Pralidoxime for Organophosphate poisoning
Adult dosing has a median of 600 mg across 37 published protocols, with the middle half between 600 and 1000.
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 | 1000 | 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 43%
- IV 28%
- IV/IO 20%
- IV/IM 8%
- IV/IO/IM 3%
United States EMS Protocol Census, n=37 protocols from 33 named agencies / 21 states, updated Oct 2026
Pediatric, weight-basedmg/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 12.5 | 15 | 20 | 25 | 50 |
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 36%
- IM 28%
- IV/IO 28%
- IV/IM 4%
- IV/IO/IM 4%
United States EMS Protocol Census, n=22 protocols from 19 named agencies / 15 states, updated Oct 2026
Pediatricmg
Below 5 sources, so no distribution is published for this group — only the counts above.
Routes
- IV/IM 67%
- IM 33%
United States EMS Protocol Census, n=3 protocols from 3 named agencies / 2 states, updated Oct 2026
Named agencies with a page33
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
- Arizona Department of Health Services
- BC Emergency Health Services
- Bonner County Emergency Medical Services
- Boulder County Protocol Committee
- DC Fire and EMS
- Fern Creek Fire and Emergency Medical Services
- Fort Lauderdale Fire Rescue
- Grant County
- Kentucky Board of Emergency Medical Services
- Lake Emergency Medical System
- Lincoln County EMS
- Massachusetts Office of Emergency Medical Services
- Miramar Fire Rescue Department
- Nebraska Medicine Division of Prehospital and Emergency Medical Services
- New Mexico EMS Bureau
- New York State Department of Health, Bureau of Emergency Medical Services and Trauma Systems
- Oklahoma State Department of Health
- Old Dominion EMS Alliance, Inc.
- Rappahannock EMS Council
- Region 1 Emergency Medical Services
- Region 11 Chicago EMS System
- Region One Metropolitan Ambulance Council (MAC)
- Region X EMS
- REMSA
- REMSA Sioux Falls
- Rowan County Emergency Services EMS Division
- Salem Fire Department
- St. Johns County Fire Rescue
- State of Nebraska
- Susquehanna Regional EMS
- Tennessee Emergency Medical Services
- Washington State Department of Health