Indication

Ketamine for Procedural sedation

59 sources47 named agencies24 statesas of 2026-10-31

Adult weight-based dosing has a median of 1 mg/kg across 50 published protocols, with the middle half between 1 and 1.5.

59sources

47named agencies

24states

132entries

45named here

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

50sources

38named agencies

21states

62entries

0kept as written

min	p25	median	p75	max
0.5	1	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 44%
IV 19%
IM 14%
IV/IO/IM 7%
IN 5%
IV/IO/IM/IN 3%
IM/IN 2%
IV/IN 2%
IV/IO/IN 2%

United States EMS Protocol Census, n=50 protocols from 38 named agencies / 21 states, updated Oct 2026

Pediatric, weight-basedmg/kg

44sources

35named agencies

19states

57entries

0kept as written

min	p25	median	p75	max
0.5	1	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 37%
IM 21%
IV 21%
IN 5%
IM/IN 4%
IV/IO/IM 4%
IV/IN 2%
IV/IO/IM/IN 2%
IV/IO/IN 2%

United States EMS Protocol Census, n=44 protocols from 35 named agencies / 19 states, updated Oct 2026

Adultmg

11sources

10named agencies

6states

12entries

0kept as written

min	p25	median	p75	max
50	100	100	225	300

Values in mg. One value per source (that source's median), so a document listing a medication five times still gets one vote.

Routes

IM 42%
IV 25%
IV/IO 17%
IM/IN 8%
IN 8%

United States EMS Protocol Census, n=11 protocols from 10 named agencies / 6 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 page45

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