Ketamine for Procedural sedation
Adult weight-based dosing has a median of 1 mg/kg across 51 published protocols, with the middle half between 1 and 1.5.
1,335 rows are under review across the census and excluded from every number on this page. How that works.
Adult, weight-basedmg/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 0.5 | 1 | 1 | 1.5 | 3 |
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
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 0.5 | 1 | 1.5 | 1.5 | 3 |
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
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 50 | 81.25 | 100 | 175 | 300 |
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
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.
- Ada County-City Emergency Services System
- Adams, Benton, Franklin, Yakima Counties
- Arlington EMS System
- Ascension Saint Joseph Hospital EMS System
- BC Emergency Health Services
- Berrien County Medical Control Authority
- Brigham City, Cache County, Logan City, Smithfield Fire Departments
- Brunswick County EMS
- City of Austin
- City of Austin / Austin-Travis County EMS System
- City of Austin Office of the Chief Medical Officer
- Cochran County Emergency Medical Services
- Crowley Fire Department
- Daviess County EMS
- District of Columbia Fire and EMS Department
- Dorchester County EMS
- Escambia County Emergency Medical Services
- Evansville Fire Department
- Fairfax County Fire and Rescue Department
- Franklin County Emergency Medical Services
- Galveston Area Ambulance Authority
- Hays County ESD 9 EMS
- Hunt County EMS
- Idaho EMS Physician Commission
- Lake Cities Fire Department
- Lake County Emergency Medical System
- 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
- 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 & Human Services, Bureau of Emergency Preparedness, EMS and Systems of Care
- Muskegon County
- New York State Department of Health, Bureau of Emergency Medical Services and Trauma Systems
- Northwest Region Emergency Medical Services & Trauma Care Council
- Oakland County Medical Control Authority
- Oakland County Medical Control Authority (OCMCA)
- Pettis County Ambulance District
- Regional Emergency Medical Advisory Committee of New York City
- Riverside County Emergency Medical Services Agency (REMSA)
- Salt Lake County EMS
- The Williamson County EMS System
- Three Rivers Ambulance Authority & Fort Wayne Fire Department
- Thurston County Medic One
- Tri County Emergency Medical Services, Inc.