Pralidoxime for Nerve agent exposure
Adult dosing has a median of 600 mg across 46 published protocols, with the middle half between 600 and 600.
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 |
|---|---|---|---|---|
| 600 | 600 | 600 | 600 | 1800 |
Values in mg. One value per source (that source's median), so a document listing a medication five times still gets one vote.
Routes
- IM 44%
- IV/IM 24%
- IV/IO/IM 22%
- IV 6%
- IV/IO 4%
United States EMS Protocol Census, n=46 protocols from 44 named agencies / 21 states, updated Oct 2026
Pediatric, weight-basedmg/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 15 | 15 | 15 | 20 | 30 |
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/IM 41%
- IM 31%
- IV/IM 14%
- IV 10%
- IV/IO 3%
United States EMS Protocol Census, n=27 protocols from 26 named agencies / 14 states, updated Oct 2026
Pediatricmg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 600 | 600 | 600 | 900 | 1800 |
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/IM 75%
- IM 25%
United States EMS Protocol Census, n=8 protocols from 7 named agencies / 5 states, updated Oct 2026
Adult, weight-basedmg/kg
Below 5 sources, so no distribution is published for this group — only the counts above.
Routes
- IV/IO/IM 100%
United States EMS Protocol Census, n=1 protocols from 1 named agencies / 1 states, updated Oct 2026
Named agencies with a page42
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
- Anderson County Emergency Medical Services
- Berrien County Medical Control Authority
- Brunswick County EMS
- Cabarrus County EMS
- City of Austin / Austin-Travis County EMS System
- County of San Diego Emergency Medical Services
- Craven, Jones, Pamlico Counties EMS
- Davidson County Emergency Services
- Haywood County EMS System
- Idaho EMS Physician Commission
- Illinois Emergency Medical Services for Children
- Illinois Region VIII Emergency Medical Services
- Laurens County Emergency Medical Services
- Maryland Institute for Emergency Medical Services Systems
- 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
- Muskegon County
- Nash County Emergency Medical Services
- Nebraska Medicine Division of Prehospital and Emergency Medical Services
- New Hampshire Bureau of Emergency Medical Services
- New Jersey Department of Health
- North Carolina Office of Emergency Medical Services (NC OEMS)
- North Central Oregon EMS Agencies
- Pend Oreille County Emergency Medical Services
- Pennsylvania Department of Health, Bureau of Emergency Medical Services
- Peoria Area EMS System
- Region 4 EMS
- Rhode Island Department of Health – Center for Emergency Medical Services
- Rowan County Emergency Services EMS Division
- Sierra – Sacramento Valley EMS Agency
- South Carolina Department of Public Health (DPH) Division of EMS
- Stanislaus County Emergency Medical Services Agency
- Stanly County EMS
- State of Nebraska
- Tri-County Emergency Medical Control Authority
- Vermont Department of Health
- Wake County EMS System
- Washington State Department of Health
- West Virginia Department of Health, Office of Emergency Medical Services