Ketamine for Hyperactive delirium
Adult weight-based dosing has a median of 4 mg/kg across 32 published protocols, with the middle half between 3 and 4.
Doses far off from what other protocols give are likely misreads, so they are left out until checked. How that works.
Adult, weight-basedmg/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 2 | 3 | 4 | 4 | 5 |
Values in mg/kg. One value per source (that source's median), so a document listing a medication five times still gets one vote.
Routes
- IM 82%
- IV/IO 8%
- IV 5%
- IM/IN 3%
- IV/IM/IN 3%
United States EMS Protocol Census, n=32 protocols from 28 named agencies / 15 states, updated Oct 2026
Pediatric, weight-basedmg/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 1.5 | 2 | 3 | 4 | 5 |
Values in mg/kg. One value per source (that source's median), so a document listing a medication five times still gets one vote.
Routes
- IM 80%
- IV/IO 10%
- IM/IN 5%
- IN 5%
United States EMS Protocol Census, n=17 protocols from 16 named agencies / 7 states, updated Oct 2026
Adultmg
Below 5 sources, so no distribution is published for this group — only the counts above.
Routes
- IM 100%
United States EMS Protocol Census, n=1 protocols from 1 named agencies / 1 states, updated Oct 2026
Named agencies with a page27
Agencies whose protocols are a public record are named here. Their own doses are on their own pages; this list carries no values.
- Berrien County Medical Control Authority
- Brilliant Fire Department
- Brunswick County EMS
- Cabarrus County EMS
- City of Austin / Austin-Travis County EMS System
- Craven, Jones, Pamlico Counties EMS
- El Campo Emergency Medical Service
- FirstHealth of the Carolinas
- Franklin County Emergency Medical Services
- Giles County EMS
- Haywood County EMS System
- Maine Emergency Medical Services
- Michigan Department of Health and Human Services
- Michigan Department of Health and Human Services (MDHHS) / West Michigan Regional MCC
- Montana Board of Medical Examiners
- Muskegon County
- North Carolina Office of Emergency Medical Services (NC OEMS)
- Northwest Region Emergency Medical Services & Trauma Care Council
- Norton Sound Health Corporation
- Region One Metropolitan Ambulance Council
- Region One Metropolitan Ambulance Council (MAC)
- Regional Emergency Medical Advisory Committee of New York City
- Rowan County Emergency Services EMS Division
- Spokane County EMS
- Stanly County EMS
- Tri-County Emergency Medical Control Authority
- Wilson County ESD #4