Indication

Fentanyl for Procedural sedation

45 sources32 named agencies26 statesas of 2026-10-31

Pediatric weight-based dosing has a median of 0.001 mg/kg across 26 published protocols, with the middle half between 0.001 and 0.001.

45sources

32named agencies

26states

81entries

32named here

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

26sources

16named agencies

18states

29entries

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 45%
IV 14%
IV/IM/IN 14%
IV/IO 14%
IV/IO/IM 7%
IV/IO/IN 7%

United States EMS Protocol Census, n=26 protocols from 16 named agencies / 18 states, updated Oct 2026

Adultmg

24sources

16named agencies

16states

28entries

0kept as written

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 29%
IV 25%
IV/IO 21%
IV/IO/IN 11%
IV/IO/IM 7%
IN 4%
IV/IM/IN 4%

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

Adult, weight-basedmg/kg

20sources

15named agencies

14states

23entries

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.

Routes

IV/IO/IM/IN 44%
IV/IO 30%
IV 13%
IV/IM/IN 9%
IV/IO/IN 4%

United States EMS Protocol Census, n=20 protocols from 15 named agencies / 14 states, updated Oct 2026

Pediatricmg

1sources

1named agencies

1states

1entries

0kept as written

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

Routes

IV/IO 100%

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

Named agencies with a page32

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