Epinephrine for Hypotension / shock
Adult dosing has a median of 0.01 mg across 61 published protocols, with the middle half between 0.005 and 0.01.
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 |
|---|---|---|---|---|
| 0.005 | 0.005 | 0.01 | 0.01 | 0.02 |
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 77%
- IV 23%
United States EMS Protocol Census, n=61 protocols from 49 named agencies / 28 states, updated Oct 2026
Pediatric, weight-basedmg/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 0.0001 | 0.0001 | 0.0001 | 0.0001 | 0.0002 |
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 64%
- IV 36%
United States EMS Protocol Census, n=30 protocols from 25 named agencies / 19 states, updated Oct 2026
AdultmL
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 0.5 | 0.5 | 1 | 1 | 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
- IV/IO 63%
- IV 31%
United States EMS Protocol Census, n=15 protocols from 13 named agencies / 10 states, updated Oct 2026
Pediatricmg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 0.005 | 0.005 | 0.01 | 0.01 | 0.01 |
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 78%
- IV 22%
United States EMS Protocol Census, n=9 protocols from 9 named agencies / 6 states, updated Oct 2026
Adult, weight-basedmg/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 0.0001 | 0.0001 | 0.0001 | 0.0001 | 0.0001 |
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 67%
- IV 33%
United States EMS Protocol Census, n=5 protocols from 2 named agencies / 5 states, updated Oct 2026
PediatricmL
Below 5 sources, so no distribution is published for this group — only the counts above.
Routes
- IV/IO 67%
- IV 33%
United States EMS Protocol Census, n=3 protocols from 3 named agencies / 3 states, updated Oct 2026
Pediatric, weight-basedmL/kg
Below 5 sources, so no distribution is published for this group — only the counts above.
Routes
- IV/IO 67%
- IV 33%
United States EMS Protocol Census, n=3 protocols from 2 named agencies / 3 states, updated Oct 2026
Named agencies with a page74
Agencies whose protocols are a public record are named here. Their own doses are on their own pages; this list carries no values.
- Academy of Medicine of Cincinnati
- Ada County-City Emergency Services System
- 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
- Benbrook Fire Department
- Berrien County Medical Control Authority
- BEST EMS
- Bexar County ESD 4 Fire Rescue
- Brunswick County EMS
- Cabarrus County EMS
- Calhoun County EMS System
- Campbell County Emergency Medical Service
- Chaves County EMS
- Chelan/Douglas/Okanogan/Grant County
- City of Austin / Austin-Travis County EMS System
- Clark County EMS System
- Clark County EMS (Washington)
- Confederated Tribes of Grand Ronde Department of Emergency Services
- County of San Diego Emergency Medical Services
- Craven, Jones, Pamlico Counties EMS
- 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
- El Campo Emergency Medical Service
- Evansville Fire Department
- FirstHealth of the Carolinas
- Giles County EMS
- Greenville County Emergency Medical Services
- Hays County ESD 9 EMS
- Hunt County EMS
- Idaho EMS Physician Commission
- Iowa County Ambulance Service
- Kentucky Board of Emergency Medical Services
- Laurens County Emergency Medical Services
- Levy County Department of Public Safety
- Lincoln County EMS
- County of Marin EMS
- MetroCare Services and Abilene Fire Department
- Michigan Department of Health and Human Services
- Michigan Department of Health and Human Services (MDHHS) / Midland Gladwin MCA
- Michigan Department of Health and Human Services (MDHHS) / West Michigan Regional MCC
- Muskegon County
- Nevada EMS Program
- New Jersey Department of Health
- Northwest Arkansas Regional EMS
- Northwest Region Emergency Medical Services & Trauma Care Council
- Nueces County ESD4
- Oakland County Medical Control Authority
- Ocala/Marion County/The Villages Public Safety EMS
- Office of the EMS Medical Director for Kansas City, Missouri
- Pennsylvania Department of Health, Bureau of Emergency Medical Services
- Region 4 EMS
- Regional Emergency Medical Advisory Committee of New York City
- Reno County Emergency Medical Services
- County of Riverside EMS Agency
- Santa Barbara County Public Health Department
- Santa Cruz County EMS Agency
- Sierra – Sacramento Valley EMS Agency
- South Carolina Department of Public Health (DPH) Division of EMS
- Spokane County EMS
- Stanly County EMS
- Tennessee Emergency Medical Services
- The Williamson County EMS System
- Three Rivers Ambulance Authority & Fort Wayne Fire Department
- Tidewater Emergency Medical Services Council, Inc.
- Tri-County Emergency Medical Control Authority
- Vermont Department of Health
- Wake County EMS System
- Washington County Emergency Medical Services
- Wilson County ESD #4