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Medication

Hydromorphone in US EMS protocols

52protocols
39named agencies
22states and regions
8indications
139dose entries
100% of 139machine-parsed

Includes 1 agency outside the US.

IndicationSpread: box is the middle half, dot means most agreeRange
Other AdultMost use 0.5 mg range 0.2 to 1 mg, n=13
Pediatric, weight-basedMost use 0.01 mg/kg range 0.005 to 0.015 mg/kg, n=10
Mild to moderate pain Adult0.2 to 1 mg median 0.5, n=25
Pediatric, weight-based0.0075 to 0.0225 mg/kg median 0.01, n=14
Severe pain AdultMost use 0.5 mg range 0.2 to 1 mg, n=13
Pediatric, weight-based0.01 to 0.015 mg/kg median 0.0125, n=6

Too few protocols to chart yet (protocols in brackets): ACS / chest pain (2), Agitation (1), Burns (1), Crush injury (1), Procedural sedation (3)

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 page39

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, Hydromorphone: n=52 protocols from 39 named agencies / 22 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.