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Indication

Pralidoxime for Organophosphate poisoning

38 sources33 named agencies22 statesas of 2026-10-31

Adult dosing has a median of 600 mg across 37 published protocols, with the middle half between 600 and 1000.

38sources
33named agencies
22states
68entries
33named here

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

37sources
33named agencies
21states
40entries
0kept as written
minp25medianp75max
60060060010001800

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

22sources
19named agencies
15states
25entries
0kept as written
minp25medianp75max
12.515202550

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

3sources
3named agencies
2states
3entries
0kept as written

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.

Training reference compiled from published protocols. Not a clinical order. Verify with your agency and medical director.