Ketamine for Other
Adult weight-based dosing has a median of 1.5 mg/kg across 92 published protocols, with the middle half between 1 and 2.
Includes 2 agencies outside the US.
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 |
|---|---|---|---|---|
| 0.5 | 1 | 1.5 | 2 | 3 |
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
- IV/IO 47%
- IV 25%
- IM 9%
- IM/IN 3%
- IN 2%
- IV/IM 2%
- IV/IM/IN 2%
- IV/IO/IM 2%
- IV/IO/IN 1%
- IV/IN 1%
- IV/IO/IM/IN 1%
- IN/NEB 1%
United States EMS Protocol Census, n=92 protocols from 74 named agencies / 32 states, updated Oct 2026
Pediatric, weight-basedmg/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 0.4 | 1 | 1.1 | 2 | 3 |
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
- IV/IO 43%
- IM 16%
- IV 16%
- IM/IN 4%
- IN 4%
- IV/IM/IN 3%
- IV/IM 2%
- IV/IO/IM/IN 2%
- IV/IN 2%
- IV/IO/IM 2%
- IN/NEB 1%
- IV/IO/IN 1%
United States EMS Protocol Census, n=70 protocols from 59 named agencies / 26 states, updated Oct 2026
Adultmg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 25 | 38.75 | 50 | 87.5 | 150 |
Values in mg. One value per source (that source's median), so a document listing a medication five times still gets one vote.
Routes
- IV/IO 31%
- IM 13%
- IV 7%
- IM/IN 6%
- IV/IO/IM 2%
United States EMS Protocol Census, n=19 protocols from 18 named agencies / 13 states, updated Oct 2026
Pediatricmg
Below 5 sources, so no distribution is published for this group — only the counts above.
Routes
- IV/IO/IM/IN 17%
- IM 8%
- IV 8%
United States EMS Protocol Census, n=4 protocols from 4 named agencies / 3 states, updated Oct 2026
Named agencies with a page82
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
- Adams, Benton, Franklin, Yakima Counties
- Alabama Department of Public Health Office of Emergency Medical Services
- Ambulance Victoria
- Arlington EMS System
- Ashwaubenon Public Safety, Howard Fire Rescue, & De Pere Fire Rescue
- Benbrook Fire Department
- Berkeley County EMS
- BEST EMS
- Bexar County ESD 4 Fire Rescue
- Brilliant Fire Department
- Brownsville Rural Fire District, Halsey-Shedd Fire Protection District, Jefferson Fire District, Lebanon Fire District, Scio Fire District & Sweet Home Fire & Ambulance District
- Brunswick County EMS
- Calhoun County EMS System
- Central Arizona Regional EMS
- Chelan/Douglas/Okanogan/Grant County
- Clark County EMS System
- Clark County EMS (Washington)
- Coos County Emergency Medical Services
- Cowlitz County EMS Council
- Dane County EMS System
- DC Fire and EMS
- Department of Aviation Medicine
- East Baton Rouge Parish Department of Emergency Medical Services
- El Campo Emergency Medical Service
- EMS Region VII Bioterrorism and All Hazards Preparedness Committee
- Escambia County Emergency Medical Services
- Fern Creek Fire and Emergency Medical Services
- Fort Lauderdale Fire Rescue
- Fort Worth Regional EMS System
- Giles County EMS
- Greater Elgin Area EMS System
- Greenville County Emergency Medical Services
- Hays County ESD 9 EMS
- Illinois Region VIII Emergency Medical Services
- Iowa County Ambulance Service
- Kentucky Board of Emergency Medical Services
- La Porte County Emergency Medical Service
- Lake County Emergency Medical System
- Lake Emergency Medical System
- Lane County Medical Control Board
- Levy County Department of Public Safety
- Maine Emergency Medical Services
- Marion County
- Maryland Institute for Emergency Medical Services Systems
- Massachusetts Office of Emergency Medical Services
- Mauston Area Ambulance
- McKinney Fire Department
- Miramar Fire Rescue Department
- Montgomery County Hospital District
- Mountain West Ambulance
- New Hampshire Bureau of Emergency Medical Services
- Northeast Ohio Regional EMS Protocol Committee
- Northwest Arkansas Regional EMS
- Northwest Community EMS System
- Nueces County ESD4
- Okaloosa County EMS
- Osage Ambulance District
- Palm Beach Gardens Fire Rescue
- Queensland Ambulance Service
- Region 1 Emergency Medical Services
- Region One Metropolitan Ambulance Council
- Region X EMS
- Regional Emergency Medical Advisory Committee of New York City
- County of Riverside EMS Agency
- Salem Fire Department
- Salt Lake County EMS
- Sierra – Sacramento Valley EMS Agency
- South Carolina Department of Public Health (DPH) Division of EMS
- South Plains Emergency Medical Services
- Spokane County EMS
- St. Johns County Fire Rescue
- State Board of Emergency Medical, Fire, and Transportation Services
- State of Nebraska
- The Williamson County EMS System
- Tippecanoe Emergency Ambulance Service
- Tri County Emergency Medical Services, Inc.
- UTSW/Parkland BioTel EMS System
- Washington County Emergency Medical Services
- Weber County Paramedic Program
- Wilson County Emergency Management Agency
- Wilson County ESD #4