US EMS Protocol Census
Indication

Ketamine for Seizure

1,335 under review25 sources21 named agencies14 statesas of 2026-09-20

Pediatric weight-based dosing has a median of 1 mg/kg across 19 published protocols, with the middle half between 1 and 1.5.

25sources
21named agencies
14states
57entries
21named here

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

Pediatric, weight-basedmg/kg

19sources
15named agencies
11states
23entries
0kept as written
minp25medianp75max
1111.52

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 30%
  • IV/IM 17%
  • IM 13%
  • IM/IN 13%
  • IV/IO/IM 13%
  • IV/IO/IM/IN 9%
  • IV/IN 4%

United States EMS Protocol Census, n=19 protocols from 15 named agencies / 11 states, updated Sep 2026

Adult, weight-basedmg/kg

17sources
13named agencies
11states
24entries
0kept as written
minp25medianp75max
111.51.53

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 42%
  • IM 21%
  • IM/IN 8%
  • IV/IM 8%
  • IV/IO/IM 8%
  • IV/IO/IM/IN 8%
  • IV/IN 4%

United States EMS Protocol Census, n=17 protocols from 13 named agencies / 11 states, updated Sep 2026

Adultmg

7sources
7named agencies
5states
8entries
0kept as written
minp25medianp75max
100100100100100

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/IM 38%
  • IV/IO/IM 25%
  • IM 13%
  • IM/IN 13%
  • IV/IO 13%

United States EMS Protocol Census, n=7 protocols from 7 named agencies / 5 states, updated Sep 2026

Pediatricmg

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

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

Routes

  • IV/IM 50%
  • IV/IO/IM 50%

United States EMS Protocol Census, n=2 protocols from 2 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.