Indication

Ketamine for RSI induction

103 sources83 named agencies35 statesas of 2026-10-31

Adult weight-based dosing has a median of 2 mg/kg across 97 published protocols, with the middle half between 1.5 and 2.

103sources

83named agencies

35states

212entries

82named here

Includes 1 agency 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

97sources

77named agencies

35states

129entries

0kept as written

min	p25	median	p75	max
1	1.5	2	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 58%
IV 19%
IM 17%
IV/IM 3%
IV/IM/IN 1%
IV/IO/IM/IN 1%
IV/IO/IN 1%

United States EMS Protocol Census, n=97 protocols from 77 named agencies / 35 states, updated Oct 2026

Pediatric, weight-basedmg/kg

69sources

55named agencies

25states

77entries

0kept as written

min	p25	median	p75	max
1	1	2	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 66%
IM 14%
IV 13%
IV/IM 3%
IV/IM/IN 1%
IV/IO/IM/IN 1%
IV/IO/IN 1%

United States EMS Protocol Census, n=69 protocols from 55 named agencies / 25 states, updated Oct 2026

Adultmg

5sources

5named agencies

4states

5entries

0kept as written

min	p25	median	p75	max
200	200	200	200	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 100%

United States EMS Protocol Census, n=5 protocols from 5 named agencies / 4 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 page82

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