US EMS Protocol Census
Indication

Midazolam for Agitation

1,335 under review116 sources103 named agencies38 statesas of 2026-09-20

Adult dosing has a median of 3.75 mg across 101 published protocols, with the middle half between 2.5 and 5.

116sources
103named agencies
38states
299entries
99named here

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

Adultmg

101sources
90named agencies
34states
165entries
2kept as written
minp25medianp75max
22.53.75510

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

65sources
60named agencies
26states
108entries
0kept as written
minp25medianp75max
0.050.10.10.150.2

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

16sources
15named agencies
11states
23entries
0kept as written
minp25medianp75max
0.050.09380.10.11250.2

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

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

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.