Midazolam for Agitation
Adult dosing has a median of 3.75 mg across 101 published protocols, with the middle half between 2.5 and 5.
1,335 rows are under review across the census and excluded from every number on this page. How that works.
Adultmg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 2 | 2.5 | 3.75 | 5 | 10 |
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 24%
- IM/IN 13%
- IV/IO 12%
- IV/IO/IM/IN 12%
- IV 9%
- IV/IO/IN 9%
- IV/IM 6%
- IN 6%
- IV/IM/IN 6%
- IV/IO/IM 4%
- IV/IN 1%
United States EMS Protocol Census, n=101 protocols from 90 named agencies / 34 states, updated Sep 2026
Pediatric, weight-basedmg/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 0.05 | 0.1 | 0.1 | 0.15 | 0.2 |
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 21%
- IV/IO 15%
- IV/IO/IM/IN 15%
- IM/IN 14%
- IV/IO/IN 11%
- IN 7%
- IV 7%
- IV/IM/IN 4%
- IV/IM 3%
- IV/IN 2%
- IV/IO/IM 2%
United States EMS Protocol Census, n=65 protocols from 60 named agencies / 26 states, updated Sep 2026
Adult, weight-basedmg/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 0.05 | 0.0938 | 0.1 | 0.1125 | 0.2 |
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/IN 26%
- IM/IN 22%
- IV/IO 22%
- IM 13%
- IV/IM/IN 9%
- IN 4%
- IV/IM 4%
United States EMS Protocol Census, n=16 protocols from 15 named agencies / 11 states, updated Sep 2026
Pediatricmg
Below 5 sources, so no distribution is published for this group — only the counts above.
Routes
- IV/IM/IN 67%
- IN 33%
United States EMS Protocol Census, n=3 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.
- Adams, Benton, Franklin, Yakima Counties
- Anderson County Emergency Medical Services
- Arlington EMS System
- BEST EMS
- Bexar County ESD 4 Fire Rescue
- Boulder County EMS
- Boulder County Protocol Committee
- Brigham City, Cache County, Logan City, Smithfield Fire Departments
- Brilliant Fire Department
- Brunswick County EMS
- Cabarrus County EMS
- Campbell County Emergency Medical Service
- Central Arizona Regional EMS
- Chelan/Douglas/Okanogan/Grant County
- City of Austin
- City of Austin / Austin-Travis County EMS System
- City of Austin Office of the Chief Medical Officer
- Clark County EMS System
- County of Riverside Emergency Medical Services Agency
- County of Riverside Emergency Medical Services (EMS) Agency (REMSA)
- County of San Diego Emergency Medical Services
- Craven, Jones, Pamlico Counties EMS
- Crowley Fire Department
- Davidson County Emergency Services
- Daviess County EMS
- Delaware Office of Emergency Medical Services
- Denver Metro EMS Medical Directors
- District of Columbia Fire and EMS Department
- Dorchester County EMS
- Escambia County Emergency Medical Services
- Evansville Fire Department
- Fairfax County Fire and Rescue Department
- FirstHealth of the Carolinas
- Galveston Area Ambulance Authority
- Giles County EMS
- Greater Miami Valley EMS Council
- Hays County ESD 9 EMS
- Haywood County EMS System
- Hunt County EMS
- Idaho EMS Physician Commission
- Inland Counties Emergency Medical Agency
- Kentucky Board of Emergency Medical Services
- Kern County Public Health
- Kershaw County Emergency Medical Services
- Lake Cities Fire Department
- Laurens County Emergency Medical Services
- Manatee County Emergency Medical Services
- Maryland Institute for Emergency Medical Services Systems
- 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
- Metro Regional EMS
- MetroCare Services and Abilene Fire Department
- Michigan Department of Health and Human Services (MDHHS) / Berrien County
- Michigan Department of Health and Human Services (MDHHS) / Midland Gladwin MCA
- Michigan Department of Health and Human Services (MDHHS) / West Michigan Regional MCC
- Ministry of Health, Emergency Health Regulatory and Accountability Branch
- Miramar Fire Rescue Department
- Montana Board of Medical Examiners
- Muskogee County EMS
- Nash County Emergency Medical Services
- National Emergency Medical Services
- Nebraska Board of Emergency Medical Services
- New Hampshire Bureau of Emergency Medical Services
- New Jersey Department of Health
- New York State Department of Health, Bureau of Emergency Medical Services and Trauma Systems
- North Carolina Office of Emergency Medical Services (NC OEMS)
- Ocala/Marion County Fire Rescue
- Ocala/Marion County/The Villages Public Safety EMS
- Office of the EMS Medical Director for Kansas City, Missouri
- Oklahoma State Department of Health
- Old Dominion EMS Alliance, Inc.
- Pend Oreille County Emergency Medical Services
- Peninsulas EMS Council, Inc.
- Pennsylvania Department of Health, Bureau of Emergency Medical Services
- Peoria Area EMS System
- Pettis County Ambulance District
- Pierce County Emergency Medical Services
- Region 4 EMS (Alton Memorial Hospital, Anderson Hospital, HSHS St. Elizabeth's Hospital, OSF St. Anthony's Health Center)
- Region One Metropolitan Ambulance Council (MAC)
- Region X EMS
- Richland County Emergency Medical Services
- Rowan County Emergency Services EMS Division
- Salt Lake County EMS
- San Diego County Emergency Medical Services Office
- Santa Barbara County Public Health Department
- South Carolina Department of Public Health (DPH) Division of EMS
- Southern Fox Valley EMS System
- Stanly County EMS
- Susquehanna Regional EMS
- Tennessee Emergency Medical Services
- Three Rivers Ambulance Authority & Fort Wayne Fire Department
- Tidewater Emergency Medical Services Council, Inc.
- Utah Department of Public Safety, Bureau of Emergency Medical Services
- Vermont Department of Health
- Vermont Department of Health, Office of Emergency Medical Services
- West Palm Beach Fire Department
- West Virginia Department of Health, Office of Emergency Medical Services