Drug
Ketamine in US EMS protocols
164 published protocols carry Ketamine across 21 indications, from 143 named agencies in 42 states.
164protocols
143named agencies
42states
21indications
1,040dose entries
100% of 1,040machine-parsed
1,335 rows are under review across the census and excluded from every number on this page. How that works.
Indications21
- Agitation n=76
- Asthma / bronchospasm n=3
- Bradycardia n=3
- Cardiac arrest n=4
- Hyperactive delirium n=31
- Head injury / TBI n=2
- Hypotension / shock n=2
- Other n=51
- Mild to moderate pain n=104
- Severe pain n=29
- Post-intubation sedation n=29
- Post-ROSC care n=2
- Procedural sedation n=60
- Respiratory distress n=1
- RSI induction n=67
- RSI paralysis n=1
- Seizure n=25
- Status epilepticus n=3
- Narrow-complex tachycardia n=3
- Wide-complex tachycardia n=1
- Trauma / hemorrhage n=2
Published distributions25
Only groups with at least 5 sources publish a distribution; thinner groups show their count alone.
| Indication | Population | Sources | Median | Middle half | Unit |
|---|---|---|---|---|---|
| Agitation | Adult | 14 | 250 | 250–287.5 | mg |
| Agitation | Adult, weight-based | 62 | 3 | 2–4 | mg/kg |
| Agitation | Pediatric, weight-based | 27 | 2 | 1.5–3 | mg/kg |
| Hyperactive delirium | Adult, weight-based | 28 | 4 | 4–4 | mg/kg |
| Hyperactive delirium | Pediatric, weight-based | 13 | 4 | 2–4 | mg/kg |
| Other | Adult | 9 | 200 | 200–200 | mg |
| Other | Adult, weight-based | 45 | 2 | 1–2 | mg/kg |
| Other | Pediatric, weight-based | 30 | 1.125 | 1–2 | mg/kg |
| Mild to moderate pain | Adult | 24 | 18.75 | 15–25 | mg |
| Mild to moderate pain | Adult, weight-based | 78 | 0.3 | 0.25–0.375 | mg/kg |
| Mild to moderate pain | Pediatric, weight-based | 49 | 0.3 | 0.2–0.35 | mg/kg |
| Severe pain | Adult, weight-based | 25 | 0.3 | 0.25–0.35 | mg/kg |
| Severe pain | Pediatric, weight-based | 17 | 0.3 | 0.25–0.35 | mg/kg |
| Post-intubation sedation | Adult | 6 | 125 | 100–187.5 | mg |
| Post-intubation sedation | Adult, weight-based | 23 | 1 | 1–1 | mg/kg |
| Post-intubation sedation | Pediatric, weight-based | 15 | 1 | 0.75–1 | mg/kg |
| Procedural sedation | Adult | 14 | 100 | 81.25–175 | mg |
| Procedural sedation | Adult, weight-based | 51 | 1 | 1–1.5 | mg/kg |
| Procedural sedation | Pediatric, weight-based | 41 | 1.5 | 1–1.5 | mg/kg |
| RSI induction | Adult | 8 | 200 | 200–200 | mg |
| RSI induction | Adult, weight-based | 58 | 2 | 1.3125–2 | mg/kg |
| RSI induction | Pediatric, weight-based | 45 | 2 | 1–2 | mg/kg |
| Seizure | Adult | 7 | 100 | 100–100 | mg |
| Seizure | Adult, weight-based | 17 | 1.5 | 1–1.5 | mg/kg |
| Seizure | Pediatric, weight-based | 19 | 1 | 1–1.5 | mg/kg |
Named agencies
Agencies whose protocols are a public record are named here. Their own doses are on their own pages; this list carries no values.
