Indication

Ketamine for Mild to moderate pain

1,335 under review103 sources94 named agencies33 statesas of 2026-09-20

Adult weight-based dosing has a median of 0.3 mg/kg across 78 published protocols, with the middle half between 0.25 and 0.375.

103sources

94named agencies

33states

225entries

88named 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

78sources

72named agencies

29states

115entries

0kept as written

min	p25	median	p75	max
0.2	0.25	0.3	0.375	0.5

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

IV/IO 33%
IN 15%
IM 13%
IV 12%
IM/IN 10%
IV/IO/IM/IN 6%
IV/IO/IM 5%
IV/IM 2%
IV/IO/IN 2%
IV/IM/IN 1%
NEB 1%

United States EMS Protocol Census, n=78 protocols from 72 named agencies / 29 states, updated Sep 2026

Pediatric, weight-basedmg/kg

49sources

47named agencies

22states

72entries

0kept as written

min	p25	median	p75	max
0.15	0.2	0.3	0.35	0.5

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

IV/IO 39%
IN 15%
IM 13%
IM/IN 10%
IV 10%
IV/IO/IM/IN 7%
IV/IO/IM 4%
IV/IM/IN 1%
IV/IO/IN 1%

United States EMS Protocol Census, n=49 protocols from 47 named agencies / 22 states, updated Sep 2026

Adultmg

24sources

19named agencies

15states

34entries

1kept as written

min	p25	median	p75	max
10	15	18.75	25	40

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

Routes

IV/IO 29%
IV 24%
IM 21%
IM/IN 9%
IN 6%
IV/IM 6%
IV/IO/IM 3%
IV/IO/IM/IN 3%

United States EMS Protocol Census, n=24 protocols from 19 named agencies / 15 states, updated Sep 2026

Pediatricmg

3sources

3named agencies

3states

4entries

1kept as written

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

Routes

IV/IO 50%
IM 25%
IN 25%

United States EMS Protocol Census, n=3 protocols from 3 named agencies / 3 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.