Fentanyl for Mild to moderate pain
Pediatric weight-based dosing has a median of 0.001 mg/kg across 157 published protocols, with the middle half between 0.001 and 0.001.
Includes 3 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.
Pediatric, weight-basedmg/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 0.0005 | 0.001 | 0.001 | 0.001 | 0.002 |
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/IN 38%
- IN 12%
- IV/IO 9%
- IV/IM/IN 9%
- IV/IO/IM 8%
- IV 6%
- IV/IO/IN 5%
- IM 4%
- IV/IN 4%
- IV/IM 3%
- IM/IN 3%
- IV/IO/IM/IN/SQ 1%
United States EMS Protocol Census, n=157 protocols from 133 named agencies / 46 states, updated Oct 2026
Adult, weight-basedmg/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 0.0005 | 0.001 | 0.001 | 0.001 | 0.0023 |
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/IN 40%
- IN 16%
- IV/IM/IN 9%
- IV/IO 7%
- IV/IO/IM 6%
- IV 4%
- IV/IO/IN 4%
- IM 4%
- IV/IN 4%
- IM/IN 3%
- IV/IM 3%
United States EMS Protocol Census, n=92 protocols from 75 named agencies / 35 states, updated Oct 2026
Adultmg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 0.025 | 0.025 | 0.05 | 0.05 | 0.1 |
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/IN 34%
- IV/IO 11%
- IN 10%
- IV 8%
- IV/IO/IM 7%
- IM 6%
- IV/IM/IN 6%
- IV/IN 5%
- IV/IO/IN 5%
- IV/IM 4%
- IM/IN 3%
- IV/IO/IM/IN/SQ 1%
United States EMS Protocol Census, n=91 protocols from 78 named agencies / 31 states, updated Oct 2026
Named agencies with a page140
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
- Adams, Benton, Franklin, Yakima Counties
- Alabama Department of Public Health Office of Emergency Medical Services
- Ambulance Victoria
- Anderson County Emergency Medical Services
- Annaville Fire Department
- Arlington EMS System
- Ashwaubenon Public Safety, Howard Fire Rescue, & De Pere Fire Rescue
- Aurora Fire Rescue
- BC Emergency Health Services
- Benbrook Fire Department
- Berkeley County EMS
- Berrien County Medical Control Authority
- BEST EMS
- Bonner County Emergency Medical Services
- Brunswick County EMS
- Cabarrus County EMS
- Calhoun County EMS System
- Campbell County Emergency Medical Service
- Central Arizona Regional EMS
- Central California Emergency Medical Services
- Chaves County EMS
- Chelan/Douglas/Okanogan/Grant County
- City of Austin / Austin-Travis County EMS System
- Clark County EMS System
- Clark County EMS (Washington)
- Coastal Valleys EMS Agency
- Confederated Tribes of Grand Ronde Department of Emergency Services
- County of San Diego Emergency Medical Services
- Cowlitz County EMS Council
- Dallas Fire-Rescue
- Dane County EMS System
- Davidson County Emergency Services
- DC Fire and EMS
- Denver Health Paramedic Division
- Department of Aviation Medicine
- Department of Health Services, County of Los Angeles
- Dorchester County EMS
- East Baton Rouge Parish Department of Emergency Medical Services
- El Campo Emergency Medical Service
- Escambia County Emergency Medical Services
- Evansville Fire Department
- Fairfax County Fire and Rescue Department
- Fern Creek Fire and Emergency Medical Services
- FirstHealth of the Carolinas
- Fort Lauderdale Fire Rescue
- Franklin County Emergency Medical Services
- Galveston Area Ambulance Authority
- Giles County EMS
- Grant County
- Greater Elgin Area EMS System
- Hays County ESD 9 EMS
- Haywood County EMS System
- Houston Fire Department
- Hunt County EMS
- Idaho EMS Physician Commission
- Illinois Region VIII Emergency Medical Services
- Inland Counties Emergency Medical Agency
- Iowa County Ambulance Service
- Kentucky Board of Emergency Medical Services
- Kern County Public Health
- Kosciusko County Paramedics
- Laurens County Emergency Medical Services
- Levy County Department of Public Safety
- Lincoln County EMS
- Louisville Metro EMS
- Maine Emergency Medical Services
- Manatee County Emergency Medical Services
- County of Marin EMS
- Marion County
- Massachusetts Office of Emergency Medical Services
- Mauston Area Ambulance
- McKinney Fire Department
- Mecklenburg EMS Agency
- MEP (Medical Emergency Partnership) in partnership with SSM Health
- MetroCare Services and Abilene Fire Department
- Michigan Department of Health and Human Services (MDHHS) / Midland Gladwin MCA
- Michigan Department of Health and Human Services (MDHHS) / West Michigan Regional MCC
- Ministry of Health, Emergency Health Regulatory and Accountability Branch
- Miramar Fire Rescue Department
- Montana Board of Medical Examiners
- Mountain West Ambulance
- Muskegon County
- National Emergency Medical Services
- Nebraska Medicine Division of Prehospital and Emergency Medical Services
- Nevada EMS Program
- New Hampshire Bureau of Emergency Medical Services
- New Mexico EMS Bureau
- New York State Department of Health, Bureau of Emergency Medical Services and Trauma Systems
- North Carolina Office of Emergency Medical Services (NC OEMS)
- North Central Oregon EMS Agencies
- Northeastern Montana Stat Air Ambulance Cooperative
- Northwest Region Emergency Medical Services & Trauma Care Council
- Norton Sound Health Corporation
- Oakland County Medical Control Authority
- Ocala/Marion County/The Villages Public Safety EMS
- OCEMS
- Okaloosa County EMS
- Oklahoma State Department of Health
- Old Dominion EMS Alliance, Inc.
- Osage Ambulance District
- Palm Beach Gardens Fire Rescue
- Pend Oreille County Emergency Medical Services
- Pennsylvania Department of Health, Bureau of Emergency Medical Services
- Pettis County Ambulance District
- Platte Valley Ambulance Service
- Rappahannock EMS Council
- Region One Metropolitan Ambulance Council (MAC)
- Region X EMS
- Regional Emergency Medical Advisory Committee of New York City
- REMSA Sioux Falls
- Reno County Emergency Medical Services
- Richland County Emergency Medical Services
- County of Riverside EMS Agency
- Routt County EMS
- Salem Fire Department
- Salt Lake County EMS
- Sierra – Sacramento Valley EMS Agency
- South Carolina Department of Public Health (DPH) Division of EMS
- South Plains Emergency Medical Services
- St. Johns County Fire Rescue
- Stanislaus County Emergency Medical Services Agency
- Stanly County EMS
- State Board of Emergency Medical, Fire, and Transportation Services
- State of Hawaiʻi Department of Health, Emergency Medical Services & Injury Prevention System Branch
- State of Nebraska
- Stevens County Emergency Medical Services
- Susquehanna Regional EMS
- Three Rivers Ambulance Authority & Fort Wayne Fire Department
- Tidewater Emergency Medical Services Council, Inc.
- Tippecanoe Emergency Ambulance Service
- Tri-County Emergency Medical Control Authority
- Tri County Emergency Medical Services, Inc.
- UNM EMS Consortium
- Utah Department of Public Safety, Bureau of Emergency Medical Services
- Vermont Department of Health
- Virgin Islands Fire & Emergency Medical Services
- Washington County Emergency Medical Services
- Weber County Paramedic Program
- West Virginia Department of Health, Office of Emergency Medical Services