US EMS Protocol Census
Indication

Ketamine for Agitation

1,335 under review76 sources63 named agencies32 statesas of 2026-09-20

Adult weight-based dosing has a median of 3 mg/kg across 62 published protocols, with the middle half between 2 and 4.

76sources
63named agencies
32states
143entries
60named here

1,335 rows are under review across the census and excluded from every number on this page. How that works.

Adult, weight-basedmg/kg

62sources
54named agencies
31states
88entries
0kept as written
minp25medianp75max
12345

Values in mg/kg. One value per source (that source's median), so a document listing a drug five times still gets one vote.

Routes

  • IM 55%
  • IV/IO 15%
  • IV 11%
  • IV/IO/IN 7%
  • IM/IN 6%
  • IV/IM 2%
  • IV/IM/IN 2%
  • IN 1%
  • IV/IO/IM/IN 1%

United States EMS Protocol Census, n=62 protocols from 54 named agencies / 31 states, updated Sep 2026

Pediatric, weight-basedmg/kg

27sources
23named agencies
14states
38entries
0kept as written
minp25medianp75max
11.5235

Values in mg/kg. One value per source (that source's median), so a document listing a drug five times still gets one vote.

Routes

  • IM 53%
  • IV/IO 16%
  • IV 11%
  • IM/IN 5%
  • IV/IO/IN 5%
  • IN 3%
  • IV/IM 3%
  • IV/IM/IN 3%
  • IV/IO/IM/IN 3%

United States EMS Protocol Census, n=27 protocols from 23 named agencies / 14 states, updated Sep 2026

Adultmg

14sources
10named agencies
10states
15entries
1kept as written
minp25medianp75max
100250250287.5400

Values in mg. One value per source (that source's median), so a document listing a drug five times still gets one vote.

Routes

  • IM 87%
  • IV 7%
  • IV/IM 7%

United States EMS Protocol Census, n=14 protocols from 10 named agencies / 10 states, updated Sep 2026

Pediatricmg

2sources
1named agencies
2states
2entries
0kept as written

Below 5 sources, so no distribution is published for this group — only the counts above.

Routes

  • IM 100%

United States EMS Protocol Census, n=2 protocols from 1 named agencies / 2 states, updated Sep 2026

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.