US EMS Protocol Census
Indication

Ketorolac for Mild to moderate pain

1,335 under review99 sources85 named agencies35 statesas of 2026-09-20

Adult dosing has a median of 22.5 mg across 96 published protocols, with the middle half between 15 and 22.5.

99sources
85named agencies
35states
265entries
82named here

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

Adultmg

96sources
82named agencies
34states
163entries
0kept as written
minp25medianp75max
101522.522.545

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 37%
  • IV 25%
  • IV/IM 16%
  • IV/IO 15%
  • IV/IO/IM 7%
  • IM/IN/PO 1%
  • IO/IM/IN 1%

United States EMS Protocol Census, n=96 protocols from 82 named agencies / 34 states, updated Sep 2026

Pediatric, weight-basedmg/kg

54sources
48named agencies
22states
92entries
0kept as written
minp25medianp75max
0.50.50.50.751

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

  • IM 37%
  • IV 28%
  • IV/IM 15%
  • IV/IO 12%
  • IV/IO/IM 7%
  • IM/IN/PO 1%

United States EMS Protocol Census, n=54 protocols from 48 named agencies / 22 states, updated Sep 2026

Adult, weight-basedmg/kg

5sources
4named agencies
4states
7entries
0kept as written
minp25medianp75max
0.50.50.50.750.75

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/IM 43%
  • IM 29%
  • IV/IO 29%

United States EMS Protocol Census, n=5 protocols from 4 named agencies / 4 states, updated Sep 2026

Pediatricmg

3sources
3named agencies
2states
3entries
0kept as written

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

Routes

  • IV/IM 100%

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