Naloxone for Opioid overdose
Adult dosing has a median of 0.8 mg across 185 published protocols, with the middle half between 0.4 and 1.5.
Includes 3 agencies 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
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 0.4 | 0.4 | 0.8 | 1.5 | 2 |
Values in mg. One value per source (that source's median), so a document listing a medication five times still gets one vote.
Routes
- IN 25%
- IV/IO/IM/IN 12%
- IV/IO 11%
- IM 9%
- IV 9%
- IM/IN 8%
- IV/IO/IM 6%
- IV/IM/IN 5%
- IV/IO/IM/IN/ET 3%
- IV/IM 2%
- IV/IM/SQ 1%
- IV/IO/IN 1%
- NEB 1%
- IM/SQ 1%
- IO 1%
- IV/IO/IM/IN/NEB 1%
- SQ 1%
- ET 0%
- IM/SQ/ET 0%
- IV/IM/IN/ET 0%
- IV/IM/IN/SQ 0%
- IV/IN 0%
- IV/IO/ET 0%
- IV/IO/IM/IN/SL/ET 0%
- IV/IO/IM/IN/SQ 0%
- IV/IO/IM/IN/SQ/ET 0%
- IV/IO/IM/SQ 0%
United States EMS Protocol Census, n=185 protocols from 153 named agencies / 46 states, updated Oct 2026
Pediatric, weight-basedmg/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 0.1 | 0.1 | 0.1 | 0.1 | 0.15 |
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
- IN 22%
- IV/IO 14%
- IV/IO/IM/IN 11%
- IM/IN 10%
- IV/IO/IM 8%
- IV 7%
- IM 7%
- IV/IM 5%
- IV/IM/IN 4%
- IV/IO/IM/IN/ET 3%
- IV/IO/IM/IN/NEB 1%
- IV/IO/IN 1%
- ET 1%
- IM/SQ 1%
- IV/IM/SQ 1%
- NEB 1%
- IM/SQ/ET 0%
- IO 0%
- IV/IM/IN/ET 0%
- IV/IM/IN/SQ 0%
- IV/IO/ET 0%
- IV/IO/IM/IN/SL/ET 0%
- IV/IO/IM/IN/SQ 0%
- IV/IO/IM/SQ 0%
- IV/IO/IM/SQ/ET 0%
United States EMS Protocol Census, n=137 protocols from 119 named agencies / 40 states, updated Oct 2026
Pediatricmg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 0.4 | 0.5 | 1 | 2 | 2 |
Values in mg. One value per source (that source's median), so a document listing a medication five times still gets one vote.
Routes
- IN 39%
- IV/IO/IM/IN 18%
- IV/IO 11%
- IM 8%
- IV/IM/IN 8%
- IM/IN 6%
- IV 3%
- NEB 3%
- IV/IO/IM/IN/SQ/ET 2%
- IV/IO/IN 2%
- SQ 2%
United States EMS Protocol Census, n=48 protocols from 41 named agencies / 25 states, updated Oct 2026
Adult, weight-basedmg/kg
Below 5 sources, so no distribution is published for this group — only the counts above.
Routes
- IN 40%
- IV/IM/IN 20%
- IV/IO 20%
- IV/IO/IM/IN/ET 20%
United States EMS Protocol Census, n=3 protocols from 3 named agencies / 3 states, updated Oct 2026
PediatricmL
Below 5 sources, so no distribution is published for this group — only the counts above.
Routes
- IN 100%
United States EMS Protocol Census, n=1 protocols from 1 named agencies / 1 states, updated Oct 2026
Named agencies with a page153
Agencies whose protocols are a public record are named here. Their own doses are on their own pages; this list carries no values.
