Norepinephrine for Hypotension / shock
Adult dosing has a median of 0.004 mg across 88 published protocols, with the middle half between 0.002 and 0.005.
Includes 1 agency 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 |
|---|---|---|---|---|
| 0.002 | 0.002 | 0.004 | 0.005 | 0.01 |
Values in mg. One value per source (that source's median), so a document listing a medication five times still gets one vote.
Routes
- IV/IO 63%
- IV 36%
United States EMS Protocol Census, n=88 protocols from 71 named agencies / 24 states, updated Oct 2026
Pediatric, weight-basedmg/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 0.0001 | 0.0001 | 0.0001 | 0.0001 | 0.0001 |
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
- IV/IO 66%
- IV 31%
United States EMS Protocol Census, n=62 protocols from 48 named agencies / 26 states, updated Oct 2026
Adult, weight-basedmg/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 0.0001 | 0.0001 | 0.0001 | 0.0001 | 0.0001 |
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
- IV/IO 78%
- IV 22%
United States EMS Protocol Census, n=16 protocols from 11 named agencies / 12 states, updated Oct 2026
Pediatricmg
Below 5 sources, so no distribution is published for this group — only the counts above.
Routes
- IV 75%
- IV/IO 25%
United States EMS Protocol Census, n=4 protocols from 4 named agencies / 4 states, updated Oct 2026
Named agencies with a page87
Agencies whose protocols are a public record are named here. Their own doses are on their own pages; this list carries no values.
- Alabama Department of Public Health Office of Emergency Medical Services
- Ambulance Victoria
- Anderson County Emergency Medical Services
- Arizona Department of Health Services
- Ashwaubenon Public Safety, Howard Fire Rescue, & De Pere Fire Rescue
- Berkeley County EMS
- BEST EMS
- Bexar County ESD 4 Fire Rescue
- 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
- 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
- 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
- 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
- Louisville Metro EMS
- Maine Emergency Medical Services
- Massachusetts Office of Emergency Medical Services
- Mecklenburg EMS Agency
- MEP (Medical Emergency Partnership) in partnership with SSM Health
- MetroCare Services and Abilene Fire Department
- 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 Region Emergency Medical Services & Trauma Care Council
- Ocala/Marion County/The Villages Public Safety EMS
- Old Dominion EMS Alliance, Inc.
- 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
- Reno County Emergency Medical Services
- Rhode Island Department of Health – Center for Emergency Medical Services
- Richland County Emergency Medical Services
- Salem Fire Department
- Southern Fox Valley EMS System
- St. Johns County Fire Rescue
- Stanly County EMS
- 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.
- Vermont Department of Health
- Wake County EMS System
- Wilson County ESD #4