Norepinephrine in US EMS protocols
Includes 2 agencies outside the US.
| Indication | Spread: box is the middle half, dot means most agree | Range |
|---|---|---|
| Bradycardia Adult | 0.001 to 0.008 mg median 0.003, n=12 | |
| Pediatric, weight-based | Most use 0.0001 mg/kg range 0.0001 to 0.0001 mg/kg, n=6 | |
| Cardiogenic shock Adult | Most use 0.002 mg range 0.001 to 0.005 mg, n=14 | |
| Adult, weight-based | 0.0001 to 0.0001 mg/kg median 0.0001, n=7 | |
| Pediatric, weight-based | 0.0001 to 0.0001 mg/kg median 0.0001, n=5 | |
| CHF / pulmonary edema Adult | 0.001 to 0.005 mg median 0.002, n=9 | |
| Hypotension / shock Adult | 0.002 to 0.01 mg median 0.004, n=88 | |
| Adult, weight-based | 0.0001 to 0.0001 mg/kg median 0.0001, n=16 | |
| Pediatric, weight-based | 0.0001 to 0.0001 mg/kg median 0.0001, n=62 | |
| Other Adult | 0.002 to 0.01 mg median 0.004, n=42 | |
| Adult, weight-based | Most use 0.0001 mg/kg range 0 to 0.0001 mg/kg, n=18 | |
| Pediatric, weight-based | 0.0001 to 0.0001 mg/kg median 0.0001, n=30 | |
| Post-ROSC care Adult | Most use 0.002 mg range 0.002 to 0.004 mg, n=5 | |
| Sepsis Adult | Most use 0.002 mg range 0.001 to 0.005 mg, n=29 | |
| Adult, weight-based | 0.0001 to 0.0001 mg/kg median 0.0001, n=10 | |
| Pediatric, weight-based | 0.0001 to 0.0001 mg/kg median 0.0001, n=19 |
Too few protocols to chart yet (protocols in brackets): Beta-blocker / calcium-channel-blocker overdose (2), Cardiac arrest (5), Head injury / TBI (1), Hypothermia (1), Respiratory distress (1), Tricyclic overdose (2), Trauma / hemorrhage (6)
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 page114
Agencies whose protocols are a public record are named here. Their own doses are on their own pages; this list carries no values.
- 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
- BC Emergency Health Services
- Benbrook Fire Department
- Berkeley County EMS
- BEST EMS
- Bexar County ESD 4 Fire Rescue
- Charleston County EMS
- Chaves County EMS
- Chelan/Douglas/Okanogan/Grant County
- City of Austin / Austin-Travis 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
- Daviess County EMS
- Department of Aviation Medicine
- 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
- FirstHealth of the Carolinas
- Fort Worth Regional EMS System
- Franklin County Emergency Medical Services
- Galveston Area Ambulance Authority
- Giles County EMS
- Grant County
- 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
- Kentucky Board of Emergency Medical Services
- Kosciusko County Paramedics
- La Porte County Emergency Medical Service
- Lake County Emergency Medical System
- Lake Emergency Medical System
- Lane County Medical Control Board
- Laurens County Emergency Medical Services
- Levy County Department of Public Safety
- Lincoln County EMS
- Louisville Metro EMS
- Maine Emergency Medical Services
- Maryland Institute for Emergency Medical Services Systems
- Massachusetts Office of Emergency Medical Services
- Mauston Area Ambulance
- Mecklenburg EMS Agency
- MEP (Medical Emergency Partnership) in partnership with SSM Health
- MetroCare Services and Abilene Fire Department
- Montana Board of Medical Examiners
- Mountain West Ambulance
- 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 Central Oregon EMS Agencies
- Northeastern Montana Stat Air Ambulance Cooperative
- Northwest Community EMS System
- Northwest Region Emergency Medical Services & Trauma Care Council
- Nueces County ESD4
- Ocala/Marion County/The Villages Public Safety EMS
- Oklahoma State Department of Health
- Old Dominion EMS Alliance, Inc.
- Osage Ambulance District
- Pend Oreille County Emergency Medical Services
- Peninsulas EMS Council, Inc.
- Pennsylvania Department of Health, Bureau of Emergency Medical Services
- Pettis County Ambulance District
- Region 1 Emergency Medical Services
- Region 4 EMS
- Region One Metropolitan Ambulance Council
- Region One Metropolitan Ambulance Council (MAC)
- Regional Emergency Medical Advisory Committee of New York City
- REMSA Sioux Falls
- Reno County Emergency Medical Services
- Rhode Island Department of Health – Center for Emergency Medical Services
- Richland County Emergency Medical Services
- Salem Fire Department
- Salt Lake County EMS
- Southern Fox Valley EMS System
- Spokane County EMS
- St. Johns County Fire Rescue
- Stanly County EMS
- State Board of Emergency Medical, Fire, and Transportation Services
- State of Hawaiʻi Department of Health, Emergency Medical Services & Injury Prevention System Branch
- State of Nebraska
- Stevens County Emergency Medical Services
- Susquehanna Regional EMS
- The Williamson County EMS System
- Thurston County Medic One
- Tidewater Emergency Medical Services Council, Inc.
- 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
- Wake County EMS System
- Washington County Emergency Medical Services
- Wilson County ESD #4
Cite this
United States EMS Protocol Census, Norepinephrine: n=147 protocols from 118 named agencies / 42 states, as of 2026-10-31