US EMS Protocol Census
Indication

Ketamine for RSI induction

1,335 under review67 sources58 named agencies24 statesas of 2026-09-20

Adult weight-based dosing has a median of 2 mg/kg across 58 published protocols, with the middle half between 1.3125 and 2.

67sources
58named agencies
24states
130entries
55named 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

58sources
49named agencies
23states
71entries
0kept as written
minp25medianp75max
11.3125223

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 55%
  • IV 25%
  • IM 13%
  • IO 1%
  • IV/IM 1%
  • IV/IM/IN 1%
  • IV/IO/IM 1%
  • IV/IO/IN 1%

United States EMS Protocol Census, n=58 protocols from 49 named agencies / 23 states, updated Sep 2026

Pediatric, weight-basedmg/kg

45sources
39named agencies
18states
50entries
0kept as written
minp25medianp75max
11222.75

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 62%
  • IV 20%
  • IM 10%
  • IO 2%
  • IV/IM 2%
  • IV/IM/IN 2%
  • IV/IO/IN 2%

United States EMS Protocol Census, n=45 protocols from 39 named agencies / 18 states, updated Sep 2026

Adultmg

8sources
8named agencies
5states
8entries
1kept as written
minp25medianp75max
100200200200200

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 75%
  • IV 25%

United States EMS Protocol Census, n=8 protocols from 8 named agencies / 5 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.