- Academy of Medicine of Cincinnati
- Ada County-City Emergency Services System
- Adams, Benton, Franklin, Yakima Counties
- Alabama Department of Public Health Office of Emergency Medical Services
- Ambulance Victoria
- Anderson County Emergency Medical Services
- Annaville Fire Department
- Arizona Department of Health Services
- Ashwaubenon Public Safety, Howard Fire Rescue, & De Pere Fire Rescue
- Aurora Fire Rescue
- BC Emergency Health Services
- Benbrook Fire Department
- Berkeley County EMS
- Berrien County Medical Control Authority
- BEST EMS
- Bexar County ESD 4 Fire Rescue
- Boulder County Protocol Committee
- Brilliant Fire Department
- 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
- Cabarrus County EMS
- Calhoun County EMS System
- Campbell County Emergency Medical Service
- Central Arizona Regional EMS
- Central California Emergency Medical Services
- Chelan/Douglas/Okanogan/Grant County
- City of Austin / Austin-Travis County EMS System
- Clark County EMS System
- Clark County EMS (Washington)
- County of San Diego Emergency Medical Services
- Craven, Jones, Pamlico Counties EMS
- Dallas Fire-Rescue
- Dane County EMS System
- Davidson County Emergency Services
- Daviess County EMS
- DC Fire and EMS
- Delaware Office of Emergency Medical Services
- Denver Health Paramedic Division
- Department of Aviation Medicine
- Department of Health Services, County of Los Angeles
- Dorchester County EMS
- El Paso County Emergency Services District #2
- Evansville Fire Department
- Fairfax County Fire and Rescue Department
- Fern Creek Fire and Emergency Medical Services
- Fort Lauderdale Fire Rescue
- Galveston Area Ambulance Authority
- Giles County EMS
- Greater Elgin Area EMS System
- Hays County ESD 9 EMS
- Haywood County EMS System
- Houston Fire Department
- Hunt County EMS
- Illinois Emergency Medical Services for Children
- Illinois Region VIII Emergency Medical Services
- Inland Counties Emergency Medical Agency
- Iowa County Ambulance Service
- Kentucky Board of Emergency Medical Services
- Kern County Public Health
- La Porte County Emergency Medical Service
- Lake County Emergency Medical System
- Lake Emergency Medical System
- Laurens County Emergency Medical Services
- Louisville Metro EMS
- Manatee County Emergency Medical Services
- County of Marin EMS
- Marion County
- Massachusetts Office of Emergency Medical Services
- Mauston Area Ambulance
- McKinney Fire Department
- Mecklenburg EMS Agency
- MEP (Medical Emergency Partnership) in partnership with SSM Health
- Michigan Department of Health and Human Services
- Michigan Department of Health and Human Services (MDHHS) / Midland Gladwin MCA
- Michigan Department of Health and Human Services (MDHHS) / West Michigan Regional MCC
- Ministry of Health, Emergency Health Regulatory and Accountability Branch
- Miramar Fire Rescue Department
- Montgomery County Hospital District
- Mountain West Ambulance
- Muskegon County
- Nash County Emergency Medical Services
- National Emergency Medical Services
- Nebraska Medicine Division of Prehospital and Emergency Medical Services
- Nevada EMS Program
- New Hampshire Bureau of Emergency Medical Services
- New Jersey Department of Health
- New Mexico EMS Bureau
- New York State Department of Health, Bureau of Emergency Medical Services and Trauma Systems
- North Carolina Office of Emergency Medical Services (NC OEMS)
- Northeastern Montana Stat Air Ambulance Cooperative
- Northwest Community EMS System
- Northwest Region Emergency Medical Services & Trauma Care Council
- Norton Sound Health Corporation
- Nueces County ESD4
- Oakland County Medical Control Authority
- Ocala/Marion County/The Villages Public Safety EMS
- OCEMS
- Office of the EMS Medical Director for Kansas City, Missouri
- Okaloosa County EMS
- Old Dominion EMS Alliance, Inc.
- Osage Ambulance District
- Palm Beach Gardens Fire Rescue
- Pend Oreille County Emergency Medical Services
- Pennsylvania Department of Health, Bureau of Emergency Medical Services
- Pettis County Ambulance District
- Platte Valley Ambulance Service
- Rappahannock EMS Council
- Region 1 Emergency Medical Services
- Region 11 Chicago EMS System
- Region 4 EMS
- Region One Metropolitan Ambulance Council
- Region One Metropolitan Ambulance Council (MAC)
- Regional Emergency Medical Advisory Committee of New York City
- REMSA
- REMSA Sioux Falls
- Reno County Emergency Medical Services
- Rhode Island Department of Health – Center for Emergency Medical Services
- Richland County Emergency Medical Services
- County of Riverside EMS Agency
- Routt County EMS
- Rowan County Emergency Services EMS Division
- Salem Fire Department
- Salt Lake County EMS
- Santa Barbara County Public Health Department
- Santa Cruz County EMS Agency
- Seattle and King County EMS
- Sierra – Sacramento Valley EMS Agency
- Southern Fox Valley EMS System
- St. Johns County Fire Rescue
- Stanislaus County Emergency Medical Services Agency
- Stanly County EMS
- State Board of Emergency Medical, Fire, and Transportation Services
- State of Nebraska
- Stevens County Emergency Medical Services
- Susquehanna Regional EMS
- Tennessee Emergency Medical Services
- The Williamson County EMS System
- Three Rivers Ambulance Authority & Fort Wayne Fire Department
- Thurston County Medic One
- Tidewater Emergency Medical Services Council, Inc.
- Tippecanoe Emergency Ambulance Service
- Tri-County Emergency Medical Control Authority
- Tri County Emergency Medical Services, Inc.
- UNM EMS Consortium
- Utah Department of Public Safety, Bureau of Emergency Medical Services
- UTSW/Parkland BioTel EMS System
- Vermont Department of Health
- Virgin Islands Fire & Emergency Medical Services
- Wake County EMS System
- Washington State Department of Health
- Weber County Paramedic Program
- West Virginia Department of Health, Office of Emergency Medical Services
- Wilson County ESD #4