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Medication

Hydrocortisone in US EMS protocols

41protocols
35named agencies
23states and regions
6indications
115dose entries
100% of 115machine-parsed

Includes 3 agencies outside the US.

IndicationSpread: box is the middle half, dot means most agreeRange
Adrenal crisis AdultMost use 100 mg range 75 to 100 mg, n=27
Pediatric25 to 37.5 mg median 25, n=6
Pediatric, weight-based1 to 2 mg/kg median 2, n=22 median matches NASEMSO
Other AdultMost use 100 mg range 50 to 100 mg, n=7
Pediatric, weight-basedMost use 2 mg/kg range 2 to 4 mg/kg, n=5

Too few protocols to chart yet (protocols in brackets): Anaphylaxis (3), Asthma / bronchospasm (4), Hypotension / shock (3), Sepsis (4)

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

Named agencies with a page35

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

Cite this

United States EMS Protocol Census, Hydrocortisone: n=41 protocols from 35 named agencies / 23 states, as of 2026-10-31

MethodologyData licenseStudy your own protocol in the app

Training reference compiled from published protocols. Not a clinical order. Verify with your agency and medical director.