Indication

Hydromorphone for Mild to moderate pain

29 sources23 named agencies17 statesas of 2026-10-31

Adult dosing has a median of 0.5 mg across 25 published protocols, with the middle half between 0.375 and 0.5.

29sources

23named agencies

17states

52entries

23named here

Includes 1 agency outside the US.

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

Adultmg

25sources

19named agencies

16states

29entries

0kept as written

min	p25	median	p75	max
0.2	0.375	0.5	0.5	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 24%
IV 21%
IV/IM 17%
IM 14%
IV/IM/SQ 10%
IV/IO/IM/IN 7%
IV/IO 3%
SQ 3%

United States EMS Protocol Census, n=25 protocols from 19 named agencies / 16 states, updated Oct 2026

Pediatric, weight-basedmg/kg

14sources

10named agencies

8states

18entries

0kept as written

min	p25	median	p75	max
0.0075	0.01	0.01	0.015	0.0225

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/IM 28%
IV/IO/IM 22%
IM 17%
IV 17%
IV/IO 6%
IV/IO/IM/IN 6%
PO 6%

United States EMS Protocol Census, n=14 protocols from 10 named agencies / 8 states, updated Oct 2026

Adult, weight-basedmg/kg

4sources

4named agencies

3states

4entries

0kept as written

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

Routes

IV/IO/IM 75%
IV/IM 25%

United States EMS Protocol Census, n=4 protocols from 4 named agencies / 3 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/IM 100%

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

Named agencies with a page23

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