
- Region One Metropolitan Ambulance Council (MAC)
- Region X EMS
- Routt County EMS
- Salem Fire Department
- Santa Cruz County EMS Agency
- Sierra – Sacramento Valley EMS Agency
- Southern Fox Valley EMS System
- Spokane County EMS
- St. Johns County Fire Rescue
- Stanislaus County Emergency Medical Services Agency
- State of Hawaiʻi Department of Health, Emergency Medical Services & Injury Prevention System Branch
- Stevens County Emergency Medical Services
- Susquehanna Regional EMS
- Three Rivers Ambulance Authority & Fort Wayne Fire Department
- Thurston County Medic One
- Tidewater Emergency Medical Services Council, Inc.
- Tri County Emergency Medical Services, Inc.
- Washington County Emergency Medical Services
- Weber County Paramedic Program
- Wilson County Emergency Management Agency