- Ada County-City Emergency Services System
- Adams, Benton, Franklin, Yakima Counties
- Adams, Benton, Franklin, Yakima Counties EMS
- Alabama Department of Public Health (ADPH) Office of EMS (OEMS)
- Alabama Department of Public Health Office of Emergency Medical Services
- Alameda County Emergency Medical Services
- Alameda County EMS
- Anderson County Emergency Medical Services
- Arlington EMS System
- Ascension Saint Joseph Hospital EMS System
- BC Emergency Health Services
- Berrien County Medical Control Authority
- BEST EMS
- Bexar County ESD 4 Fire Rescue
- Boulder County EMS
- Boulder County Protocol Committee
- Brigham City, Cache County, Logan City, Smithfield Fire Departments
- Brilliant Fire Department
- Brunswick County EMS
- Bureau of EMS, Trauma & Preparedness
- Cabarrus County EMS
- Campbell County Emergency Medical Service
- Central Arizona Regional EMS
- Central California Emergency Medical Services
- Chelan/Douglas/Okanogan/Grant County
- City of Austin
- City of Austin / Austin-Travis County EMS System
- City of Austin Office of the Chief Medical Officer
- Clark County EMS System
- Cochran County Emergency Medical Services
- Confederated Tribes of Grand Ronde Department of Emergency Services
- County of Riverside Emergency Medical Services Agency
- County of Riverside Emergency Medical Services (EMS) Agency (REMSA)
- County of San Diego Emergency Medical Services
- Craven, Jones, Pamlico Counties EMS
- Crowley Fire Department
- Daviess County EMS
- Delaware Office of Emergency Medical Services
- Denver Health Paramedic Division
- District of Columbia Fire and EMS Department
- Dorchester County EMS
- Escambia County Emergency Medical Services
- Evansville Fire Department
- Fairfax County Fire and Rescue Department
- Fern Creek Fire and Emergency Medical Services
- FirstHealth of the Carolinas
- Fort Lauderdale Fire Rescue
- Franklin County Emergency Medical Services
- Galveston Area Ambulance Authority
- Giles County EMS
- Greater Miami Valley EMS Council
- Hays County ESD 9 EMS
- Haywood County EMS System
- Hunt County EMS
- Idaho EMS Physician Commission
- Inland Counties Emergency Medical Agency
- Kentucky Board of Emergency Medical Services
- Kern County Public Health
- Lake Cities Fire Department
- Lake County Emergency Medical System
- Laurens County Emergency Medical Services
- Madison Fire Department
- Manatee County Emergency Medical Services
- Maryland Institute for Emergency Medical Services Systems
- Massachusetts Department of Public Health, Office of Emergency Medical Services
- Massachusetts Office of Emergency Medical Services
- MEP (In partnership with SSM Health)
- MEP (Medical Emergency Partnership) in partnership with SSM Health
- Metro Regional EMS
- Metro Regional EMS Consortium
- MetroCare Services and Abilene Fire Department
- Michigan Department of Health and Human Services (MDHHS) / Berrien County
- Michigan Department of Health and Human Services (MDHHS) / Berrien County MCA
- Michigan Department of Health and Human Services (MDHHS) / Midland Gladwin MCA
- Michigan Department of Health and Human Services (MDHHS) / West Michigan Regional MCC
- Michigan Department of Health & Human Services, Bureau of Emergency Preparedness, EMS and Systems of Care
- Ministry of Health, Emergency Health Regulatory and Accountability Branch
- Miramar Fire Rescue Department
- Montana Board of Medical Examiners
- Muskegon County
- Muskogee County EMS
- Nash County Emergency Medical Services
- National Emergency Medical Services
- Nebraska Board of Emergency Medical Services
- Nebraska Medicine Division of Prehospital and Emergency Medical Services
- New Hampshire Bureau of Emergency Medical Services
- New Jersey Department of Health
- New York State Department of Health, Bureau of Emergency Medical Services and Trauma Systems
- North Carolina Office of Emergency Medical Services (NC OEMS)
- Northwest Community EMS System
- Northwest Region Emergency Medical Services & Trauma Care Council
- Oakland County Medical Control Authority
- Oakland County Medical Control Authority (OCMCA)
- Ocala/Marion County Fire Rescue
- Ocala/Marion County/The Villages Public Safety EMS
- Palm Beach Gardens Fire Rescue
- Pend Oreille County Emergency Medical Services
- Peninsulas EMS Council, Inc.
- Pennsylvania Department of Health, Bureau of Emergency Medical Services
- Peoria Area EMS System
- Pettis County Ambulance District
- Pierce County Emergency Medical Services
- Queensland Ambulance Service
- Region 4 EMS (Alton Memorial Hospital, Anderson Hospital, HSHS St. Elizabeth's Hospital, OSF St. Anthony's Health Center)
- Region One Metropolitan Ambulance Council (MAC)
- Region X EMS
- Regional Emergency Medical Advisory Committee of New York City
- Riverside County Emergency Medical Services Agency (REMSA)
- Riverside County EMS Agency
- Rowan County Emergency Services EMS Division
- Salt Lake County EMS
- San Diego County Emergency Medical Services Office
- Santa Barbara County Public Health Department
- South Carolina Department of Public Health (DPH) Division of EMS
- South Plains Emergency Medical Services
- Southern Fox Valley EMS System
- Spokane County EMS
- St. Johns County Fire Rescue
- Stanislaus County Emergency Medical Services Agency
- Stanly County EMS
- State Board of Emergency Medical, Fire, and Transportation Services
- State Board of Emergency Medical, Fire, and Transportation Services (EMFTS Board)
- Stevens County Emergency Medical Services
- Susquehanna Regional EMS
- Tennessee Emergency Medical Services
- The Williamson County EMS System
- Three Rivers Ambulance Authority & Fort Wayne Fire Department
- Thurston County Medic One
- Tidewater Emergency Medical Services Council, Inc.
- Tri County Emergency Medical Services, Inc.
- Utah Department of Public Safety, Bureau of Emergency Medical Services
- Vermont Department of Health
- Vermont Department of Health, Office of Emergency Medical Services
- West Palm Beach Fire Department
- West Virginia Department of Health, Office of Emergency Medical Services
- Wilson County Emergency Management Agency
7 more agencies are counted but have too little published detail for a page yet.