US EMS Protocol Census
Indication

Midazolam for Nerve agent exposure

1,335 under review14 sources14 named agencies12 statesas of 2026-09-20

Adult dosing has a median of 6 mg across 11 published protocols, with the middle half between 4.375 and 7.5.

14sources
14named agencies
12states
40entries
14named here

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

Adultmg

11sources
11named agencies
9states
18entries
1kept as written
minp25medianp75max
24.37567.510

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 33%
  • IN 17%
  • IV/IN 11%
  • IV/IO 11%
  • IV/IO/IM 11%
  • IM/IN 6%
  • IV 6%
  • IV/IO/IM/IN 6%

United States EMS Protocol Census, n=11 protocols from 11 named agencies / 9 states, updated Sep 2026

Pediatric, weight-basedmg/kg

9sources
9named agencies
9states
16entries
0kept as written
minp25medianp75max
0.10.150.20.20.2

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 44%
  • IV/IO 19%
  • IV/IN 13%
  • IM/IN 6%
  • IN 6%
  • IV 6%
  • IV/IO/IM/IN 6%

United States EMS Protocol Census, n=9 protocols from 9 named agencies / 9 states, updated Sep 2026

Adult, weight-basedmg/kg

3sources
3named agencies
3states
6entries
0kept as written

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

Routes

  • IM 50%
  • IV/IO 33%
  • IN 17%

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