US EMS Protocol Census
Indication

Ketamine for Procedural sedation

1,335 under review60 sources53 named agencies21 statesas of 2026-09-20

Adult weight-based dosing has a median of 1 mg/kg across 51 published protocols, with the middle half between 1 and 1.5.

60sources
53named agencies
21states
120entries
48named 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

51sources
44named agencies
20states
57entries
0kept as written
minp25medianp75max
0.5111.53

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 53%
  • IV 21%
  • IM 11%
  • IV/IO/IM 5%
  • IN 4%
  • IV/IN 4%
  • IM/IN 2%
  • IV/IO/IN 2%

United States EMS Protocol Census, n=51 protocols from 44 named agencies / 20 states, updated Sep 2026

Pediatric, weight-basedmg/kg

41sources
37named agencies
15states
48entries
0kept as written
minp25medianp75max
0.511.51.53

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 50%
  • IV 23%
  • IM 10%
  • IM/IN 4%
  • IN 4%
  • IV/IN 4%
  • IV/IO/IM 2%
  • IV/IO/IN 2%

United States EMS Protocol Census, n=41 protocols from 37 named agencies / 15 states, updated Sep 2026

Adultmg

14sources
13named agencies
8states
14entries
0kept as written
minp25medianp75max
5081.25100175300

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 43%
  • IV 21%
  • IV/IO 21%
  • IM/IN 7%
  • IN 7%

United States EMS Protocol Census, n=14 protocols from 13 named agencies / 8 states, updated Sep 2026

Pediatricmg

1sources
1named agencies
1states
1entries
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=1 protocols from 1 named agencies / 1 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.