Lidocaine for Mild to moderate pain
Pediatric weight-based dosing has a median of 0.5 mg/kg across 59 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.
Pediatric, weight-basedmg/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 0.5 | 0.5 | 0.5 | 0.5 | 1 |
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
- IO 95%
- IV/IO 3%
- IV 2%
United States EMS Protocol Census, n=59 protocols from 52 named agencies / 24 states, updated Oct 2026
Adultmg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 20 | 20 | 40 | 40 | 100 |
Values in mg. One value per source (that source's median), so a document listing a medication five times still gets one vote.
Routes
- IO 95%
- IV/IO 4%
- TOP 2%
United States EMS Protocol Census, n=56 protocols from 50 named agencies / 25 states, updated Oct 2026
Adult, weight-basedmg/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 0.5 | 0.5 | 0.5 | 1 | 1 |
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
- IO 83%
- IV 8%
- IV/IO 8%
United States EMS Protocol Census, n=12 protocols from 11 named agencies / 9 states, updated Oct 2026
AdultmL
Below 5 sources, so no distribution is published for this group — only the counts above.
Routes
- IO 100%
United States EMS Protocol Census, n=4 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
- IO 75%
- TOP 25%
United States EMS Protocol Census, n=4 protocols from 4 named agencies / 3 states, updated Oct 2026
PediatricmL
Below 5 sources, so no distribution is published for this group — only the counts above.
Routes
- IO 100%
United States EMS Protocol Census, n=2 protocols from 1 named agencies / 2 states, updated Oct 2026
Named agencies with a page61
Agencies whose protocols are a public record are named here. Their own doses are on their own pages; this list carries no values.
- Anderson County Emergency Medical Services
- Annaville Fire Department
- Ashwaubenon Public Safety, Howard Fire Rescue, & De Pere Fire Rescue
- Aurora Fire Rescue
- Berrien County Medical Control Authority
- Bexar County ESD 4 Fire Rescue
- Boulder County Protocol Committee
- Campbell County Emergency Medical Service
- Central Arizona Regional EMS
- City of Austin / Austin-Travis County EMS System
- Clark County EMS (Washington)
- Coastal Valleys EMS Agency
- Confederated Tribes of Grand Ronde Department of Emergency Services
- Dane County EMS System
- Denver Health Paramedic Division
- Dorchester County EMS
- Evansville Fire Department
- Fairfax County Fire and Rescue Department
- Fern Creek Fire and Emergency Medical Services
- FirstHealth of the Carolinas
- Galveston Area Ambulance Authority
- Giles County EMS
- Greenville County Emergency Medical Services
- Hays County ESD 9 EMS
- Idaho EMS Physician Commission
- Inland Counties Emergency Medical Agency
- Kentucky Board of Emergency Medical Services
- Kern County Public Health
- Kosciusko County Paramedics
- La Porte County Emergency Medical Service
- Lake County Emergency Medical System
- Lake Emergency Medical System
- Laurens County Emergency Medical Services
- Lincoln County EMS
- Manatee County Emergency Medical Services
- County of Marin EMS
- Massachusetts Office of Emergency Medical Services
- Mauston Area Ambulance
- MEP (Medical Emergency Partnership) in partnership with SSM Health
- Michigan Department of Health and Human Services (MDHHS) / West Michigan Regional MCC
- Muskegon County
- National Emergency Medical Services
- New York State Department of Health, Bureau of Emergency Medical Services and Trauma Systems
- Norton Sound Health Corporation
- Nueces County ESD4
- Oakland County Medical Control Authority
- Peninsulas EMS Council, Inc.
- Platte Valley Ambulance Service
- Region 4 EMS
- Region X EMS
- Regional Emergency Medical Advisory Committee of New York City
- Reno County Emergency Medical Services
- County of Riverside EMS Agency
- Routt County EMS
- South Plains Emergency Medical Services
- Stanly County EMS
- The Williamson County EMS System
- Tidewater Emergency Medical Services Council, Inc.
- Tri-County Emergency Medical Control Authority
- UNM EMS Consortium
- Virgin Islands Fire & Emergency Medical Services