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Medication

Norepinephrine in US EMS protocols

147protocols
118named agencies
42states and regions
14indications
485dose entries
100% of 485machine-parsed

Includes 2 agencies outside the US.

IndicationSpread: box is the middle half, dot means most agreeRange
Bradycardia Adult0.001 to 0.008 mg median 0.003, n=12
Pediatric, weight-basedMost use 0.0001 mg/kg range 0.0001 to 0.0001 mg/kg, n=6
Cardiogenic shock AdultMost use 0.002 mg range 0.001 to 0.005 mg, n=14
Adult, weight-based0.0001 to 0.0001 mg/kg median 0.0001, n=7
Pediatric, weight-based0.0001 to 0.0001 mg/kg median 0.0001, n=5
CHF / pulmonary edema Adult0.001 to 0.005 mg median 0.002, n=9
Hypotension / shock Adult0.002 to 0.01 mg median 0.004, n=88
Adult, weight-based0.0001 to 0.0001 mg/kg median 0.0001, n=16
Pediatric, weight-based0.0001 to 0.0001 mg/kg median 0.0001, n=62
Other Adult0.002 to 0.01 mg median 0.004, n=42
Adult, weight-basedMost use 0.0001 mg/kg range 0 to 0.0001 mg/kg, n=18
Pediatric, weight-based0.0001 to 0.0001 mg/kg median 0.0001, n=30
Post-ROSC care AdultMost use 0.002 mg range 0.002 to 0.004 mg, n=5
Sepsis AdultMost use 0.002 mg range 0.001 to 0.005 mg, n=29
Adult, weight-based0.0001 to 0.0001 mg/kg median 0.0001, n=10
Pediatric, weight-based0.0001 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.

Cite this

United States EMS Protocol Census, Norepinephrine: n=147 protocols from 118 named agencies / 42 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.