US EMS Protocol Census
Indication

Midazolam for RSI induction

1,335 under review30 sources26 named agencies15 statesas of 2026-09-20

Adult dosing has a median of 2.5 mg across 22 published protocols, with the middle half between 2 and 5.

30sources
26named agencies
15states
48entries
24named here

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

Adultmg

22sources
20named agencies
12states
22entries
0kept as written
minp25medianp75max
122.555

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 46%
  • IV 27%
  • IV/IM 14%
  • IV/IO/IM/IN 9%
  • IV/IN 5%

United States EMS Protocol Census, n=22 protocols from 20 named agencies / 12 states, updated Sep 2026

Pediatric, weight-basedmg/kg

14sources
14named agencies
10states
15entries
0kept as written
minp25medianp75max
0.050.10.10.18750.2

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 40%
  • IV/IO 40%
  • IM 7%
  • IV/IM/IN 7%
  • IV/IO/IM/IN 7%

United States EMS Protocol Census, n=14 protocols from 14 named agencies / 10 states, updated Sep 2026

Adult, weight-basedmg/kg

9sources
7named agencies
7states
10entries
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

  • IV 50%
  • IV/IO 30%
  • IM 10%
  • IV/IM/IN 10%

United States EMS Protocol Census, n=9 protocols from 7 named agencies / 7 states, updated Sep 2026

Pediatricmg

1sources
1named agencies
1states
1entries
0kept as written

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

Routes

  • IV/IM 100%

United States EMS Protocol Census, n=1 protocols from 1 named agencies / 1 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.