Indication

Fentanyl for ACS / chest pain

53 sources41 named agencies27 statesas of 2026-10-31

Adult dosing has a median of 0.025 mg across 29 published protocols, with the middle half between 0.025 and 0.05.

53sources

41named agencies

27states

66entries

40named here

Doses far off from what other protocols give are likely misreads, so they are left out until checked. How that works.

Adultmg

29sources

20named agencies

17states

29entries

0kept as written

min	p25	median	p75	max
0.025	0.025	0.025	0.05	0.05

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

United States EMS Protocol Census, n=29 protocols from 20 named agencies / 17 states, updated Oct 2026

22sources

19named agencies

14states

24entries

0kept as written

min	p25	median	p75	max
0.0005	0.001	0.001	0.001	0.0025

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

United States EMS Protocol Census, n=22 protocols from 19 named agencies / 14 states, updated Oct 2026

13sources

12named agencies

10states

13entries

0kept as written

min	p25	median	p75	max
0.0005	0.001	0.001	0.001	0.001

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

United States EMS Protocol Census, n=13 protocols from 12 named agencies / 10 states, updated Oct 2026

Named agencies with a page40

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