Ketamine for Post-intubation sedation
Adult weight-based dosing has a median of 1 mg/kg across 43 published protocols, with the middle half between 0.875 and 1.5.
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 |
|---|---|---|---|---|
| 0.4 | 0.875 | 1 | 1.5 | 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 71%
- IV 20%
- IV/IO/IM 4%
- IM 2%
United States EMS Protocol Census, n=43 protocols from 35 named agencies / 18 states, updated Oct 2026
Pediatric, weight-basedmg/kg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 0.5 | 0.5 | 1 | 1 | 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 75%
- IV 21%
- IV/IO/IM 4%
United States EMS Protocol Census, n=23 protocols from 18 named agencies / 13 states, updated Oct 2026
Adultmg
| min | p25 | median | p75 | max |
|---|---|---|---|---|
| 100 | 100 | 100 | 150 | 200 |
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 60%
- IV 40%
United States EMS Protocol Census, n=5 protocols from 5 named agencies / 3 states, updated Oct 2026
Adult, weight-basedmL/kg
Below 5 sources, so no distribution is published for this group — only the counts above.
Routes
- IV 100%
United States EMS Protocol Census, n=1 protocols from 1 named agencies / 1 states, updated Oct 2026
Named agencies with a page42
Agencies whose protocols are a public record are named here. Their own doses are on their own pages; this list carries no values.
- Academy of Medicine of Cincinnati
- Alabama Department of Public Health Office of Emergency Medical Services
- Anderson County Emergency Medical Services
- Arizona Department of Health Services
- BEST EMS
- 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
- Campbell County Emergency Medical Service
- Chaves County EMS
- Chelan/Douglas/Okanogan/Grant County
- Confederated Tribes of Grand Ronde Department of Emergency Services
- Craven, Jones, Pamlico Counties EMS
- Davidson County Emergency Services
- Escambia County Emergency Medical Services
- Evansville Fire Department
- FirstHealth of the Carolinas
- Fort Lauderdale Fire Rescue
- Galveston Area Ambulance Authority
- Hays County ESD 9 EMS
- La Porte County Emergency Medical Service
- Lake County Emergency Medical System
- Lake Emergency Medical System
- Lincoln County EMS
- Maine Emergency Medical Services
- Marion County
- Maryland Institute for Emergency Medical Services Systems
- McKinney Fire Department
- Nash County Emergency Medical Services
- Nebraska Medicine Division of Prehospital and Emergency Medical Services
- Nevada EMS Program
- New York State Department of Health, Bureau of Emergency Medical Services and Trauma Systems
- North Carolina Office of Emergency Medical Services (NC OEMS)
- Northeast Ohio Regional EMS Protocol Committee
- Region 4 EMS
- Region One Metropolitan Ambulance Council
- Region One Metropolitan Ambulance Council (MAC)
- Region X EMS
- Spokane County EMS
- State of Nebraska
- Susquehanna Regional EMS
- The Williamson County EMS System
- West Virginia Department of Health, Office of Emergency Medical Services