Midazolam for Seizure
Adult dosing has a median of 5 mg across 132 published protocols, with the middle half between 3.75 and 7.5.
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 |
|---|---|---|---|---|
| 2 | 3.75 | 5 | 7.5 | 10 |
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%
- IV/IO 22%
- IM/IN 15%
- IN 10%
- IV 9%
- IV/IO/IM/IN 8%
- IV/IO/IM 4%
- IV/IO/IN 4%
- IV/IM/IN 2%
- IV/IM 2%
- IV/IN 0%
United States EMS Protocol Census, n=132 protocols from 118 named agencies / 31 states, updated Sep 2026
Pediatric, weight-basedmg/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 0.1 | 0.1 | 0.15 | 0.2 | 0.4 |
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 22%
- IV/IO 22%
- IM/IN 16%
- IN 13%
- IV 10%
- IV/IO/IM/IN 7%
- IV/IM/IN 3%
- IV/IO/IN 3%
- IV/IO/IM 2%
- IV/IM 1%
- IO/IM/IN 0%
United States EMS Protocol Census, n=129 protocols from 114 named agencies / 37 states, updated Sep 2026
Adult, weight-basedmg/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 0.1 | 0.1 | 0.15 | 0.1875 | 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 30%
- IM/IN 20%
- IM 16%
- IV 10%
- IN 8%
- IV/IM/IN 4%
- IV/IO/IM 4%
- IV/IO/IM/IN 4%
- IO/IM/IN 2%
- IV/IO/IN 2%
United States EMS Protocol Census, n=30 protocols from 25 named agencies / 19 states, updated Sep 2026
Pediatricmg
Below 5 sources, so no distribution is published for this group — only the counts above.
Routes
- IM 50%
- IV/IM/IN 25%
- IV/IO 25%
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.
- Ada County-City Emergency Services System
- Alabama Department of Public Health Office of Emergency Medical Services
- Alameda County Emergency Medical Services
- Anderson County Emergency Medical Services
- Arlington EMS System
- Ascension Saint Joseph Hospital EMS System
- BC Emergency Health Services
- Berrien County Medical Control Authority
- BEST EMS
- Bexar County ESD 4 Fire Rescue
- Brigham City, Cache County, Logan City, Smithfield Fire Departments
- Brilliant Fire Department
- Brunswick County EMS
- Bureau of EMS, Trauma & Preparedness
- Cabarrus County EMS
- Campbell County Emergency Medical Service
- Central Arizona Regional EMS
- Central California Emergency Medical Services
- Chelan/Douglas/Okanogan/Grant County
- City of Austin
- City of Austin / Austin-Travis County EMS System
- City of Austin Office of the Chief Medical Officer
- Clark County EMS System
- Cochran County Emergency Medical Services
- Confederated Tribes of Grand Ronde Department of Emergency Services
- County of Marin EMS
- County of Riverside Emergency Medical Services Agency
- County of Riverside Emergency Medical Services (EMS) Agency (REMSA)
- Craven, Jones, Pamlico Counties EMS
- Crowley Fire Department
- Davidson County Emergency Services
- Daviess County EMS
- Delaware Office of Emergency Medical Services
- 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
- Fern Creek Fire and Emergency Medical Services
- FirstHealth of the Carolinas
- Fort Lauderdale Fire Rescue
- Franklin County Emergency Medical Services
- Galveston Area Ambulance Authority
- 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
- Lake Cities Fire Department
- Lake County Emergency Medical System
- Laurens County Emergency Medical Services
- Madison Fire Department
- Manatee County Emergency Medical Services
- 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
- MEP (In partnership with SSM Health)
- MEP (Medical Emergency Partnership) in partnership with SSM Health
- 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) / 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
- Montana Board of Medical Examiners
- Muskegon County
- Muskogee County EMS
- 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
- Oklahoma State Department of Health
- Peninsulas EMS Council, Inc.
- Pennsylvania Department of Health, Bureau of Emergency Medical Services
- Pettis County Ambulance District
- 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)
- Region One Metropolitan Ambulance Council (MAC)
- Region X EMS
- Regional Emergency Medical Advisory Committee of New York City
- Richland County Emergency Medical Services
- Riverside County Emergency Medical Services Agency (REMSA)
- Rowan County Emergency Services EMS Division
- Salt Lake County EMS
- San Diego County Emergency Medical Services Office
- Santa Barbara County Public Health Department
- South Carolina Department of Public Health (DPH) Division of EMS
- South Plains Emergency Medical Services
- Southern Fox Valley EMS System
- Spokane County EMS
- 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)
- Susquehanna Regional EMS
- Tennessee Emergency Medical Services
- The Williamson County EMS System
- Three Rivers Ambulance Authority & Fort Wayne Fire Department
- Tidewater Emergency Medical Services Council, Inc.
- Tri County Emergency Medical Services, Inc.
- Utah Department of Public Safety, Bureau of Emergency Medical Services
- Vermont Department of Health
- Vermont Department of Health, Office of Emergency Medical Services
- West Palm Beach Fire Department
- West Virginia Department of Health, Office of Emergency Medical Services
- Wilson County Emergency Management Agency