US EMS Protocol Census
Indication

Midazolam for Procedural sedation

1,335 under review121 sources103 named agencies34 statesas of 2026-09-20

Adult dosing has a median of 2 mg across 111 published protocols, with the middle half between 2 and 2.5.

121sources
103named agencies
34states
294entries
98named here

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

Adultmg

111sources
94named agencies
32states
173entries
1kept as written
minp25medianp75max
1222.55

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

69sources
58named agencies
28states
100entries
0kept as written
minp25medianp75max
0.050.050.10.10.2

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

14sources
13named agencies
10states
17entries
0kept as written
minp25medianp75max
0.050.10.10.10.1

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

4sources
4named agencies
2states
4entries
2kept as written

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.