US EMS Protocol Census
Indication

Midazolam for Seizure

1,335 under review154 sources137 named agencies40 statesas of 2026-09-20

Adult dosing has a median of 5 mg across 132 published protocols, with the middle half between 3.75 and 7.5.

154sources
137named agencies
40states
526entries
131named here

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

Adultmg

132sources
118named agencies
31states
240entries
0kept as written
minp25medianp75max
23.7557.510

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 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

129sources
114named agencies
37states
232entries
0kept as written
minp25medianp75max
0.10.10.150.20.4

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

30sources
25named agencies
19states
50entries
0kept as written
minp25medianp75max
0.10.10.150.18750.2

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/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

3sources
3named agencies
3states
4entries
3kept as written

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.