Midazolam for Procedural sedation
Adult dosing has a median of 2 mg across 111 published protocols, with the middle half between 2 and 2.5.
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 |
|---|---|---|---|---|
| 1 | 2 | 2 | 2.5 | 5 |
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/IO 23%
- IV/IO/IM/IN 22%
- IV 14%
- IV/IO/IN 10%
- IM 8%
- IM/IN 8%
- IN 4%
- IV/IN 4%
- IV/IM 2%
- IV/IM/IN 2%
- IV/IO/IM 1%
United States EMS Protocol Census, n=111 protocols from 94 named agencies / 32 states, updated Sep 2026
Pediatric, weight-basedmg/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 0.05 | 0.05 | 0.1 | 0.1 | 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 27%
- IV 14%
- IV/IO/IM/IN 13%
- IV/IO/IN 13%
- IM 9%
- IM/IN 7%
- IN 7%
- IV/IM/IN 3%
- IV/IN 3%
- IV/IM 2%
- IV/IO/IM 2%
United States EMS Protocol Census, n=69 protocols from 58 named agencies / 28 states, updated Sep 2026
Adult, weight-basedmg/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 0.05 | 0.1 | 0.1 | 0.1 | 0.1 |
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 35%
- IV/IO 29%
- IV/IO/IN 24%
- IV/IM/IN 12%
United States EMS Protocol Census, n=14 protocols from 13 named agencies / 10 states, updated Sep 2026
Pediatricmg
Below 5 sources, so no distribution is published for this group — only the counts above.
Routes
- IV 50%
- IV/IM/IN 25%
- IV/IO/IM/IN 25%
United States EMS Protocol Census, n=4 protocols from 4 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
- Adams, Benton, Franklin, Yakima Counties EMS
- Alabama Department of Public Health (ADPH) Office of EMS (OEMS)
- Alameda County Emergency Medical Services
- Alameda County EMS
- Arlington EMS System
- Ascension Saint Joseph Hospital EMS System
- Berrien County Medical Control Authority
- Bexar County ESD 4 Fire Rescue
- Boulder County EMS
- Boulder County Protocol Committee
- Brigham City, Cache County, Logan City, Smithfield Fire Departments
- Brunswick County EMS
- Cabarrus County EMS
- Central California Emergency Medical Services
- City of Austin Office of the Chief Medical Officer
- Cochran County Emergency Medical Services
- Confederated Tribes of Grand Ronde Department of Emergency Services
- County of Marin EMS
- County of San Diego Emergency Medical Services
- Crowley Fire Department
- Davidson County Emergency Services
- Daviess County EMS
- Denver Health Paramedic Division
- Denver Metro EMS Medical Directors
- Department of Health Services, County of Los Angeles
- District of Columbia Fire and EMS Department
- Dorchester County EMS
- Escambia County Emergency Medical Services
- Evansville Fire Department
- Fairfax County Fire and Rescue Department
- Giles County EMS
- Greater Miami Valley EMS Council
- Hays County ESD 9 EMS
- Haywood County EMS System
- Houston Fire Department
- 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
- Lake County Emergency Medical System
- Marin County Emergency Medical Services Agency
- Maryland Institute for Emergency Medical Services Systems
- Massachusetts Department of Public Health, Office of Emergency Medical Services
- Massachusetts Office of Emergency Medical Services
- Mecklenburg EMS Agency
- Metro Regional EMS
- Metro Regional EMS Consortium
- MetroCare Services and Abilene Fire Department
- Michigan Department of Health and Human Services (MDHHS)
- Michigan Department of Health and Human Services (MDHHS) / Berrien County
- Michigan Department of Health and Human Services (MDHHS) / Berrien County MCA
- Michigan Department of Health and Human Services (MDHHS) / Midland Gladwin MCA
- Michigan Department of Health and Human Services (MDHHS) / West Michigan Regional MCC
- Michigan Department of Health & Human Services, Bureau of Emergency Preparedness, EMS and Systems of Care
- Ministry of Health, Emergency Health Regulatory and Accountability Branch
- Miramar Fire Rescue Department
- Muskegon County
- Nash County Emergency Medical Services
- National Emergency Medical Services
- Nebraska Medicine Division of Prehospital and 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)
- Northwest Community EMS System
- Northwest Region Emergency Medical Services & Trauma Care Council
- Oakland County Medical Control Authority
- Oakland County Medical Control Authority (OCMCA)
- Ocala/Marion County Fire Rescue
- Ocala/Marion County/The Villages Public Safety EMS
- Office of the EMS Medical Director for Kansas City, Missouri
- Old Dominion EMS Alliance, Inc.
- Pierce County Emergency Medical Services
- Platte Valley Ambulance Service
- Region 4 EMS (Alton Memorial Hospital, Anderson Hospital, HSHS St. Elizabeth's Hospital, OSF St. Anthony's Health Center)
- Regional Emergency Medical Advisory Committee of New York City
- Salt Lake County EMS
- Southern Fox Valley EMS System
- Spokane County EMS
- St. Johns County Fire Rescue
- Stanislaus County Emergency Medical Services Agency
- Stanly County EMS
- State Board of Emergency Medical, Fire, and Transportation Services
- State Board of Emergency Medical, Fire, and Transportation Services (EMFTS Board)
- Stevens County Emergency Medical Services
- Susquehanna Regional EMS
- Tennessee Emergency Medical Services
- The Williamson County EMS System
- Three Rivers Ambulance Authority & Fort Wayne Fire Department
- Thurston County Medic One
- Tri County Emergency Medical Services, Inc.
- Vermont Department of Health
- Vermont Department of Health, Office of Emergency Medical Services
- Wilson County Emergency Management Agency