Indication

Ketamine for Severe pain

31 sources25 named agencies18 statesas of 2026-10-31

Adult weight-based dosing has a median of 0.3 mg/kg across 30 published protocols, with the middle half between 0.25 and 0.3375.

31sources

25named agencies

18states

71entries

25named here

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

30sources

24named agencies

18states

37entries

0kept as written

min	p25	median	p75	max
0.1	0.25	0.3	0.3375	0.5

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

IV/IO 32%
IV 22%
IM/IN 8%
IV/IM/IN 8%
IV/IO/IM 8%
IN 5%
IV/IO/IM/IN 5%
IM 3%
IM/SQ 3%
IV/IM 3%
IV/IO/IN 3%

United States EMS Protocol Census, n=30 protocols from 24 named agencies / 18 states, updated Oct 2026

Pediatric, weight-basedmg/kg

23sources

18named agencies

15states

30entries

0kept as written

min	p25	median	p75	max
0.1	0.225	0.3	0.325	0.45

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 27%
IV 20%
IN 13%
IV/IM/IN 10%
IV/IO/IM 10%
IM/IN 7%
IV/IO/IM/IN 7%
IM 3%
IV/IO/IN 3%

United States EMS Protocol Census, n=23 protocols from 18 named agencies / 15 states, updated Oct 2026

Adultmg

2sources

2named agencies

2states

3entries

0kept as written

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

Routes

IM 67%
IV/IO 33%

United States EMS Protocol Census, n=2 protocols from 2 named agencies / 2 states, updated Oct 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

IM 100%

United States EMS Protocol Census, n=1 protocols from 1 named agencies / 1 states, updated Oct 2026

Named agencies with a page25

Agencies whose protocols are a public record are named here. Their own doses are on their own pages; this list carries no values.