Nitroglycerin for CHF / pulmonary edema
Adult dosing has a median of 0.4 mg across 177 published protocols, with the middle half between 0.4 and 0.4.
Includes 2 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 |
|---|---|---|---|---|
| 0.3 | 0.4 | 0.4 | 0.4 | 1.2 |
Values in mg. One value per source (that source's median), so a document listing a medication five times still gets one vote.
Routes
- SL 93%
- IV/IO 3%
- IV 2%
- ODT 1%
- IV/SL 1%
- SL/TOP 1%
United States EMS Protocol Census, n=177 protocols from 146 named agencies / 45 states, updated Oct 2026
Adultinch
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 0.5 | 1 | 1 | 1 | 2 |
Values in inch. One value per source (that source's median), so a document listing a medication five times still gets one vote.
Routes
- TOP 65%
- TD 30%
United States EMS Protocol Census, n=20 protocols from 19 named agencies / 14 states, updated Oct 2026
Adultspray
Below 5 sources, so no distribution is published for this group — only the counts above.
Routes
- SL 100%
United States EMS Protocol Census, n=1 protocols from 1 named agencies / 1 states, updated Oct 2026
Named agencies with a page144
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
- Anderson County Emergency Medical Services
- Arizona Department of Health Services
- Aurora Fire Rescue
- BC Emergency Health Services
- Benbrook Fire Department
- 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
- Chaves County EMS
- City of Austin / Austin-Travis County EMS System
- Clark County EMS System
- Clark County EMS (Washington)
- Confederated Tribes of Grand Ronde Department of Emergency Services
- Coos County Emergency Medical Services
- Cowlitz County EMS Council
- Craven, Jones, Pamlico Counties EMS
- Dallas Fire-Rescue
- Dane County EMS System
- Davidson County Emergency Services
- Daviess County EMS
- DC Fire and EMS
- Denver Health Paramedic Division
- Department of Aviation Medicine
- Department of Health Services, County of Los Angeles
- Dorchester County EMS
- East Baton Rouge Parish Department of Emergency Medical Services
- El Campo Emergency Medical Service
- Escambia County Emergency Medical Services
- Fairfax County Fire and Rescue Department
- Fern Creek Fire and Emergency Medical Services
- FirstHealth of the Carolinas
- Galveston Area Ambulance Authority
- Giles County EMS
- Greater Elgin Area EMS System
- Greenville County Emergency Medical Services
- Hays County ESD 9 EMS
- Haywood County EMS System
- Houston Fire Department
- Hunt County EMS
- Idaho EMS Physician Commission
- Illinois Region VIII Emergency Medical Services
- Iowa County Ambulance Service
- 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
- Levy County Department of Public Safety
- Lincoln County EMS
- Louisville Metro EMS
- Maine Emergency Medical Services
- Manatee County Emergency Medical Services
- County of Marin EMS
- Marion County
- Maryland Institute for Emergency Medical Services Systems
- Massachusetts Office of Emergency Medical Services
- McKinney Fire Department
- Mecklenburg EMS Agency
- MEP (Medical Emergency Partnership) in partnership with SSM Health
- MetroCare Services and Abilene Fire Department
- 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
- Muskegon County
- Nash County Emergency Medical Services
- Nebraska Medicine Division of Prehospital and Emergency Medical Services
- Nevada EMS Program
- New Hampshire Bureau of Emergency Medical Services
- New Mexico EMS Bureau
- New York State Department of Health, Bureau of Emergency Medical Services and Trauma Systems
- North Central Oregon EMS Agencies
- Northwest Community EMS System
- Northwest Region Emergency Medical Services & Trauma Care Council
- Nueces County ESD4
- Ocala/Marion County/The Villages Public Safety EMS
- Office of the EMS Medical Director for Kansas City, Missouri
- Oklahoma State Department of Health
- Old Dominion EMS Alliance, Inc.
- Palm Beach Gardens Fire Rescue
- Pend Oreille County Emergency Medical Services
- Peninsulas EMS Council, Inc.
- 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 4 EMS
- Region One Metropolitan Ambulance Council
- Region One Metropolitan Ambulance Council (MAC)
- Region X EMS
- 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
- Routt County EMS
- Rowan County Emergency Services EMS Division
- Salem Fire Department
- Santa Barbara County Public Health Department
- Santa Cruz County EMS Agency
- Southern Fox Valley EMS System
- Spokane County EMS
- 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
- Vermont Department of Health
- Virgin Islands Fire & Emergency Medical Services
- Wake County EMS System
- Washington County Emergency Medical Services
- West Virginia Department of Health, Office of Emergency Medical Services
- Wilson County Emergency Management Agency
- Wilson County ESD #4