Hydromorphone for Severe pain
Adult dosing has a median of 0.5 mg across 13 published protocols, with the middle half between 0.5 and 0.5.
Doses far off from what other protocols give are likely misreads, so they are left out until checked. How that works.
Adultmg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 0.2 | 0.5 | 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 47%
- IV/IM 20%
- IV/IO 13%
- IM 7%
- IV 7%
- IV/IM/SQ 7%
United States EMS Protocol Census, n=13 protocols from 8 named agencies / 9 states, updated Oct 2026
Pediatric, weight-basedmg/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 0.01 | 0.01 | 0.0125 | 0.015 | 0.015 |
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 43%
- IV/IO 29%
- IM 14%
- IV 14%
United States EMS Protocol Census, n=6 protocols from 3 named agencies / 4 states, updated Oct 2026
Pediatricmg
Below 5 sources, so no distribution is published for this group — only the counts above.
Routes
- IV 100%
United States EMS Protocol Census, n=1 protocols from 1 named agencies / 1 states, updated Oct 2026
Named agencies with a page8
Agencies whose protocols are a public record are named here. Their own doses are on their own pages; this list carries no values.