Indication

Fentanyl for Severe pain

45 sources38 named agencies23 statesas of 2026-10-31

Pediatric weight-based dosing has a median of 0.001 mg/kg across 44 published protocols, with the middle half between 0.001 and 0.001.

45sources

38named agencies

23states

112entries

38named here

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

44sources

37named agencies

23states

51entries

0kept as written

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 47%
IV/IM/IN 10%
IN 8%
IV/IO/IM 8%
IM/IN 6%
IV/IO 6%
IV/IO/IN 4%
IV 2%
IV/IM 2%
IV/IN 2%
IV/IO/IM/IN/NEB 2%
IV/IO/IM/SQ 2%
IV/NEB 2%

United States EMS Protocol Census, n=44 protocols from 37 named agencies / 23 states, updated Oct 2026

Adult, weight-basedmg/kg

26sources

24named agencies

16states

31entries

0kept as written

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 52%
IN 10%
IM/IN 7%
IV/IM/IN 7%
IV/IO 7%
IV/IO/IM 7%
IV/IM 3%
IV/IN 3%
IV/IO/IM/IN/NEB 3%
IV/IO/IN 3%

United States EMS Protocol Census, n=26 protocols from 24 named agencies / 16 states, updated Oct 2026

Adultmg

19sources

14named agencies

11states

21entries

0kept as written

min	p25	median	p75	max
0.025	0.025	0.05	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.

Routes

IV/IO/IM/IN 43%
IV/IM/IN 14%
IV/IO/IM 10%
IM 5%
IM/IN 5%
IV 5%
IV/IO 5%
IV/IO/IM/IN/SQ 5%
IV/IO/IN 5%
IV/NEB 5%

United States EMS Protocol Census, n=19 protocols from 14 named agencies / 11 states, updated Oct 2026

Pediatricmg

1sources

1named agencies

1states

9entries

0kept as written

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

Routes

IV/IN 44%
IV 33%
IN 22%

United States EMS Protocol Census, n=1 protocols from 1 named agencies / 1 states, updated Oct 2026

Named agencies with a page38

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