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Medication

Naloxone in US EMS protocols

228protocols
192named agencies
51states and regions
10indications
1,004dose entries
100% of 1,004machine-parsed

Includes 3 agencies outside the US.

IndicationSpread: box is the middle half, dot means most agreeRange
Cardiac arrest Adult2 to 4 mg median 2, n=14
Opioid overdose Adult0.4 to 2 mg median 0.8, n=185 median matches NASEMSO
Pediatric0.4 to 2 mg median 1, n=48
Pediatric, weight-basedMost use 0.1 mg/kg matches NASEMSO range 0.1 to 0.15 mg/kg, n=137
Other Adult0.2 to 1 mg median 0.4, n=69
Pediatric0.4 to 2 mg median 0.875, n=24
Pediatric, weight-basedMost use 0.1 mg/kg range 0.05 to 0.15 mg/kg, n=70
Respiratory distress AdultMost use 0.4 mg range 0.4 to 0.5 mg, n=7
Pediatric, weight-basedAll use 0.1 mg/kg n=7

Too few protocols to chart yet (protocols in brackets): Bradycardia (1), Carbon monoxide poisoning (1), Hypothermia (2), Mild to moderate pain (2), Seizure (3), Stroke (1)

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 page187

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, Naloxone: n=228 protocols from 192 named agencies / 51 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.