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.
| Indication | Spread: box is the middle half, dot means most agree | Range |
|---|---|---|
| Other Adult | Most use 0.5 mg range 0.2 to 1 mg, n=13 | |
| Pediatric, weight-based | Most use 0.01 mg/kg range 0.005 to 0.015 mg/kg, n=10 | |
| Mild to moderate pain Adult | 0.2 to 1 mg median 0.5, n=25 | |
| Pediatric, weight-based | 0.0075 to 0.0225 mg/kg median 0.01, n=14 | |
| Severe pain Adult | Most use 0.5 mg range 0.2 to 1 mg, n=13 | |
| Pediatric, weight-based | 0.01 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.
- Ada County-City Emergency Services System
- BC Emergency Health Services
- Boulder County Protocol Committee
- Brownsville Rural Fire District, Halsey-Shedd Fire Protection District, Jefferson Fire District, Lebanon Fire District, Scio Fire District & Sweet Home Fire & Ambulance District
- Brunswick County EMS
- Chaves County EMS
- Chelan/Douglas/Okanogan/Grant County
- Clark County EMS System
- Confederated Tribes of Grand Ronde Department of Emergency Services
- Coos County Emergency Medical Services
- Craven, Jones, Pamlico Counties EMS
- Davidson County Emergency Services
- Daviess County EMS
- Department of Aviation Medicine
- Escambia County Emergency Medical Services
- Haywood County EMS System
- Idaho EMS Physician Commission
- Kosciusko County Paramedics
- Lane County Medical Control Board
- Lincoln County EMS
- Mauston Area Ambulance
- MEP (Medical Emergency Partnership) in partnership with SSM Health
- Montana Board of Medical Examiners
- Nash County Emergency Medical Services
- Nebraska Medicine Division of Prehospital and Emergency Medical Services
- Nevada EMS Program
- New Hampshire Bureau of Emergency Medical Services
- Northeast Ohio Regional EMS Protocol Committee
- Northeastern Montana Stat Air Ambulance Cooperative
- Northwest Region Emergency Medical Services & Trauma Care Council
- Ocala/Marion County/The Villages Public Safety EMS
- Oklahoma State Department of Health
- Pend Oreille County Emergency Medical Services
- Platte Valley Ambulance Service
- Portland Metro Five County Emergency Medical System
- Routt County EMS
- State Board of Emergency Medical, Fire, and Transportation Services
- State of Nebraska
- Three Rivers Ambulance Authority & Fort Wayne Fire Department
Cite this
United States EMS Protocol Census, Hydromorphone: n=52 protocols from 39 named agencies / 22 states, as of 2026-10-31